2022-08-15T14:01:36-05:00 2021-09-30 871353108 EISNER ADVISORY GROUP LLC 733 THIRD AVENUE NEW YORK NY 100172703 990 2020-10-01 800478843 CHILD MIND INSTITUTE INC CHIL 2123083118 101 EAST 56TH STREET NEW YORK NY 10022 MARYANA GELLER PRESIDENT 2123083118 2022-08-15 1 MARYANA GELLER 999009999 WILLIAM EPSTEIN P01307171 2129498700 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z HAROLD KOPLEWICZ MD 101 EAST 56TH STREET NEW YORK NY 10022 41361471 0 X WWW.CHILDMIND.ORG X 2009 NY TRANSFORMING THE LIVES OF CHILDREN STRUGGLING WITH MENTAL HEALTH & LEARNING DISORDERS. 34 34 140 7 0 0 33187796 36850059 97794 196130 56937 61806 2737190 2905754 36079717 40013749 4518656 4510021 0 0 11563310 13565423 75000 337832 2386169 12017121 17390783 28174087 35804059 7905630 4209690 42979809 46691658 11641184 10974942 31338625 35716716 X THE CHILD MIND INSTITUTE IS DEDICATED TO TRANSFORMING THE LIVES OF CHILDREN AND FAMILIES STRUGGLING WITH MENTAL HEALTH AND LEARNING DISORDERS BY GIVING THEM THE HELP THEY NEED TO THRIVE. WE'VE BECOME THE LEADING INDEPENDENT NON-PROFIT IN CHILDREN'S MENTAL HEALTH BY PROVIDING GOLD-STANDARD EVIDENCE-BASED CARE, DELIVERING EDUCATIONAL RESOURCES TO MILLIONS OF FAMILIES EACH YEAR, TRAINING EDUCATORS IN UNDERSERVED COMMUNITIES, AND DEVELOPING TOMORROW'S BREAKTHROUGH TREATMENTS. 0 0 8152257 196130 PUBLIC EDUCATION AND OUTREACH 10185716 SCIENCE AND INNOVATION 7584715 4510021 ACCESS TO CLINICAL CARE 650544 CHILD AND ADOLESCENT MENTAL HEALTH INITIATIVE:THE CHILD AND ADOLESCENT MENTAL HEALTH INITIATIVE IS A PROGRAM TO HELP ENHANCE CHILD AND ADOLESCENT MENTAL HEALTH CARE CAPACITY AND STRENGTHEN THE INFRASTRUCTURE FOR THE PREVENTION, ASSESSMENT, AND TREATMENT OF MENTAL HEALTH STRUGGLES FACED BY CHILDREN AND ADOLESCENTS IN GREECE. THIS IS A NATIONWIDE "TRAIN-THE-TRAINER" PROGRAM THAT WILL BE SUPPLEMENTED BY FREE RESOURCES FOR HEALTHCARE PROFESSIONALS AND THE GENERAL PUBLIC. 650544 26573232 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 117 0 140 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 34 34 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AR CA CO CT DC FL GA HI IL KS KY ME MD MA MI MN MS NV NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X X MARYANA GELLER CFO 2123083118 101 EAST 56TH STREET NEW YORK NY 10022 BROOKE GARBER NEIDICH DIRECTOR 1.00 X 0 0 0 RAM SUNDARAM CO-CHAIR AND DIRECTOR 6.00 X X 0 0 0 DEBRA PERELMAN DIRECTOR 1.00 X 0 0 0 ELIZABETH FASCITELLI SECRETARY AND DIRECTOR 1.00 X X 0 0 0 ANNE WELSH MCNULTY DIRECTOR 1.00 X 0 0 0 ARTHUR ALTSCHUL JR DIRECTOR 1.00 X 0 0 0 MEGAN JONES BELL DIRECTOR 1.00 X 0 0 0 DEVON BRIGER VICE CHAIR AND DIRECTOR 1.00 X X 0 0 0 GUNJAN BHOW DIRECTOR 1.00 X 0 0 0 LISA BROOKE THRU 052021 DIRECTOR 1.00 X 0 0 0 RANDOLPH COWEN DIRECTOR 1.00 X 0 0 0 MARK DOWLEY DIRECTOR 1.00 X 0 0 0 MICHAEL FASCITELLI DIRECTOR 1.00 X 0 0 0 PHYLLIS GREEN DIRECTOR 1.00 X 0 0 0 MARGARET GRIEVE DIRECTOR 1.00 X 0 0 0 JONATHAN HARRIS DIRECTOR 1.00 X 0 0 0 JOSEPH HEALEY CO-CHAIR AND DIRECTOR 6.00 X X 0 0 0 HOWARD KATZ DIRECTOR 1.00 X 0 0 0 PREETHI KRISHNA DIRECTOR 1.00 X 0 0 0 CHRISTINE MACK DIRECTOR 1.00 X 0 0 0 RICHARD MACK DIRECTOR 1.00 X 0 0 0 GUY METCALFE DIRECTOR 1.00 X 0 0 0 JULIE MINSKOFF DIRECTOR 1.00 X 0 0 0 DANIEL NEIDICH DIRECTOR 1.00 X 0 0 0 ZIBBY OWENS DIRECTOR 1.00 X 0 0 0 JOSH RESNICK DIRECTOR 1.00 X 0 0 0 LINNEA ROBERTS DIRECTOR 1.00 X 0 0 0 JANE ROSENTHAL DIRECTOR 1.00 X 0 0 0 JORDAN SCHAPS DIRECTOR 1.00 X 0 0 0 LINDA SCHAPS DIRECTOR 1.00 X 0 0 0 DAVID SHAPIRO TREASURER AND DIRECTOR 1.00 X X 0 0 0 EMMA STONE DIRECTOR 1.00 X 0 0 0 CHRISTINA MINNIS DIRECTOR 1.00 X 0 0 0 ANDY SAPERSTEIN DIRECTOR 1.00 X 0 0 0 EHREN STENZLER DIRECTOR 1.00 X 0 0 0 HAROLD KOPLEWICZ MD PRESIDENT 40.00 X 853152 0 22791 BRETT DAKIN GENERAL COUNSEL 40.00 X 280441 0 12300 AMIE CLANCY CHIEF ADMINISTRATIVE OFFICER 40.00 X 219171 0 7476 JULIA BURNS THRU 82021 CHIEF FINANCIAL OFFICER 40.00 X 218823 0 20293 MARY CORCORAN EXECUTIVE DIRECTOR 40.00 X 265213 0 12785 MARYANA GELLER AS OF 92021 CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 DR MICHAEL MILHAM VICE PRESIDENT OF RESEARCH 40.00 X 340997 0 6790 ADRIANA DI MARTINO SENIOR RESEARCH SCIENTIST 40.00 X 232498 0 15813 SARAH BURKE VP INSTITUTIONAL ADVANCEMENT & STRATEGIC INITIATIV 40.00 X 190203 0 14343 ARNO KLEIN DIR. 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ADMINISTRATIVE SERVICES - 2016 AMOUNT: $ 743,690. 2017 AMOUNT: $ 887,512. 2018 AMOUNT: $ 1,725,422. 2019 AMOUNT: $ 2,737,190. 2020 AMOUNT: $ 2,905,754. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2026691 204766 159280 2072177 2039434 -12743 2026691 2095523 53911 110000 2039434 2113387 91136 109000 2095523 2017895 203492 108000 2113387 0.96520 0.03480 0 0 5114520 2058944 3055576 2062150 1762390 299760 371390 354620 16770 3372106 DEFERRED RENT LIABILITY 2771096 DUE TO AFFILIATED ENTITIES (SEE SCHEDULE L PART V) 1019670 3790766 X 51368919 220517 11151176 11371693 39997226 16523 16523 40013749 46990828 11151176 52116 11203292 35787536 16523 16523 35804059 PART V, LINE 4: CMI'S ENDOWMENT CONSISTS OF A DONOR-RESTRICTED FUND TO SUPPORT A RESEARCH SCIENTIST POSITION AT CMI. PART X, LINE 2: CMI IS SUBJECT TO THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (THE "FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, INCOME TAXES, AS IT RELATES TO ACCOUNTING AND REPORTING FOR UNCERTAINTY IN INCOME TAXES. BECAUSE OF CMI'S GENERAL TAX-EXEMPT STATUS, ASC TOPIC 740 HAS NOT HAD, AND IS NOT ANTICIPATED TO HAVE, A MATERIAL IMPACT ON CMI'S FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: RESERVE OF CERTAIN CONTRIBUTIONS RECEIVABLE THAT WERE DETERMINED TO BE UNCOLLECTIBLE FOR FISCAL YEAR 2021 52,116. PART XI, LINE 2B DURING FISCAL YEAR 2021, CMI RECEIVED DONATED LEGAL SERVICES TOTALING APPROXIMATELY $61,000. DURING FISCAL YEAR 2021, CMI ALSO RECEIVED APPROXIMATELY $11,090,000 IN THE FORM OF DONATED PLACEMENTS OF PUBLIC SERVICE ANNOUNCEMENTS ("PSAS"), IN VARIOUS FORMS OF MEDIA. THE PSAS SERVED TO COMMUNICATE CMI'S MISSION TO THE GENERAL PUBLIC. X X X X X X X 1 EVENT ASSOCIATES INC WEST 56TH STREET NEW YORK NY 10019 BENEFIT DINNER 0 6757380 65000 6692380 COMMUNITY COUNSELING SERVICE PO BOX 824885 PHILADELPHIA PA 19182 FUNDRAISING CONSULTING 0 0 272832 -272832 6757380 337832 6419548 AL AK AR CA CO CT DC FL GA MI IL KS KY ME MD MI MN MS NV NH NJ NC ND OH OK OR PA RI SC TN UT VA WA WV WI NY BENEFIT DINNER 6757380 6757380 FALL LUNCHEON 1243021 1243021 1 428568 428568 8428969 8428969 SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE AMOUNT PAID TO THE PROFESSIONAL FUNDRAISER, EVENT ASSOCIATES, INC., REPRESENTS FEES PAID FOR THE PLANNING OF CMI'S NOVEMBER 2020 ANNUAL BENEFIT DINNER. 1 CHILD MIND MEDICAL PRACTICE PC 2000 ALAMEDA DE LAS PULGAS SAN MATEO CA 94403 833175060 3972446 FMV TO SUPPORT CLINICAL 1 FINANCIAL AID PROGRAM, SEE PART IV 227 537575 PART I, LINE 2: CHILD MIND INSTITUTE, INC. ("CMI") RAISED FUNDS, THROUGH ITS WEST COAST CAMPAIGN, FOR COSTS RELATED TO THE ESTABLISHMENT OF CHILD MIND MEDICAL PRACTICE, PC (THE "CA PRACTICE"). DURING FISCAL YEAR 2021, CMI GRANTED $3,972,446 TO THE CA PRACTICE TO SUPPORT OPERATING EXPENSES DURING THE CA PRACTICE'S STARTUP PERIOD. ON A MONTHLY BASIS, CMI REVIEWS THE OPERATING PERFORMANCE AND FINANCIAL RESULTS OF THE CA PRACTICE IN ACCORDANCE WITH THE TERMS OF THE RESTRICTED GRANT AGREEMENT BETWEEN CMI AND THE CA PRACTICE. PART III, LINE 1A: CMI CONTRIBUTES TO 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 ACCOMMODATING MIDDLE-INCOME FAMILIES WHO FACE OTHER FINANCIAL STRAINS. IN FISCAL YEAR 2021, CMI CONTRIBUTED $537,575 TO THE FINANCIAL AID PROGRAM, BENEFITING 227 PATIENTS. PART I, LINE 2 X X X X X X 0 0 0 0 0 0 0 1 0 HAROLD KOPLEWICZ MD PRESIDENT 582417 0 166667 0 104068 0 10000 0 12791 0 875943 0 0 0 DR MICHAEL MILHAM VICE PRESIDENT OF RESEARCH 340997 0 0 0 0 0 6790 0 0 0 347787 0 0 0 BRETT DAKIN GENERAL COUNSEL 280441 0 0 0 0 0 5600 0 6700 0 292741 0 0 0 MARY CORCORAN EXECUTIVE DIRECTOR 265213 0 0 0 0 0 3800 0 8985 0 277998 0 0 0 ADRIANA DI MARTINO SENIOR RESEARCH SCIENTIST 232498 0 0 0 0 0 8820 0 6993 0 248311 0 0 0 JULIA BURNS THRU 82021 CHIEF FINANCIAL OFFICER 218823 0 0 0 0 0 8313 0 11980 0 239116 0 0 0 AMIE CLANCY CHIEF ADMINISTRATIVE OFFICER 219171 0 0 0 0 0 7476 0 0 0 226647 0 0 0 SARAH BURKE VP INSTITUTIONAL ADVANCEMENT & STRAT 190203 0 0 0 0 0 7350 0 6993 0 204546 0 0 0 DAVID ANDERSON VP SCHOOL AND COMMUNITY PROGRAMS 188251 0 0 0 0 0 43 0 6993 0 195287 0 0 0 ARNO KLEIN DIR. OF INNOVATION AND TECHNOLOGY 185175 0 0 0 0 0 6239 0 0 0 191414 0 0 0 PART I, LINE 3 CMI'S BOARD OF DIRECTORS HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION REVIEW POLICY, WHICH IT FOLLOWS WHEN APPROVING THE COMPENSATION AND BENEFITS OF THE PRESIDENT. THE PRESIDENT'S COMPENSATION IS REVIEWED EVERY TWO TO THREE YEARS BY AN INDEPENDENT CONSULTANT, QUALIFIED TO REVIEW SIMILAR POSITIONS IN COMPARABLE NON-PROFIT ORGANIZATIONS. EACH YEAR, THE COMPENSATION COMMITTEE OF CMI'S BOARD OF DIRECTORS, WHICH IS COMPOSED OF NON-INTERESTED MEMBERS, REVIEWS THE INDEPENDENT CONSULTANT'S REPORT, INCLUDING APPROPRIATE COMPARABILITY DATA, AND MAKES A DETERMINATION ABOUT THE PRESIDENT'S ANNUAL COMPENSATION BASED ON ALL RELEVANT FACTORS, ENSURING THAT THE COMPENSATION IS REASONABLE. THE COMMITTEE REVIEWS THE PRESIDENT'S TOTAL COMPENSATION, WHICH INCLUDES BOTH CURRENT COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE COMMITTEE'S MINUTES AND RETAINED IN CMI'S RECORDS. PART I, LINE 7 THE COMPENSATION OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR (OR THE PRESIDENT, IN THE CASE OF THE EXECUTIVE DIRECTOR) WITH THE ASSISTANCE OF STAFF, IN CONJUNCTION WITH THE INDIVIDUAL'S PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT THE COMPENSATION IS REASONABLE. EVERY TWO YEARS, CMI ENGAGES AN INDEPENDENT CONSULTANT TO CONDUCT A REVIEW OF THE ORGANIZATION'S PAY PRACTICES AND TO ESTABLISH SALARY RANGES FOR ALL POSITIONS BASED ON COMPARABILITY DATA. GENERALLY, THE MIDPOINT OF CMI'S SALARY RANGES FALLS WITHIN THE SALARY RANGE AVERAGES OF COMPARABLE NON-PROFIT ORGANIZATIONS. PERFORMANCE REVIEWS ARE THEN USED TO ESTABLISH AN INDIVIDUAL EMPLOYEE'S COMPENSATION WITHIN THE APPROPRIATE SALARY RANGE. CHILD MIND MEDICAL PRACTICE PLLC SEE PART V SEE PART V 0 CHILD MIND MEDICAL PRACTICE PC SEE PART V SEE PART V 0 HAROLD KOPLEWICZ MD SEE PART V SEE PART V 0 PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) INTERESTED PERSON: HAROLD KOPLEWICZ, MD(B) ENTITIES: CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE") AND CHILD MIND MEDICAL PRACTICE, PC (THE "CA PRACTICE")(C) RELATIONSHIP: HAROLD KOPLEWICZ, MD, PRESIDENT OF CHILD MIND INSTITUTE, INC. ("CMI"), IS ALSO THE SOLE MEMBER OF THE NY PRACTICE AND THE SOLE SHAREHOLDER OF THE CA PRACTICE. BOTH THE NY PRACTICE AND CA PRACTICE WERE FORMED TO PROVIDE CLINICAL CARE AND TREATMENT TO CHILDREN AND ADOLESCENTS AND TO PERFORM CERTAIN ACTIVITIES RELATED TO CMI'S RESEARCH, WHICH UNDER APPLICABLE STATE LAW CMI IS NOT PERMITTED TO PERFORM AND WHICH ARE CRITICAL TO CMI'S MISSION TO TRANSFORM THE LIVES OF CHILDREN AND FAMILIES STRUGGLING WITH MENTAL HEALTH AND LEARNING DISORDERS. AS OF JULY 31, 2021 THE NY PRACTICE HAS BEEN GRANTED TAX EXEMPT STATUS BY THE IRS.(D) TRANSACTIONS:(1) FORMATION. UNDER APPLICABLE STATE LAW, ONLY PERSONS WHO ARE LICENSED TO PRACTICE MEDICINE MAY HOLD AN OWNERSHIP INTEREST IN AN ENTITY FORMED TO PROVIDE CLINICAL CARE AND TREATMENT. CMI, AS A NEW YORK NOT-FOR-PROFIT CORPORATION, IS THEREFORE NOT PERMITTED TO HOLD AN OWNERSHIP INTEREST IN THE NY PRACTICE OR THE CA PRACTICE. IN FURTHERANCE OF CMI'S MISSION, TO PROTECT CMI'S INTERESTS, TO SUPPORT CLINICAL AND RESEARCH ACTIVITIES CONDUCTED BY THE PRACTICES, AND TO COMPLY WITH THE FOREGOING OWNERSHIP REQUIREMENT, DR. KOPLEWICZ, A PHYSICIAN LICENSED IN NEW YORK AND CALIFORNIA, IS THE SOLE MEMBER OF THE NY PRACTICE AND THE SOLE SHAREHOLDER OF THE CA PRACTICE. (X) THE MEMBERSHIP INTERESTS IN THE NY PRACTICE HAVE BEEN STRUCTURED SO THAT NO MEMBER CAN RECEIVE, OR OTHERWISE REALIZE, ANY ECONOMIC BENEFIT FROM HOLDING THESE MEMBERSHIP INTERESTS OR FROM THE SALE OR OTHER DISPOSITION THEREOF. THE MEMBER HAS ENTERED INTO A BUY-SELL AGREEMENT WITH THE NY PRACTICE PURSUANT TO WHICH HE HAS AGREED NOT TO SELL HIS INTERESTS TO ANY PARTY OTHER THAN THE NY PRACTICE, WHICH MAY RE-PURCHASE HIS INTERESTS FOR AN AMOUNT NOT TO EXCEED THE NOMINAL AMOUNT THAT THE MEMBER PAID TO ACQUIRE THEM. FURTHER, THE NY PRACTICE'S ARTICLES OF ORGANIZATION PROVIDE THAT THE NY PRACTICE IS TO BE OPERATED SOLELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES IN FURTHERANCE AND SUPPORT OF CMI'S MISSION TO THE EXTENT NOT INCONSISTENT WITH RELEVANT NEW YORK LAW. NONE OF THE NY PRACTICE'S ASSETS, NET EARNINGS, INCOME OR PROFIT MAY BE DISTRIBUTED TO ANY MEMBER, MANAGER, OFFICER OR EMPLOYEE OF THE NY PRACTICE OR OTHER PRIVATE PERSON, AND IF THE NY PRACTICE IS EVER DISSOLVED, ITS ASSETS AND PROPERTY MUST BE DISTRIBUTED TO A CHARITABLE ORGANIZATION QUALIFYING FOR EXEMPTION FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CMI, THE NY PRACTICE, AND ITS MEMBER HAVE ALSO ENTERED INTO AN AFFILIATION AGREEMENT PROVIDING THAT THE MEMBER HOLDS HIS INTERESTS IN THE NY PRACTICE SOLELY FOR THE BENEFIT OF CMI AND CMI HAS THE RIGHT, IN ITS SOLE DISCRETION, TO FORCE THE TRANSFER OF A MEMBER'S INTERESTS IN THE NY PRACTICE TO ANOTHER LICENSED PHYSICIAN.(Y) THE SHARES IN THE CA PRACTICE ARE RESTRICTED BY A STOCK TRANSFER RESTRICTION AGREEMENT ENTERED INTO BY CMI, THE CA PRACTICE, AND THE SOLE SHAREHOLDER PURSUANT TO WHICH CMI MUST APPROVE ANY DISPOSAL OR DISTRIBUTION OF ANY SHARES IN THE CA PRACTICE AND MAY TRANSFER ANY SUCH SHARES TO A DESIGNATED TRANSFEREE.(2) RESTRICTED GRANT AGREEMENTS. TO FACILITATE THE FORMATION OF BOTH THE NY PRACTICE AND THE CA PRACTICE AND THE CONDUCT BY THE PRACTICES OF CLINICAL AND RESEARCH ACTIVITIES THAT FURTHER CMI'S MISSION, CMI ENTERED INTO RESTRICTED GRANT AGREEMENTS WITH EACH OF THE PRACTICES PURSUANT TO WHICH CMI AGREED TO MAKE SPECIAL PURPOSE RESTRICTED GRANTS UP TO THE AGGREGATE AMOUNT OF $2,440,000 AND $5,000,000, RESPECTIVELY. TO DATE, CMI HAS MADE GRANTS IN THE AGGREGATE AMOUNT OF $690,000 TO THE NY PRACTICE AND $692,080 TO THE CA PRACTICE. THE RESTRICTED GRANT AGREEMENTS PROVIDE, AMONG OTHER THINGS, THAT: (X) THE PRACTICES ARE REQUIRED TO OPERATE IN A MANNER THAT IS, AND LIMITS ITS ACTIVITIES TO THOSE THAT ARE, CONSISTENT WITH AND FURTHER THE MISSION OF CMI; (Y) THE GRANTS MUST BE USED BY THE PRACTICES EXCLUSIVELY IN CONNECTION WITH THE CONDUCT OF ACTIVITIES THAT FURTHER AND SUPPORT CMI'S MISSION; AND (Z) THE PRACTICES MUST OBSERVE VARIOUS REPORTING, BUDGETARY AND OTHER FINANCIAL REQUIREMENTS AND ENGAGE AUDITORS ACCEPTABLE TO CMI.IF THE PRACTICES FAIL TO OBSERVE THE REQUIREMENTS OF THE RESTRICTED GRANT AGREEMENTS, THE AGREEMENTS MAY BE TERMINATED, IN WHICH CASE UNSPENT FUNDS MUST BE RETURNED TO CMI AND DAMAGES MAY BE DUE.(3) SERVICES AGREEMENTS. PURSUANT TO AN ADMINISTRATIVE SERVICES AGREEMENT BETWEEN CMI AND THE NY PRACTICE AND A MANAGEMENT SERVICES AGREEMENT BETWEEN CMI AND THE CA PRACTICE, CMI PROVIDES CERTAIN SERVICES TO THE PRACTICES FOR WHICH THE PRACTICES COMPENSATE CMI. CONSISTENT WITH CMI'S INTERNAL POLICIES AND PROCEDURES, THIS COMPENSATION IS BASED ON THE ACTUAL COST OF PROVIDING THE SERVICES. THE PRACTICES' PAYMENT OBLIGATIONS TO CMI FOR SERVICES PROVIDED UNDER THESE SERVICES AGREEMENTS IS CURRENTLY REFLECTED AS A RECEIVABLE ON CMI'S FINANCIAL STATEMENTS IN THE AMOUNT OF $385,018 AS REFLECTED IN PART X OF THIS FORM 990. (4) LICENSE AGREEMENTS. PURSUANT TO LICENSE AGREEMENTS BETWEEN CMI AND EACH OF THE NY PRACTICE AND THE CA PRACTICE, CMI GRANTED A ROYALTY-FREE LICENSE TO USE CERTAIN OF ITS TRADEMARKS AND DOMAIN NAMES TO THE PRACTICES SUBJECT TO CERTAIN TERMS AND CONDITIONS, INCLUDING CMI'S RIGHT TO TERMINATE THE LICENSE AGREEMENTS IN THE EVENT OF THE BREACH OF THE TERMS AND CONDITIONS OF THE RESTRICTED GRANT AGREEMENTS.(5) GRANT SERVICES AGREEMENTS. PURSUANT TO GRANT SERVICES AGREEEMENTS BETWEEN CMI AND EACH OF THE NY PRACTICE AND THE CA PRACTICE, CMI ENGAGES THE PRACTICES TO PROVIDE CERTAIN SERVICES REQUIRED BY CONTRIBUTIONS OR GRANTS THAT CMI HAS RECEIVED AND WHICH CMI IS UNABLE TO PROVIDE. CMI DISCLOSES TO ITS DONORS AND GRANTORS THAT SERVICES WILL BE SUB-CONTRACTED TO THE PRACTICES TO SATISTY THE REQUIREMENTS OF THE DONATION OR GRANT. DURING FISCAL YEAR 2021, THE NY PRACTICE AND THE CA PRACTICE PROVIDED SERVICES PURSUANT TO THE GRANT SERVICES AGREEMENTS IN THE AMOUNT OF $3,353,406, INCLUDED UNDER SUB-CONTRACTOR EXPENSES IN PART IX OF THIS FORM 990. PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (E) BOARD OVERSIGHT OF RELATIONSHIP AND TRANSACTIONS:AS NOTED ABOVE, DR. KOPLEWICZ IS THE PRESIDENT OF CMI, THE SOLE MEMBER OF THE NY PRACTICE AND THE SOLE SHAREHOLDER OF THE CA PRACTICE. ACCORDINGLY, THE TRANSACTIONS AMONG CMI, THE NY PRACTICE AND THE CA PRACTICE, INCLUDING THE AGREEMENTS DESCRIBED ABOVE, WERE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF CMI. FURTHERMORE, THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CMI OVERSEES THE ONGOING RELATIONSHIP AMONG CMI, THE NY PRACTICE AND THE CA PRACTICE IN ACCORDANCE WITH CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY. X 22 836722 COMPARABLE SALES 0 1 1 PART I, COLUMN (B): THE AMOUNT NOTED REPRESENTS THE TOTAL NUMBER OF CONTRIBUTORS. PART I, LINE 32B: CMI RECEIVES DONATED SECURITIES THROUGH A THIRD PARTY, WHICH IN TURN SELLS THE SECURITIES AND CONVERTS THEM TO CASH PROCEEDS. PART III, LINE 4A PROGRAM SERVICE, PUBLIC EDUCATION AND OUTREACH: CMI 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 - CMI'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. 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 TOOLS LIKE FACEBOOK AND TWITTER TO SPREAD THE WORD. "GETTING BETTER TOGETHER" - MAY 2021'S VERSION OF OUR ANNUAL PUBLIC RELATIONS AND SOCIAL MEDIA AWARENESS CAMPAIGN TO FIGHT THE STIGMA THAT PREVENTS KIDS AND FAMILIES FROM SEEKING LIFE-CHANGING TREATMENT. BY ENGAGING A BROAD COALITION OF PARTNERS AND CELEBRITY PARTICIPANTS, THE CAMPAIGN SPARKS THE NATIONAL ATTENTION THAT CHILDREN'S MENTAL HEALTH DESERVES. IN FISCAL YEAR 2021, "GETTING BETTER TOGETHER" REACHED MILLIONS WITH MESSAGES ENCOURAGING ASKING FOR HELP AND OFFERING HOPE OF RECOVERY FROM MENTAL HEALTH OR LEARNING DISORDERS. "ON THE SHOULDERS OF GIANTS" - EACH YEAR, CMI'S 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 CHILDREN'S 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. PARENT AND EDUCATOR WORKSHOPS ON CLINICAL TOPICS - THE PARENT AND EDUCATOR WORKSHOPS COVER A RANGE OF ISSUES AFFECTING CHILDREN, INCLUDING SELECTIVE MUTISM, ADHD, OBSESSIVE-COMPULSIVE DISORDER, 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 CHILDREN WITH THESE DISORDERS AND HELP THEM THRIVE. SCHOOL AND COMMUNITY PROGRAMS - FOUNDED IN 2012, THE CHILD MIND INSTITUTE'S SCHOOL AND COMMUNITY PROGRAMS HAVE DELIVERED MENTAL HEALTH SUPPORTS TO MORE THAN 60,000 STUDENTS, CAREGIVERS, EDUCATORS, AND COUNSELORS. BREAKING DOWN BARRIERS TO CARE, OUR PROGRAMS BRING A SUITE OF EVIDENCE-BASED SERVICES TO PREVENT AND TREAT STUDENT MENTAL HEALTH DISORDERS IN SCHOOL AND COMMUNITY SETTINGS, INCLUDING A K-12 MENTAL HEALTH SKILL-BUILDING CURRICULUM, WORKSHOPS FOR CAREGIVERS, PROFESSIONAL DEVELOPMENT FOR EDUCATORS, AND EVIDENCE-BASED TREATMENT DELIVERED IN SCHOOL OR COMMUNITY SETTINGS TO CHILDREN AND TEENS STRUGGLING WITH POSTTRAUMATIC STRESS, BEHAVIOR, ATTENTIONAL, MOOD, OR LEARNING DISORDERS. OUR TEAM ALSO PROVIDES PROFESSIONAL TRAINING FOR EDUCATORS AND COMMUNITY-BASED MENTAL HEALTH PROFESSIONALS IN NEW YORK, SAN FRANCISCO, AND SCHOOL DISTRICTS ACROSS THE UNITED STATES, LAYING THE GROUNDWORK FOR SUSTAINABLE CAPACITY BUILDING AND ONGOING SUPPORT IN DISTRICTS WHERE MENTAL HEALTH SERVICES MAY BE LESS AVAILABLE OR MORE DIFFICULT TO ACCESS. HEALTHY MINDS, THRIVING KIDS PROJECT - DEVELOPED BY OUR SCHOOL AND COMMUNITY PROGRAMS TEAM IN PARTNERSHIP WITH THE STATE OF CALIFORNIA, THIS SERIES OF 34 VIDEOS AND 60 SKILL SHEETS COVERS FIVE CRITICAL PREVENTATIVE MENTAL HEALTH SKILL SETS IN THREE AGE VERSIONS AND TWO LANGUAGES. PART III, LINE 4B PROGRAM SERVICE, SCIENCE AND INNOVATION: CMI HAS A SCIENCE AND INNOVATION MISSION THAT STRIVES TO CREATE A WORLD WHERE EVERY CHILD HAS ACCESS TO MENTAL HEALTH CARE THAT IS EFFICIENT, EFFECTIVE, AND PERSONALIZED. TIMELY, ACCURATE DIAGNOSES AND EFFICIENT INTERVENTIONS ARE CENTRAL TO THE CMI VISION. AS SUCH, OUR MISSION IS TO ACCELERATE THE PACE OF SCIENTIFIC INNOVATION AND DISCOVERY IN CHILDREN'S MENTAL HEALTH AND LEARNING. WE ARE COMMITTED TO DEMOCRATIZING INQUIRY BY MAKING TOOLS AND DATA FREELY AVAILABLE TO THE GLOBAL SCIENTIFIC COMMUNITY. THIS HELPS TO FOSTER COLLABORATIONS THAT CAN TEST, IMPROVE UPON, AND ADOPT INNOVATIVE OPEN SOLUTIONS FOR THE BENEFIT OF EVERY CHILD. CENTER FOR THE DEVELOPING BRAIN - PSYCHIATRIC DIAGNOSIS IS LIMITED BY A LACK OF OBJECTIVE TOOLS FOR ASSESSING SYMPTOMS AND BEHAVIORS. THE CENTER LEADS A MULTIDISCIPLINARY EFFORT TO REDEFINE DIAGNOSIS BASED ON UNDERLYING NEUROBIOLOGY, LEADING TO THE DEVELOPMENT OF BETTER DIAGNOSTIC TOOLS. WE USE ADVANCED EXPERIMENTAL AND ANALYTICAL TECHNIQUES TO DETERMINE HOW BRAIN FUNCTION AND STRUCTURE DIFFER AMONG INDIVIDUALS AND ARE IMPACTED BY MENTAL ILLNESS ACROSS DEVELOPMENT. CENTRAL TO OUR OPEN SCIENCE AGENDA, THE CENTER HOUSES THE INTERNATIONAL NEUROIMAGING DATA-SHARING INITIATIVE (INDI), WHICH HAS SERVED AS A FLAGSHIP FOR OPEN SCIENCE IN THE BRAIN IMAGING COMMUNITY AND LED TO THE GENERATION OF MORE THAN 1000 PUBLICATIONS BY AUTHORS AROUND THE WORLD. COMPUTATIONAL NEUROIMAGING LABORATORY - ACCELERATING THE PACE OF SCIENTIFIC DISCOVERY REQUIRES SIGNIFICANT INNOVATION IN THE ANALYSIS METHODS EMPLOYED BY SCIENTISTS. THE LABORATORY IS BUILDING THE INFRASTRUCTURE NECESSARY BY PROVIDING HIGH QUALITY, SCALABLE, AND REPRODUCIBLE TURNKEY SOLUTIONS TO COMPUTATIONAL CHALLENGES IN IMAGE PROCESSING AND ANALYSIS. WIDESPREAD ACCESS WILL ENABLE SCIENTISTS EVERYWHERE TO DEPLOY LARGE-SCALE ANALYSES WITHOUT EXTENSIVE EXPERTISE. ALL SOFTWARE GENERATED IS OPENLY SHARED THROUGHOUT THE DEVELOPMENT CYCLE. HEALTHY BRAIN NETWORK - THE HEALTHY BRAIN NETWORK (HBN) IS AN INNOVATIVE NEUROSCIENCE RESEARCH PROGRAM AIMED AT BUILDING THE LARGEST, MOST COMPREHENSIVE DATA RESOURCE FOCUSED EXCLUSIVELY ON CHILDREN AND ADOLESCENTS AND SHARING THE DATA WITH SCIENTISTS GLOBALLY. THROUGH A PROVEN BIG DATA AND OPEN SCIENCE PARADIGM, WE EXPECT THAT THIS INITIATIVE WILL SPUR THE DISCOVERY OF BRAIN-BASED BIOMARKERS OF PSYCHIATRIC AND LEARNING DISORDERS. CMI EXPECTS THAT THE RESEARCH WILL LEAD TO THE DEVELOPMENT OF OBJECTIVE CLINICAL TOOLS FOR MENTAL HEALTH PRACTITIONERS TO PROVIDE MORE ACCURATE DIAGNOSES AND TREATMENT PROTOCOLS FOR STRUGGLING CHILDREN. SCIENTIFIC RESEARCH COUNCIL - SELECTED FROM AMONG THE NATION'S TOP CHILDREN'S MENTAL HEALTH SCIENTISTS, THE SCIENTIFIC RESEARCH COUNCIL BRINGS TOGETHER SCIENTISTS AND RESEARCH CLINICIANS TO CREATE A GLOBAL INCUBATOR FOR COLLABORATIVE RESEARCH IN CHILDREN'S MENTAL HEALTH. FUNCTIONING AS A MULTI-INSTITUTIONAL SCIENTIFIC THINK-TANK, THE COUNCIL INCLUDES DISTINGUISHED SCIENTISTS IN THE FIELDS OF CHILD AND ADOLESCENT PSYCHIATRY, PSYCHOLOGY, NEUROSCIENCE, AND NEUROLOGY, AND EXPERTS IN ANXIETY AND MOOD DISORDERS, ADHD, AUTISM SPECTRUM DISORDERS, AND EATING DISORDERS. MATTER LAB - THE MATTER ("MENTAL ASSISTIVE TECHNOLOGIES FOR THERAPY, EDUCATION, AND RESEARCH") LAB IS DEVELOPING WEARABLE TECHNOLOGIES AND MOBILE APPS THAT HELP GATHER REAL-WORLD DATA USEFUL FOR SCIENTISTS STUDYING MENTAL HEALTH DISORDERS, AND CREATING ROBUST RESEARCH PROTOCOLS SO DATA IS OF HIGH QUALITY AND DEPENDABLE. THIS DATA ON ENVIRONMENTAL STRESSORS, MOVEMENT AND BEHAVIOR TRACKING CAN POTENTIALLY BE USED TO ALERT YOUNG PEOPLE AND FAMILIES TO THE ONSET OF SYMPTOMATIC BEHAVIORS. THE LAB IS ALSO WORKING ON A DATABASE THAT EVALUATES THE RESEARCH SUPPORT FOR APPS AND MATCHES THEM TO THE BEHAVIORS AND SYMPTOMS THEY CAN HELP. THE HOPE IS THAT LARGE-SCALE, STANDARDIZED DATA-COLLECTION AND ANALYSIS WILL LEAD TO SIMPLE BUT POWERFUL MOBILE TOOLS FOR DIAGNOSIS AND EVALUATION. AUTISM CENTER - THE AUTISM CENTER IS AN INTEGRATED RESEARCH LAB FOCUSED ON UNDERSTANDING THE NEUROBIOLOGY OF AUTISM SPECTRUM DISORDER USING BRAIN IMAGING AND A RANGE OF OTHER CLINICAL AND COGNITIVE APPROACHES. A SPECIFIC GOAL OF THE CENTER IS DETECTING AUTISM-RELATED DIFFERENCES IN BRAIN CONNECTIVITY THAT EMERGE IN EARLY CHILDHOOD, WITH THE GOAL OF IDENTIFYING OBJECTIVE BIOLOGICAL MARKERS THAT CAN ONE DAY BE USED TO IMPROVE EARLY INTERVENTION EFFORTS AND THE SELECTION OF TREATMENTS. CONSISTENT WITH OUR OPEN SCIENCE PHILOSOPHY, THE CENTER HOUSES THE AUTISM BRAIN IMAGING DATA EXCHANGE, WHICH REPRESENTS THE LARGEST OPEN REPOSITORY FOR AUTISM BRAIN IMAGING DATA IN THE WORLD. PART III, LINE 4C PROGRAM SERVICE, ACCESS TO CLINICAL CARE: CMI AIMS TO HELP CHILDREN, TEENS, AND FAMILIES ACCESS THE CLINICAL CARE THEY NEED TO LIVE HEALTHY, FULFILLING LIVES. FINANCIAL AID PROGRAM - CMI LAUNCHED ITS FINANCIAL AID PROGRAM IN AN EFFORT TO HELP CHILDREN AND FAMILIES RECEIVE CARE AND TREATMENT, REGARDLESS OF ECONOMIC STANDING, FROM OUR CLINICIANS. THE FINANCIAL AID PROGRAM IS DESIGNED IN A WAY THAT ALLOWS PATIENTS FROM LOW-INCOME FAMILIES TO QUALIFY, WHILE ALSO ACCOMMODATING MIDDLE-INCOME FAMILIES WHO FACE OTHER FINANCIAL STRAINS. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIPS: A) PHYLLIS GREEN AND RANDOLPH COWEN ARE HUSBAND AND WIFE B) ELIZABETH AND MICHAEL FASCITELLI ARE HUSBAND AND WIFE C) CHRISTINE AND RICHARD MACK ARE HUSBAND AND WIFE D) BROOKE GARBER NEIDICH AND DANIEL NEIDICH ARE HUSBAND AND WIFE E) PREETHI KRISHNA AND RAM SUNDARAM ARE HUSBAND AND WIFE F) JORDAN SCHAPS IS THE SON OF LINDA SCHAPS G) ZIBBY OWENS IS THE STEP-DAUGHTER OF HOWARD KATZ FORM 990, PART VI, SECTION B, LINE 11B CMI'S FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARER BASED ON INFORMATION PROVIDED BY CMI FINANCE STAFF. THE DRAFT FORM 990 IS THEN REVIEWED BY CMI'S GENERAL COUNSEL AND BY EXTERNAL INDEPENDENT LEGAL COUNSEL. PRIOR TO FILING THE FORM 990 WITH THE IRS, A COPY OF THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF CMI'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY REQUIRES DIRECTORS AND OFFICERS TO DISCLOSE POTENTIAL AND ACTUAL CONFLICTS AND TO RECUSE THEMSELVES FROM DELIBERATIONS AND VOTES ON MATTERS THAT INVOLVE A CONFLICT. CMI OBTAINS A SIGNED CONFLICT OF INTEREST DISCLOSURE FORM FROM EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 CMI'S BOARD OF DIRECTORS HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION REVIEW POLICY, WHICH IT FOLLOWS WHEN APPROVING THE COMPENSATION AND BENEFITS OF THE PRESIDENT. THE PRESIDENT'S COMPENSATION IS REVIEWED EVERY TWO TO THREE YEARS BY AN INDEPENDENT CONSULTANT, QUALIFIED TO REVIEW SIMILAR POSITIONS IN COMPARABLE NON-PROFIT ORGANIZATIONS. EACH YEAR, THE COMPENSATION COMMITTEE OF CMI'S BOARD OF DIRECTORS, WHICH IS COMPOSED OF NON-INTERESTED MEMBERS, REVIEWS THE INDEPENDENT CONSULTANT'S REPORT, INCLUDING APPROPRIATE COMPARABILITY DATA, AND MAKES A DETERMINATION ABOUT THE PRESIDENT'S ANNUAL COMPENSATION BASED ON ALL RELEVANT FACTORS, ENSURING THAT THE COMPENSATION IS REASONABLE. THE COMMITTEE REVIEWS THE PRESIDENT'S TOTAL COMPENSATION, WHICH INCLUDES BOTH CURRENT COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE COMMITTEE'S MINUTES AND RETAINED IN CMI'S RECORDS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF ORGANIZATIONAL DOCUMENTS: CMI'S ANNUAL REPORTS, FORMS 990, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON ITS WEBSITE. THESE DOCUMENTS, AS WELL AS CMI'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST AND DISCLOSURE POLICY, ARE ALSO AVAILABLE UPON REQUEST. PART VI, SECTION B, LINE 15B THE COMPENSATION OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 IS REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR (OR THE PRESIDENT, IN THE CASE OF THE EXECUTIVE DIRECTOR) WITH THE ASSISTANCE OF STAFF IN CONJUNCTION WITH THE INDIVIDUAL'S PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT THE COMPENSATION IS REASONABLE. EVERY TWO YEARS, CMI ENGAGES AN INDEPENDENT CONSULTANT TO CONDUCT A REVIEW OF CMI'S PAY PRACTICES AND TO ESTABLISH SALARY RANGES FOR ALL POSITIONS BASED ON COMPARABILITY DATA. GENERALLY, THE MIDPOINT OF CMI'S SALARY RANGES FALLS WITHIN THE SALARY RANGE AVERAGES OF COMPARABLE NON-PROFIT ORGANIZATIONS. PERFORMANCE REVIEWS ARE THEN USED TO ESTABLISH AN INDIVIDUAL EMPLOYEE'S COMPENSATION WITHIN THE APPROPRIATE SALARY RANGE. PART XI, LINE 9 CMI RESERVED $52,116 OF CERTAIN CONTRIBUTIONS RECEIVABLE THAT WERE DETERMINED TO BE UNCOLLECTIBLE FOR FISCAL YEAR 2021.