CHILD MIND INSTITUTE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHILD MIND INSTITUTE INC (EIN 80-0478843)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-04-12
- IRS object ID
- 201301039349300710
- Schema version
- 2011v1.5
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-04-12T12:53:04-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113518842 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARKS PANETH & SHRON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 685 THIRD AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800478843 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILD MIND INSTITUTE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 2123083118 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 PARK AVENUE NO 2ND FL | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10022 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR HAROLD KOPLEWICZ MD PRESIDENT | Name |
| Title | PRESIDENT | Title |
| Phone | 2123083118 | Phone |
| Date Signed | 2013-04-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT R LYONS CPA | Name |
| PTIN | P00227472 | PTIN |
| Phone | 2125038800 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR HAROLD KOPLEWICZ MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 PARK AVENUE NO 2ND FL | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9849085 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHILDMIND.ORG | WebSite |
| Type Of Organization Other | X | TypeOfOrganizationOther |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | WE ARE 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 30 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 55 | TotalNbrEmployees |
| Total Nbr Volunteers | 40 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8975012 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9573350 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11131 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14795 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -26536 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14859 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8959607 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9603004 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 690000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 368066 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2132516 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3739872 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 130531 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 76046 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1410683 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3111197 | OtherExpensePriorYear |
| Other Expenses Current Year | 3065507 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6064244 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7249491 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2895363 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2353513 | RevenuesLessExpensesCY |
| Total Assets BOY | 9797368 | TotalAssetsBOY |
| Total Assets EOY | 13612923 | TotalAssetsEOY |
| Total Liabilities BOY | 386803 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1858244 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9410565 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11754679 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1109904 | Expense |
| Description | PUBLIC EDUCATIONTHE 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! - THE CHILD MIND INSTITUTE'S SPEAK UP FOR KIDS IS A GLOBAL CAMPAIGN TO INCREASE PUBLIC AWARENESS OF THE SIGNS AND SYMPTOMS OF PSYCHIATRIC AND LEARNING DISORDERS IN CHILDREN, AND THE IMPORTANCE OF EARLY INTERVENTION THAT CAN TURN AROUND THEIR LIVES. EVERY MAY, DURING NATIONAL CHILDREN'S MENTAL HEALTH AWARENESS WEEK, THE CHILD MIND INSTITUTE WORKS WITH PARTNER ORGANIZATIONS WORLDWIDE TO SPONSOR EVENTS, INCLUDING FREE LECTURES BY PSYCHIATRISTS AND OTHER PROFESSIONALS, OPEN DAYS AT CLINICIANS' OFFICES AND NEUROSCIENCE LABS, EXHIBITIONS ABOUT CHILDREN'S MENTAL HEALTH, SOCIAL MEDIA ACTIVITIES, CLASSROOM WORKSHOPS, AND MORE. OVER THE LAST TWO YEARS. SPEAK UP FOR KIDS HAS HAD HUNDREDS OF THOUSANDS OF PARTICIPANTS "TURNING THE GLOBE GREEN," THE CAMPAIGN'S SIGNATURE COLOR, BY SPREADING THE WORD, GIVING A TALK, OR HOSTING A TALK IN THEIR LOCAL COMMUNITY OR THROUGH SOCIAL MEDIA TOOLS, SUCH AS FACEBOOK OR TWITTER.ADAM JEFFREY KATZ MEMORIAL LECTURE - DESIGNED TO RAISE AWARENESS AND EDUCATE THE PUBLIC ABOUT ADHD AND DYSLEXIA, THE KATZ FAMILY LAUNCHED THIS ANNUAL LECTURE IN 2003 AS A LIVING MEMORIAL TO ADAM KATZ, WHO STRUGGLED WITH BOTH DISORDERS. THE TWO-PART PROGRAM IS HELD EVERY MAY, DURING NATIONAL MENTAL HEALTH MONTH, AND FEATURES A LECTURE BY OR DISCUSSION WITH A LEADING EXPERT IN THE FIELD, AND A CANDID CONVERSATION WITH A CELEBRITY GUEST ABOUT LIVING WITH A MENTAL HEALTH DISORDER. PAST CELEBRITIES HAVE INCLUDED ACTOR ORLANDO BLOOM AND ACTRESS AND PRODUCER TRUDIE STYLER AND PRODUCER BRIAN GRAZER.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 - THE CHILD MIND INSTITUTE BELIEVES THE ARTS ARE CRITICAL TO CHILD DEVELOPMENT AND ACADEMIC SUCCESS BECAUSE THEY PROMOTE SELF-ESTEEM AND PROVIDE OPPORTUNITIES FOR SELF-EXPRESSION. THAT'S WHY THE CHILD MIND INSTITUTE INVITES PUBLIC AND INDEPENDENT SCHOOLS TO PARTICIPATE IN THE STUDENT ART PROJECT, OUR GALLERY PROGRAM DEDICATED TO DISPLAYING WORKS OF ART CREATED BY STUDENT ARTISTS. IN FOUR EXHIBITIONS A YEAR, STUDENT PIECES ARE DISPLAYED PROMINENTLY AT THE CHILD MIND INSTITUTE HEADQUARTERS, WHICH ACCOMMODATES 34 WORKS OF ART. EACH SHOW IS BASED ON A THEME CHOSEN BY AN ART TEACHER FROM THE SCHOOL. THE EXHIBITIONS LAUNCH WITH AN OPENING RECEPTION HOSTED BY THE CHILD MIND INSTITUTE 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1947262 | Expense |
| Description | SCIENCE AND INNOVATIONTHE CHILD MIND INSTITUTE HAS A SCIENCE AND INNOVATION MISSION THAT UNDERSCORES THE TRANSFORMATIVE POWER OF COLLABORATIVE RESEARCH IN THE FIELD OF CHILD MENTAL HEALTH.CENTER FOR THE DEVELOPING BRAIN - THE CHILD MIND INSTITUTE'S CENTER FOR THE DEVELOPING BRAIN LEADS AN INNOVATIVE NEUROSCIENCE INITIATIVE TO EXAMINE AND UNDERSTAND THE DEVELOPING BRAIN AND ACCELERATES THE PACE OF DISCOVERY IN THE FIELD. FOCUSED ON PROMOTING "OPEN SCIENCE" IN THE NEUROIMAGING FIELD, THE CENTER SPEARHEADS LARGE-SCALE DEMONSTRATIONS OF THE FEASIBILITY AND VALUE OF PROSPECTIVE DATA-SHARING: DISTRIBUTING THOUSANDS OF IMAGING DATASETS TO MULTIDISCIPLINARY SCIENTISTS WORLDWIDE FOR STUDY. THIS INITIATIVE IS KNOWN AS THE INTERNATIONAL DATA-SHARING INITIATIVE (INDI) AND IS A GAME-CHANGER IN THE SCIENTIFIC COMMUNITY OF CHILD PSYCHIATRY AND LEARNING DISORDERS; A FEW YEARS AGO SCIENTISTS VIEWED A MERE FEW DOZEN DATASETS AS A MAJOR RESOURCE. 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 HEALTHY BRAIN NETWORK AIMS TO ACQUIRE A FULL PICTURE OF HOW THE BRAIN MATURES AND FUNCTIONS AS A CHILD GROWS INTO ADOLESCENCE AND ADULTHOOD. BY COLLECTING NEUROIMAGING AND DNA DATA ON AN UNPRECEDENTED SCALE, CHILD MIND INSTITUTE SCIENTISTS WILL WORK TO CREATE A LANDMARK DATABASE, THE CHILD MIND INSTITUTE BIOBANK, THAT WILL ENABLE THE CREATION OF BRAIN "GROWTH CHARTS." THESE WILL BE THE WORLD'S FIRST COMPREHENSIVE MAPS OF HUMAN BRAIN FUNCTION OVER THE COURSE OF DEVELOPMENT, MIMICKING THE CHARTS PEDIATRICIANS USE TO TRACK CHILDREN'S HEIGHT AND WEIGHT. GIVING CLINICIANS THESE MAPS WILL IMPROVE THE EARLY IDENTIFICATION, ACCURATE DIAGNOSIS, AND APPROPRIATE TREATMENT OF 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.TEACHER CHILD INTERACTION TRAINING (NEW PROGRAM ADDED IN OCTOBER 2011) - IN PARTNERSHIP WITH THE DEPARTMENT OF EDUCATION AND SPONSORED BY THE NEW YORK CITY COUNCIL, TEACHER-CHILD INTERACTION TRAINING (TCIT) WAS IMPLEMENTED TO PROVIDE TEACHERS WITH CLASSROOM MANAGEMENT SKILLS TO BETTER MANAGE DISRUPTIVE BEHAVIOR BY THE STUDENTS. THIS PILOT PROGRAM WAS CONDUCTED IN FIVE GENERAL EDUCATION KINDERGARTEN AND FIRST GRADE CLASSES IN NEW YORK CITY PUBLIC SCHOOLS. THE TRAINING FOCUSED ON TWO SETS OF SKILLS: CHILD-DIRECTED INTERACTION (CDI), WHICH PROVIDES TEACHERS WITH SKILLS THAT REINFORCE STUDENTS' POSITIVE CLASSROOM BEHAVIORS AND PREVENT NEGATIVE CLASSROOM BEHAVIOR, AND TEACHER-DIRECTED INTERACTION (TDI), WHICH PROVIDES TEACHERS WITH EFFECTIVE METHODS OF INTERVENING AND SETTING LIMITS WHEN DISRUPTIVE BEHAVIOR OCCURS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 973948 | Expense |
| Description | ACCESS TO CLINICAL CARETHE 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 THE 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 90% 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 FOUNDATION HAS RAISED A CUMULATIVE TOTAL OF $520,500 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 $1,041,000. THIS PAST YEAR ALONE, THE CLINICIANS PROVIDED CLINICAL CARE WORTH APPROXIMATELY $524,000 IN FINANCIAL AID. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 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 AGREEGATE), 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, 2012, NO AMOUNTS WERE PAID AS GRANTS. AGGREGATE GRANTS PAID TO DATE ARE $690,000. CMI'S FINANCE COMMITTEE MONITORS GRANTS MADE TO THE PRACTICE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4031114 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 55 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 30 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | GA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AL | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID RIVERA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2123083118 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 PARK AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| PHYLLIS GREEN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| RANDOLPH COWEN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MEGAN DOWLEY | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARK DOWLEY | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| AUTHUR G ALTSCHUL JR | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARGARET GRIEVE | |||||||
| DIRECTOR | 13.50 | X | 0 | 0 | 0 | ||
| ELIZABETH FASCITELLI | |||||||
| SECRETARY AND DIRECTOR | 0.50 | X | 0 | 0 | 0 | X | |
| MICHAEL FASCITELLI | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| GIDEON M GIL | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| DEBRA PERELMAN | |||||||
| DIRECTOR AND VICE CHAIR | 2.50 | X | 0 | 0 | 0 | X | |
| GEORGE HALL | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JANE ROSENTHAL | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| CRAIG HATKOFF | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JOSEPH HEALEY | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| ELLEN KATZ | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| HOWARD KATZ | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| CHRISTINE MACK | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| RICHARD MACK | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| STEVEN MARCUS | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| ANNE WELSH MCNULTY | |||||||
| TREASURER AND DIRECTOR | 0.50 | X | 0 | 0 | 0 | X | |
| JULIE MINSKOFF | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| MARCIA MISHAAN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| RICHARD MISHAAN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| DANIEL NEIDICH | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JORDAN SCHAPS | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| LINDA SCHAPS | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| CLAUDE WASSERSTEIN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| PREETHI KRISHNA | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| RAM SUNDARAM | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| BROOKE GARBER NEIDICH | |||||||
| CHAIR AND DIRECTOR | 3.00 | X | 0 | 0 | 0 | X | |
| DR HAROLD KOPLEWICZ MD | |||||||
| PRES. (SEE SCHEDULE O) | 40.00 | 600101 | 0 | 256907 | X | ||
| SHERINE KHALIL | |||||||
| CHIEF OPERATING OFFICER | 40.00 | 280745 | 0 | 22528 | X | ||
| REBECCA BENGHIAT | |||||||
| CHIEF OF STAFF | 40.00 | 77457 | 0 | 22927 | X | ||
| DAVID RIVERA | |||||||
| DIRECTOR OF FINANCE | 40.00 | 0 | 0 | 0 | X | ||
| LISA GIOIA-HERNANDEZ | |||||||
| DIRECTOR OF DEVELOPMENT | 40.00 | 134379 | 0 | 16255 | X | ||
| DAWN THOMSEN | |||||||
| CHIEF OUTREACH OFFICER | 40.00 | 111665 | 0 | 27085 | X | ||
| ILEAN HELLAND | |||||||
| ASSISTANT TO THE PRESIDEDNT | 40.00 | 105142 | 0 | 30060 | X | ||
| MICHAEL MILHAM | |||||||
| DIR. CTR. DEV. BRAIN | 40.00 | 125413 | 0 | 12036 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1434902 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 387798 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCGOVERN AND COMPANY | |||||
| 286 MADISON AVE 22ND FL | NEW YORK | NY | 10017 | CONSTRUCTION | 1308148 |
| MADISON TECHNOLOGY | |||||
| 825 THIRD AVENUE 2ND FL | NEW YORK | NY | 10022 | OUTSOURCED IT SUPPORT | 314343 |
| RED INTERACTIVE AGENCY LLC | |||||
| 3420 OCEAN PK BLVD STE 3080 | SANTA MONICA | CA | 90405 | WEBSITE DEVELOPMENT | 290418 |
| 42ND STREET LESSEE | |||||
| 110 EAST 42ND STREET | NEW YORK | NY | 10017 | EVENT VENUE | 170170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Fundraising Events | 4715001 | FundraisingEvents |
| All Other Contributions | 4858349 | AllOtherContributions |
| Noncash Contributions | 423286 | NoncashContributions |
| Total Contributions | 9573350 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14795 | TotalRevenueColumn |
| Exclusion | $14,795 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 246081 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 4715001 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 246081 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 14859 | TotalRevenueColumn |
| Exclusion | $14,859 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14859 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9603004 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $29,654 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105590 | Total |
| Program Services | 105590 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262476 | Total |
| Program Services | 262476 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1290633 | Total |
| Program Services | 293138 | ProgramServices |
| Management And General | 551764 | ManagementAndGeneral |
| Fundraising | 445731 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2025752 | Total |
| Program Services | 1576755 | ProgramServices |
| Management And General | 275270 | ManagementAndGeneral |
| Fundraising | 173727 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 423487 | Total |
| Program Services | 290511 | ProgramServices |
| Management And General | 86862 | ManagementAndGeneral |
| Fundraising | 46114 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107593 | Total |
| Management And General | 107593 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104704 | Total |
| Management And General | 104704 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76046 | Total |
| Fundraising | 76046 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 824612 | Total |
| Program Services | 298188 | ProgramServices |
| Management And General | 176138 | ManagementAndGeneral |
| Fundraising | 350286 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7742 | Total |
| Program Services | 4412 | ProgramServices |
| Management And General | 3330 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64466 | Total |
| Program Services | 35209 | ProgramServices |
| Management And General | 17106 | ManagementAndGeneral |
| Fundraising | 12151 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84952 | Total |
| Program Services | 56880 | ProgramServices |
| Management And General | 6157 | ManagementAndGeneral |
| Fundraising | 21915 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 806874 | Total |
| Program Services | 507973 | ProgramServices |
| Management And General | 176395 | ManagementAndGeneral |
| Fundraising | 122506 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132565 | Total |
| Program Services | 61532 | ProgramServices |
| Management And General | 50191 | ManagementAndGeneral |
| Fundraising | 20842 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7542 | Total |
| Program Services | 4370 | ProgramServices |
| Management And General | 1983 | ManagementAndGeneral |
| Fundraising | 1189 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 508027 | Total |
| Program Services | 336568 | ProgramServices |
| Management And General | 119600 | ManagementAndGeneral |
| Fundraising | 51859 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58909 | Total |
| Program Services | 36817 | ProgramServices |
| Management And General | 16388 | ManagementAndGeneral |
| Fundraising | 5704 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| COMPUTERS & EQUIPMENT | 185154 | 87469 | 75659 | 22026 |
| PRINTING | 49465 | 13093 | 3024 | 33348 |
| BANK FEES | 47175 | 22120 | 16863 | 8192 |
| TELEPHONE | 26183 | 10616 | 13444 | 2123 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49544 | Total |
| Program Services | 27397 | ProgramServices |
| Management And General | 5223 | ManagementAndGeneral |
| Fundraising | 16924 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7249491 | Total |
| Program Services | 4031114 | ProgramServices |
| Management And General | 1807694 | ManagementAndGeneral |
| Fundraising | 1410683 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5190112 | BOY |
| EOY | 777697 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81082 | BOY |
| EOY | 5871763 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1357393 | BOY |
| EOY | 2821575 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184589 | BOY |
| EOY | 214562 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3510462 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 809234 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2448409 | BOY |
| EOY | 2701228 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 327901 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 535783 | BOY |
| EOY | 898197 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9797368 | BOY |
| EOY | 13612923 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 363645 | BOY |
| EOY | 1015269 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23158 | BOY |
| EOY | 842975 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386803 | BOY |
| EOY | 1858244 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7514954 | BOY |
| EOY | 8574646 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1895611 | BOY |
| EOY | 3180033 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9410565 | BOY |
| EOY | 11754679 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9797368 | BOY |
| EOY | 13612923 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2353513 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9399 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 8570923 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8975012 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9573350 | CurrentTaxYear |
| Total | 27119285 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 8570923 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8975012 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9573350 | CurrentTaxYear |
| Total | 27119285 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 7216712 | AmountsSubstContributorsTotal |
| Public Support Total170 | 19902573 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2513 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11131 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14795 | CurrentTaxYear |
| Total | 28439 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 16971 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14859 | CurrentTaxYear |
| Total | 31830 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 27179554 | TotalSupport |
| First5 Years170 | X | First5Years170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $35,098 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 35098 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PREVENT THE $29 MILLION FUNDING REDUCTION IN PRESIDENT OBAMA'S 2013 BUDGET FOR THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). EXPLORE OPPORTUNITIES WITH SAMHSA TO CREATE A WORKFORCE DEVELOPMENT PROGRAM FOR CHILD AND ADOLESCENT PSYCHIATRY THAT WOULD HELP ADDRESS THE CRITICAL SHORTAGE OF QUALIFIED MENTAL HEALTH PROFESSIONALS. EXPLORE GENERATING GRANT FROM THE MILITARY TO SUPPORT VETERANS AND THEIR FAMILIES. GRASS ROOTS LOBBYING- $415 DIRECT LOBBYING- $34,683 | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1762812 | OtherCostOrOtherBasis |
| Depreciation | 173048 | Depreciation |
| Book Value | 1589764 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1009452 | OtherCostOrOtherBasis |
| Depreciation | 232306 | Depreciation |
| Book Value | 777146 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 738198 | OtherCostOrOtherBasis |
| Depreciation | 403880 | Depreciation |
| Book Value | 334318 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2701228 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SECURITY DEPOSITS | 119049 |
| DUE FROM CHILD MIND MEDICAL PRACTICE, PLLC | 779148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 898197 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED RENT LIABILITY | $733,675 |
| DEFERRED COMPENSATION LIABILITY | $109,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 842975 | TotalOfAmounts |
| Total Revenue | 9603004 | TotalRevenue |
| Total Expenses | 7249491 | TotalExpenses |
| Excess Or Deficit For Year | 2353513 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -9399 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -9399 | TotalAdjustments |
| Excess Or Deficit Per FS | 2344114 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 9619238 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 16234 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 16234 | RevenueNotRptdF990 |
| Revenue Subtotal | 9603004 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 9603004 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7275124 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 16234 | DonatedServicesUseOfFacilities |
| Losses Reported | 9399 | LossesReported |
| Expenses Not Rptd F990 | 25633 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7249491 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7249491 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | CHILD MIND INSTITUTE HAS NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2012 AND 2011 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, INCOME TAXES, WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISION FOR UNCERTAIN TAX POSITIONS. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EVENT ASSOCIATESINC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 162 WEST 56TH ST | AddressLine1 |
| City | NY | City |
| State | NY | State |
| ZIP Code | 10019 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING FOR GALA | Activity |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFunds |
| Gross Receipts | 4961082 | GrossReceipts |
| Amount Retained By Contractor | 76046 | AmountRetainedByContractor |
| Net To Organization | 4885036 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 4961082 | TotalGrossReceipts |
| Total Retained By Contractors | 76046 | TotalRetainedByContractors |
| Total Net To Organization | 4885036 | TotalNetToOrganization |
| Licensed States | NY | LicensedStates |
| Licensed States | GA | LicensedStates |
| Licensed States | NH | LicensedStates |
| Licensed States | AL | LicensedStates |
| Licensed States | WI | LicensedStates |
| Licensed States | NC | LicensedStates |
| Licensed States | OR | LicensedStates |
| Licensed States | AZ | LicensedStates |
| Licensed States | CT | LicensedStates |
| Licensed States | MA | LicensedStates |
| Licensed States | PA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 4961082 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 4715001 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 246081 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 246081 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 4961082 | GrossReceiptsTotal |
| Charitable Contributions Total | 4715001 | CharitableContributionsTotal |
| Gross Revenue Total Events | 246081 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 246081 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 246081 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF FUNDRAISING PAYMENTS | Identifier |
| Return Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (V) | ReturnReference |
| Explanation | THE $76,046 INDICATED REPRESENTS THE AMOUNT PAID TO THE PROFESSIONAL FUNDRAISING COMPANY, EVENT ASSOCIATES, TOWARDS THE PLANNING OF THE DECEMBER 2011 ANNUAL BENEFIT DINNER. OF THAT AMOUNT, $43,000 WAS PRE-PAID TO EVENT ASSOCIATES IN THE PREVIOUS FISCAL YEAR 2011, TOWARD THE PLANNING OF DECEMBER 2011 ANNUAL BENEFIT DINNER. THE TOTAL AMOUNT PAID TO EVENT ASSOCIATES FOR THE PLANNING OF THE DECEMBER 2011 ANNUAL DINNER WAS $76,046, WHICH INCLUDED THE $65,000 CONTRACT, PLUS $11,046 IN REIMBURSABLE EXPENSES (I.E. POSTAGE, PRINTING, ETC.). FURTHER, A NEW CONTRACT WITH EVENT ASSOCIATES TO PLAN THE DECEMBER 2012 ANNUAL BENEFIT DINNER WAS EXECUTED, AND $32,000 WAS PRE-PAID TOWARDS THAT CONTRACT IN FISCAL YEAR 2012. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|
| RESEARCH FOUNDATION FOR MENTAL HYGIENE | |||||||||
| 150 BROADWAY SUITE 301 | MENANDS | NY | 12204 | 141410842 | 501(C)(6) | 80590 | FMV | SEE PART IV | |
| NATIONAL FEDERATION OF FAMILIES | |||||||||
| 9605 MEDICAL CENTER DRIVE SUITE 280 | ROCKVILLE | MD | 20850 | 521671408 | 501(C)(3) | 25000 | FMV | SEE PART IV | 280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SEE PART IV | TypeOfGrant |
| Number Of Recipients | 159 | NumberOfRecipients |
| Amount Of Cash Grant | 262476 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | PART I, LINE 2: | SCHEDULE I, PART I, LINE 2: CMI RECEIVES EXPENSE REPORTS ON A QUARTERLY BASIS FROM GRANTEES 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 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 II, LINE 1A | THE CHILD MIND INSTITUTE CONTRIBUTED $25,000 TO THE NATIONAL FEDERATION OF FAMILIES FOR CHILDREN'S MENTAL HEALTH AS A CONTRIBUTION TO NATIONAL CHILDREN'S MENTAL HEALTH AWARENESS DAY. | |
| SCHEDULE I, PART III, LINE 1A | THE CHILD MIND INSTITUTE PROVIDES A FINANCIAL AID PROGRAM THAT OFFERS ELIGIBLE FAMILIES A FEE DISCOUNT FOR CHILD MENTAL HEALTH CARE, INCLUDING THOSE ASSOCIATED WITH LEARNING DISABILITIES. 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. IN FY 2012 A TOTAL OF 159 PATIENTS RECEIVED $262,476 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 $524,000 OF SUPPORT TOWARDS CLINICAL SERVICES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR HAROLD KOPLEWICZ MD | |||||||||||||
| 420101 | 0 | 180000 | 0 | 0 | 0 | 119300 | 0 | 137607 | 0 | 857008 | 0 | 0 | 0 |
| SHERINE KHALIL | |||||||||||||
| 280745 | 0 | 0 | 0 | 0 | 0 | 8143 | 0 | 14385 | 0 | 303273 | 0 | 0 | 0 |
| LISA GIOIA-HERNANDEZ | |||||||||||||
| 134379 | 0 | 0 | 0 | 0 | 0 | 6750 | 0 | 9505 | 0 | 150634 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CMMP PLLC | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 779148 | AmountOfTransaction |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: | Identifier |
| Explanation | (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 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, THEREFORE IS NOT 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 THE OTHER MEMBER'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 INTEREST'S. 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 ARE IN THE PROCESS OF BEING AMENDED TO PROVIDE THAT THE PRACTICE IS TO BE OPERATED SOLELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL 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 AMENDED ARTICLES OF ORGANIZATION OF THE PRACTICE WILL 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. THE PRACTICE DOES NOT FALL UNDER THE DEFINITION OF A "RELATED ORGANIZATION" 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 METHODOLOGY FOR DETERMINING THE FAIR VALUE OF SUCH SERVICES IS INDEPENDENTLY MONITORED PERIODICALLY BY CMI'S INDEPENDENT AUDITORS. 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 $779,148, AS REFLECTED IN PART X OF THIS FORM 990. (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 THE TERMS AND CONDITIONS THEREOF, 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. | Explanation |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 13 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 423286 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 LORI AND GEORGE HALL 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 MARCIA AND RICHARD MISHAAN ARE HUSBAND AND WIFE BROOKE GARBER NEIDICH AND DANIEL NEIDICH ARE HUSBAND AND WIFE JORDAN SCHAPS IS THE SON OF LINDA SCHAPS LINDA SCHAPS IS THE MOTHER OF JORDAN SCHAPS PREETHI KRISHNA AND RAM SUNDARAM ARE HUSBAND AND WIFE | |
| 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 CHIEF OPERATING OFFICER AND BY EXTERNAL INDEPENDENT LEGAL COUNSEL. THE DRAFT FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF CMI'S BOARD OF DIRECTORS, WHICH WAS DELEGATED RESPONSIBILITY BY THE FULL BOARD OF DIRECTORS TO REVIEW THE FORM 990 IN DETAIL. 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. | |
| 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 ANNUALLY A SIGNED CONFLICT OF INTEREST DISCLOSURE FORM FROM EACH OF THE BOARD MEMBERS AND MANAGEMENT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL EXECUTIVE LEVEL COMPENSATION IS REVIEWED BY A CONTRACTED 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 THE DOCUMENTATION RELIED ON BY THE COMMITTEE IS RETAINED IN CHILD MIND INSTITUTE RECORDS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | A SUMMARY OF AUDITED FINANCIAL STATEMENTS IS AVAILABLE IN THE CHILD MIND INSTITUTE'S ONLINE ANNUAL REPORT. | |
| 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. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -9,399. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE CHILD MIND INSTITUTE INITIALLY RETAINED MARKS PANETH & SHRON THROUGH A COMPETITIVE PROCESS. SUBSEQUENTLY, IN 2011 THE BOARD, UPON THE RECOMMENDATION OF THE FINANCE COMMITTEE, DETERMINED TO CONTINUE TO RETAIN THEIR SERVICES AS THE INDEPENDENT AUDITOR FOR THE CHILD MIND INSTITUTE. |
Comments