2024-11-13T07:07:07-06:00 2023-12-31 871353108 EISNER ADVISORY GROUP LLC 733 THIRD AVENUE NEW YORK NY 100172703 990 2023-10-01 800478843 CHILD MIND INSTITUTE INC CHIL 2123083118 215 EAST 50TH STREET NEW YORK NY 10022 MARYANA GELLER CHIEF FINANCIAL OFFICER 2123083118 2024-11-12 1 0 WILLIAM EPSTEIN P01307171 2129498700 2023 2024-10-15 13:58:12Z HAROLD KOPLEWICZ MD 215 EAST 50TH STREET NEW YORK NY 10022 27693724 0 X WWW.CHILDMIND.ORG X 2009 NY TRANSFORMING THE LIVES OF CHILDREN STRUGGLING WITH MENTAL HEALTH & LEARNING DISORDERS. 35 35 251 36 0 0 92400155 12903726 176345 149653 1889730 746097 3214646 1366808 97680876 15166284 9440391 1792918 0 0 22145821 8157588 341672 292374 1883145 36692625 14399233 68620507 24642113 29060369 -9475829 100490551 165100764 18850993 92216150 81639558 72884614 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 4861638 0 149653 EDUCATION AND OUTREACH (SEE SCHEDULE O)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. SCHOOL AND COMMUNITY PROGRAMS- THE CHILD MIND INSTITUTE'S SCHOOL AND COMMUNITY PROGRAMS DELIVER MENTAL HEALTH SUPPORT TO STUDENTS, CAREGIVERS, EDUCATORS, AND SCHOOL-BASED MENTAL HEALTH PROFESSIONALS. 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 VIRTUAL AND IN-PERSON TRAINING TO SCHOOL DISTRICTS AND COMMUNITY ORGANIZATIONS IN NEW YORK, SAN FRANCISCO BAY AREA, 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. POSITIVE PARENTING, THRIVING KIDS (PPTK)BETWEEN DECEMBER 2022 AND FEBRUARY 2024, THE CHILD MIND INSTITUTE CONDUCTED FOUNDATIONAL RESEARCH, DEVELOPED CURRICULAR CONTENT, BUILT CREATIVE CONCEPTS, DEVELOPED A PROMOTIONAL PLAN, AND FINISHED PREPRODUCTION ON POSITIVE PARENTING, THRIVING KIDS (PPTK). DEVELOPED IN PARTNERSHIP WITH CALIFORNIA'S DEPARTMENT OF HEALTH CARE SERVICES (DHCS), THIS FREE, 20-TOPIC VIDEO SERIES WAS DESIGNED TO EQUIP CAREGIVERS WITH EVIDENCE-BASED STRATEGIES ACROSS FOUR MAJOR AREAS: SELF-CARE AND PARENT-CHILD RELATIONSHIPS, HEALTHY CHILD AND ADOLESCENT GROWTH, BIG CHANGES AND CHALLENGES, AND FAMILY AND COMMUNITY STRESS. CREATED IN BOTH ENGLISH AND SPANISH, THE VIDEOS TAKE THE FORM OF MINI-DOCUMENTARIES, INCLUDING INTERVIEWS WITH REAL FAMILIES AND EXPERTS, AND ARE ACCOMPANIED BY LEARNING GUIDES AND A CURATED SET OF ADDITIONAL RESOURCES. ALL MATERIALS LAUNCHED ON MARCH 1, 2024, SUPPORTED BY A PROMOTIONAL PLAN AND MULTI-STAGE IMPACT-ASSESSMENT RESEARCH, AND ARE AVAILABLE AT CHILDMIND.ORG/POSITIVEPARENTING. HEALTHY MINDS, THRIVING KIDS PRE-K (HMTK PRE-K)BETWEEN JUNE 2023 AND MARCH 2024, THE CHILD MIND INSTITUTE DEVELOPED CURRICULAR CONTENT, BUILT CREATIVE CONCEPTS, DEVELOPED A PROMOTIONAL PLAN, AND BEGAN PREPRODUCTION ON HEALTHY MINDS, THRIVING KIDS PRE-K (HMTK PRE-K) IN PARTNERSHIP WITH THE OHIO CHILD CARE RESOURCE AND REFERRAL ASSOCIATION (OCCRRA). THIS PROJECT FOLLOWS UP ON THE ORIGINAL CALIFORNIA HEALTHY MINDS, THRIVING KIDS SERIES FOR ELEMENTARY, MIDDLE, AND HIGH SCHOOL, BY PROVIDING FREE, EVIDENCE-BASED VIDEOS ON FIVE TOPICS TO HELP CHILDREN AGES 3-5 NAVIGATE THEIR EMOTIONS, FOSTER IMPORTANT COMMUNICATION SKILLS, AND BUILD HEALTHY RELATIONSHIPS. CREATED IN ENGLISH AND SPANISH, THE VIDEOS TRANSPORT CHILDREN TO AN IMAGINARY WORLD CALLED "HEDGEHOG LAND," WHERE THEY MEET HEDGEHOGS DEALING WITH RELATABLE PROBLEMS AND REINFORCE KEY MESSAGES THROUGH ORIGINAL SONGS. ALL MATERIALS LAUNCHED ON APRIL 2, 2024, SUPPORTED BY A PROMOTIONAL PLAN AND MULTI-STAGE IMPACT-ASSESSMENT RESEARCH, AND ARE AVAILABLE AT CHILDMIND.ORG/HEALTHYMINDSPREK. 9524490 179744 0 SCIENCE AND INNOVATION (SEE SCHEDULE O)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.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.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) AND OTHER OPEN DATA SETS AND PIPELINES, WHICH HAVE SERVED AS FLAGSHIPS FOR OPEN SCIENCE IN THE BRAIN IMAGING COMMUNITY. COLLECTIVELY, THESE RESOURCES HAVE LED TO MORE THAN 3,000 PAPERS FROM RESEARCHERS AROUND THE GLOBE USING DATA FROM CMI INITIATIVES. IT IS ESTIMATED THAT REUSE OF THIS DATA HAS SAVED THE FIELD $3-5 BILLION, COMPARED TO IF EACH STUDY WAS REQUIRED TO GENERATE THE DATA INDEPENDENTLY.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.NEXT-GENERATION DIGITAL TOOLSTHE PROGRESS FROM THE PROGRAMS ABOVE HAS FUELED A PORTFOLIO OF NEXT-GENERATION DIGITAL THERAPEUTICS. THE CHILD MIND INSTITUTE IS DEVELOPING A SUITE OF DIGITAL SOLUTIONS TO SUPPORT ACCESSIBLE, REMOTELY DELIVERED, CLINICALLY VALIDATED CHILD AND ADOLESCENT BEHAVIORAL THERAPEUTICS. THIS SUITE WILL CONTINUE TO ACCELERATE OUR GOALS TO PROVIDE EVIDENCE-BASED ASSESSMENTS AND INTERVENTIONS AT SCALE, WHILE COLLECTING STRUCTURED RESEARCH DATA THAT WILL BE USED IN PURSUIT OF MAKING TOOLS AND DATA FREELY AVAILABLE TO THE GLOBAL SCIENTIFIC COMMUNITY.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. NOTABLY, 67% OF AUTISM RELATED RESTING STATE FMRI STUDIES OVER THE PAST TEN YEARS HAVE USED DATA FROM THIS DATASET. THESE LEARNINGS AND COLLABORATIONS HAVE PROPELLED THE FIELD FORWARD, DRIVING ADVANCES IN PIPELINE OPTIMIZATION FOR DISORDER CLASSIFICATION, CONSIDERATION OF PSYCHIATRIC COMORBIDITY, AND NEUROSUBTYPING. 2979982 1613174 1366808 ACCESS TO CLINICAL CARE (SEE SCHEDULE O)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. GRANTS TO CA PRACTICE - IN ORDER TO PROVIDE A NEW LEVEL OF COMPASSIONATE, EVIDENCE-BASED CARE TO SAN FRANCISCO BAY AREA FAMILIES, THE CHILD MIND INSTITUTE PROVIDES GRANT SUPPORT TO THE CHILD MIND MEDICAL PRACTICE, PC. THIS GRANT SUPPORT FACILITATED THE FORMATION OF THE CA PRACTICE AND CONTINUES TO SUPPORT ITS CONDUCT OF CLINICAL AND COMMUNITY-BASED ACTIVITIES THAT FURTHER CMI'S MISSION. THE CLINICIANS IN SAN MATEO DIAGNOSED AND TREATED PATIENTS, LAUNCHED INNOVATIVE GROUP PROGRAMS, AND BUILT ON OUR PARTNERSHIPS WITH LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS. ADMINISTRATIVE SUPPORT - IN ADDITION, PURSUANT TO SERVICES AGREEMENTS, THE CHILD MIND INSTITUTE PROVIDES ADMINISTRATIVE SUPPORT AND SERVICES TO THE CHILD MIND MEDICAL PRACTICE, PLLC IN NEW YORK, NY AND THE CHILD MIND MEDICAL PRACTICE, PC IN SAN MATEO, CA. 1735482 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.SNF GLOBAL CENTERTHE CHILD MIND INSTITUTE IS WORKING TO ACCELERATE GLOBAL COLLABORATION ON UNDER-RESEARCHED AREAS OF CHILDREN'S MENTAL HEALTH AND EXPAND WORLDWIDE ACCESS TO CULTURALLY APPROPRIATE TRAINING, RESOURCES, AND TREATMENT. THE SNF GLOBAL CENTER SUPPORTS SIX INTERCONNECTED INITIATIVES TO COMBAT THE FOUR GREATEST BARRIERS TO CARE: LIMITED ACCESS TO EVIDENCE-BASED SERVICES, PROVIDER SHORTAGES, LACK OF INFORMATION, AND STIGMA. THE YOUTH MENTAL HEALTH ACADEMY (YMHA)THE YOUTH MENTAL HEALTH ACADEMY (YMHA) IS A 14-MONTH COMMUNITY-BASED PROGRAM FOR STUDENTS FROM STRUCTURALLY MARGINALIZED COMMUNITIES IN CALIFORNIA. YMHA PROVIDES HANDS-ON LEARNING IN MENTAL HEALTH SCIENCE, PRACTICE, AND COMMUNICATIONS. BETWEEN OCTOBER 2022 AND SEPTEMBER 2023, THE CHILD MIND INSTITUTE DEVELOPED THE PROGRAM AND ENROLLED THE FIRST COHORT, WHO COMPLETED A PILOT SUMMER ACADEMY AND PARTICIPATED IN WORKSHOPS AND EVENTS THROUGHOUT THE ACADEMIC YEAR. 1735482 19101592 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 1 320 0 251 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 35 35 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 215 EAST 50TH STREET NEW YORK NY 10022 DEVON BRIGER CO-CHAIR AND DIRECTOR 2.00 0.00 X X 0 0 0 JOSEPH HEALEY CO-CHAIR AND DIRECTOR 2.00 0.00 X X 0 0 0 DAVID SHAPIRO TREASURER AND DIRECTOR 1.00 0.00 X X 0 0 0 RAM SUNDARAM DIRECTOR 1.00 0.00 X 0 0 0 ARTHUR ALTSCHUL JR DIRECTOR 1.00 0.00 X 0 0 0 MEGAN JONES BELL DIRECTOR 1.00 0.00 X 0 0 0 RANDOLPH COWEN DIRECTOR 1.00 0.00 X 0 0 0 MARK DOWLEY DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL FASCITELLI DIRECTOR 1.00 0.00 X 0 0 0 PHYLLIS GREEN DIRECTOR 1.00 0.00 X 0 0 0 MARGARET GRIEVE DIRECTOR 1.00 0.00 X 0 0 0 JONATHAN HARRIS DIRECTOR 1.00 0.00 X 0 0 0 HOWARD KATZ DIRECTOR 1.00 0.00 X 0 0 0 PREETHI KRISHNA DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE MACK DIRECTOR 1.00 0.00 X 0 0 0 RICHARD MACK DIRECTOR 1.00 0.00 X 0 0 0 ANNE WELSH MCNULTY DIRECTOR 1.00 0.00 X 0 0 0 JULIE MINSKOFF DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINA MINNIS DIRECTOR 1.00 0.00 X 0 0 0 BROOKE GARBER NEIDICH DIRECTOR 1.00 0.00 X 0 0 0 DANIEL NEIDICH DIRECTOR 1.00 0.00 X 0 0 0 ZIBBY OWENS DIRECTOR 1.00 0.00 X 0 0 0 DEBRA PERELMAN DIRECTOR 1.00 0.00 X 0 0 0 JOSH RESNICK DIRECTOR 1.00 0.00 X 0 0 0 LINNEA ROBERTS VICE CHAIR AND DIRECTOR 1.00 0.00 X X 0 0 0 JANE ROSENTHAL DIRECTOR 1.00 0.00 X 0 0 0 ANDY SAPERSTEIN DIRECTOR 1.00 0.00 X 0 0 0 JORDAN SCHAPS DIRECTOR 1.00 0.00 X 0 0 0 JIL SCHAPS DIRECTOR 1.00 0.00 X 0 0 0 EMMA STONE DIRECTOR 1.00 0.00 X 0 0 0 EHREN STENZLER DIRECTOR 1.00 0.00 X 0 0 0 LISA BROOKE DIRECTOR 1.00 0.00 X 0 0 0 CYNTHIA KIM DIRECTOR (AS OF 10/19/2023) 1.00 0.00 X 0 0 0 LISA METCALFE DIRECTOR 1.00 0.00 X 0 0 0 GUY METCALFE SECRETARY AND DIRECTOR 1.00 0.00 X X 0 0 0 HAROLD KOPLEWICZ MD PRESIDENT 40.00 20.00 X 1594200 488474 890308 AMIE CLANCY CHIEF ADMINISTRATIVE OFFICER 40.00 1.00 X 306170 0 20614 MARYANA GELLER CHIEF FINANCIAL OFFICER 40.00 1.00 X 296795 0 65738 MARY CORCORAN EXECUTIVE DIRECTOR 40.00 1.00 X 547638 0 49555 KATHLEYA CHOTIROS GENERAL COUNSEL 40.00 1.00 X 204170 0 36802 MICHAEL MILHAM VP, RESEARCH 40.00 5.00 X 529724 34683 18647 JEFFREY CHAPMAN VP, MARKETING & COMMUNICATIONS 40.00 0.00 X 301727 0 54972 ADRIANA DI MARTINO SENIOR RESEARCH SCIENTIST 40.00 0.00 X 296376 0 24893 DAVID ANDERSON VP, SCHOOL & COMMUNITY PROGRAMS 32.00 8.00 X 231938 57865 28223 GIOVANNI SALUM VP, GLOBAL PROGRAMS 40.00 0.00 X 361117 0 35024 SARAH BURKE VP, STRATEGIC INITIATIVES 40.00 0.00 X 308452 0 41004 4978307 581022 1265780 60 1 1 0 ALPHA SOUTH LLC 349 5TH AVE NEW YORK NY 10016 PRODUCT 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LINE 10, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE SERVICES - 2019 AMOUNT: $ 2,737,190. 2020 AMOUNT: $ 2,905,754. 2021 AMOUNT: $ 3,643,682. 2022 AMOUNT: $ 3,519,646. 2023 AMOUNT: $ 1,366,808. LOSS ON LEASE EXIT ACTIVITY - 2021 AMOUNT: $ -408,472. 2022 AMOUNT: $ -305,000. PART III SECTION B LINE 14 THE 2023 FORM 990 REPRESENTS A SHORT YEAR RETURN COVERING THE PERIOD FROM OCTOBER 1, 2023 TO DECEMBER 31, 2023. 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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 THE PERIOD FROM OCTOBER 1, 2023 TO DECEMBER 31, 2023 22,222. PART XI, LINE 2B FOR THE PERIOD FROM OCTOBER 1, 2023 TO DECEMBER 31, 2023, CMI RECEIVED DONATED LEGAL SERVICES TOTALING APPROXIMATELY $28,000 AND DONATED MANAGEMENT CONSULTING SERVICES OF APPROXIMATELY $63,000. FOR THE PERIOD FROM OCTOBER 1, 2023 TO DECEMBER 31, 2023, CMI ALSO RECEIVED APPROXIMATELY $5,197,000 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. EUROPE (INCLUDING ICELAND & GREENLAND) 0 27 PROGRAM SERVICES TRAINING, RESEARCH, OUTREACH & EDUCATION 476000 EUROPE (INCLUDING ICELAND & GREENLAND) 0 1 FUNDRAISING 22000 SOUTH AMERICA 0 3 PROGRAM SERVICES TRAINING 80000 NORTH AMERICA 0 8 PROGRAM SERVICES TRAINING, RESEARCH, OUTREACH & EDUCATION 184000 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TRAINING 27000 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES PRODUCT DEVELOPMENT 2750000 0 40 0 0 0 40 3539000 0 3539000 0 0 0 0 0 0 X X X X X X X 1 EVENT ASSOCIATES INC 162 WEST 56TH STREET 405 NEW YORK NY 10019 BENEFIT DINNER 0 4224544 75000 4149544 COMMUNITY COUNSELING SERVICE 527 MADISON AVENUE 5TH FLOOR NEW YORK NY 10022 FUNDRAISING CONSULTING 0 0 154374 -154374 GURA ASSOCIATES LTD 505 WEST END AVENUE NEW YORK NY 10024 FUNDRAISING CONSULTING 0 0 30000 -30000 M&R STRATEGIC SERVICES 1101 17 STREET NW SUITE 301 WASHINGTON DC 20036 FUNDRAISING CONSULTING 0 0 33000 -33000 4224544 292374 3932170 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 4224544 3890635 333909 333909 1 4224544 3890635 333909 333909 333909 0 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 2023 ANNUAL BENEFIT DINNER. 1 CMMP PC 2000 ALAMEDA DE LAS PULGAS SAN MATEO CA 94403 833175060 184962 0 FMV TO SUPPORT INFRASTRUCTURE PROJECTS CMMP PLLC 215 EAST 50TH STREET NEW YORK NY 10022 273037790 501C3 1292262 0 FMV TO SUPPORT OFFICE MOVE AND INFRASTRUCTURE PROJECTS NEW YORK UNIVERSITY 105 E 17TH STREET 3RD FLOOR NEW YORK NY 10003 135562308 501C3 5842 0 FMV RESEARCH SUBAWARD NYU SCHOOL OF MEDICINE 1 PARK AVE 11TH FLOOR NEW YORK NY 10016 135562309 501C3 7364 0 FMV RESEARCH SUBAWARD THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES 10920 WILSHIRE BLVD SUITE 600 LOS ANGELES CA 90024 956006143 501C3 13845 0 FMV RESEARCH SUBAWARD WEILL MEDICAL COLLEGE OF CORNELL 575 LEXINGTON AVE 9TH FL NEW YORK NY 10022 131623978 501C3 12656 0 FMV RESEARCH SUBAWARD HUGO W MOSER RESEARCH INSTITUTE AT KENNEDY KRIEGER INC 707 N BROADWAY MARYLAND MD 21205 521524967 501C3 23996 0 FMV RESEARCH SUBAWARD MASSACHUSETTS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE CAMBRIDGE MA 02139 042103594 501C3 76459 0 FMV RESEARCH SUBAWARD RESEARCH FOUNDATION OF THE CITY UNIVERSITY OF NEW YORK 230 WEST 41ST STREET NEW YORK NY 10036 131988190 501C3 10973 0 FMV RESEARCH SUBAWARD THE ROCKEFELLER UNIVERSITY 1230 YORK AVENUE NEW YORK NY 10065 131624158 501C3 10000 0 FMV SCIENTIFIC RESEARCH UNIVERSITY OF PENNSYLVANIA 3451 WALNUT STREET P221 FRANKLIN BLDG PHILADELPHIA PA 19104 231352685 501C3 18609 0 FMV RESEARCH SUBAWARD 10 1 FINANCIAL AID PROGRAM 155 135950 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"). CMI ALSO ENTERED INTO A RESTRICTED GRANT AGREEMENT WITH THE CA PRACTICE UP TO THE AGGREGATE AMOUNT OF $5,000,000. 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. ALSO FOR THE PERIOD OCTOBER 1, 2023 TO DECEMBER 31, 2023, CMI GRANTED $184,962 TO THE CA PRACTICE TO SUPPORT INFRASTRUCTURE PROJECTS. FOR THE PERIOD OCTOBER 1, 2023 TO DECEMBER 31, 2023, CMI GRANTED $1,292,262 TO THE CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE") TO SUPPORT INFRASTRUCTURE PROJECTS AND MOVING EXPENSES. CMI MONITORS COMPLIANCE WITH 2 CFR PART 200 WHENEVER PASSING THROUGH FEDERAL FUNDS TO A SUBRECIPIENT. THE CMI SPONSORED PROGRAMS OFFICE DETERMINES POTENTIAL RISK AFTER REVIEW OF THE SUBRECIPIENT'S SAM.GOV REGISTRATION AND MOST RECENT SINGLE AUDIT AND THEN PROCEEDS WITH APPROVAL OF THE DETAIL BUDGET AND NARRATIVE JUSTIFICATION AS PART OF THE INITIAL AGREEMENT AND ANNUAL AMENDMENTS AS APPLICABLE. PRIOR TO PAYMENT, THE PROJECT PRINCIPAL INVESTIGATOR (OR DESIGNEE) REVIEWS INVOICES TO CONFIRM DELIVERABLES ARE BEING MET FOLLOWED BY THE SPONSORED PROGRAMS OFFICE AUDITING FOR COMPLIANCE WITH THE APPROVED BUDGET AND RATES. WHEN CMI SERVES AS THE PASS THROUGH ENTITY FOR NON-FEDERAL FUNDS, SUBRECIPIENT MONITORING CONFORMS WITH THE UNDERLYING TERMS AND CONDITIONS FOR EACH SPONSOR. 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. FOR THE PERIOD OCTOBER 1, 2023 TO DECEMBER 31, 2023, CMI CONTRIBUTED $135,950 TO THE FINANCIAL AID PROGRAM, BENEFITING 155 PATIENTS. X X 0 1 X X X X X X 0 1 0 0 0 0 0 1 0 HAROLD KOPLEWICZ MD PRESIDENT 569765 488474 1000000 0 24435 0 843005 0 47303 0 2484508 488474 0 0 MARY CORCORAN EXECUTIVE DIRECTOR 443134 0 100000 0 4504 0 10000 0 39555 0 597193 0 0 0 MICHAEL MILHAM VP, RESEARCH 424810 34683 100000 0 4914 0 10000 0 8647 0 548371 34683 0 0 GIOVANNI SALUM VP, GLOBAL PROGRAMS 361117 0 0 0 0 0 0 0 35024 0 396141 0 0 0 MARYANA GELLER CHIEF FINANCIAL OFFICER 293969 0 0 0 2826 0 10000 0 55738 0 362533 0 0 0 JEFFREY CHAPMAN VP, MARKETING & COMMUNICATIONS 301727 0 0 0 0 0 10000 0 44972 0 356699 0 0 0 SARAH BURKE VP, STRATEGIC INITIATIVES 254894 0 53558 0 0 0 18952 0 22052 0 349456 0 0 0 AMIE CLANCY CHIEF ADMINISTRATIVE OFFICER 306170 0 0 0 0 0 10000 0 10614 0 326784 0 0 0 ADRIANA DI MARTINO SENIOR RESEARCH SCIENTIST 296376 0 0 0 0 0 10000 0 14893 0 321269 0 0 0 DAVID ANDERSON VP, SCHOOL & COMMUNITY PROGRAMS 227688 57865 0 0 4250 0 10000 0 18223 0 260161 57865 0 0 KATHLEYA CHOTIROS GENERAL COUNSEL 204170 0 0 0 0 0 10000 0 26802 0 240972 0 0 0 PART I, LINE 1A MARY CORCORAN, EXECUTIVE DIRECTOR, MICHAEL MILHAM, VP RESEARCH, MARYANA GELLER, CFO, AND DAVID ANDERSON, VP SCHOOL & COMMUNITY PROGRAMS, RECEIVED FINANCIAL PLANNING SERVICES PAID BY CMI. THIS BENEFIT WAS GROSSED-UP BY CMI TO COVER EMPLOYEE PAYROLL TAXES AND TREATED AS TAXABLE COMPENSATION FOR EACH INDIVIDUAL. PART I, LINE 1B THE PRESIDENT DETERMINED THAT CMI WOULD PROVIDE FINANCIAL PLANNING BENEFITS AFTER REVIEWING THE PLAN'S SERVICES AND COSTS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVED FINANCIAL PLANNING BENEFITS FOR HAROLD KOPLEWICZ, MD, PRESIDENT, AS AGREED UPON IN HIS EMPLOYMENT AGREEMENT. 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 4B HAROLD KOPLEWICZ, MD, PRESIDENT, PARTICIPATES IN A 457(F) PLAN AS AGREED UPON IN HIS EMPLOYMENT AGREEMENT. IN 2023, CMI CONTRIBUTED $67,530 TO THE PLAN. CONTRIBUTIONS FROM CMI FULLY VEST AFTER ONE YEAR. PART I, LINE 7 DURING THE REPORTING PERIOD, PERFORMANCE BONUSES WERE PROVIDED TO CERTAIN EMPLOYEES, AS INCLUDED IN PART II, COLUMN (B)(II) OF SCHEDULE J. THE PERFORMANCE BONUS TO THE PRESIDENT WAS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THE PERFORMANCE BONUSES TO OTHER EMPLOYEES WERE APPROVED BY THE PRESIDENT. CERTAIN CLINICIANS, INCLUDING THE PRESIDENT OF CMI, PROVIDING SERVICES TO PATIENTS OF THE RELATED ORGANIZATION ARE ELIGIBLE TO RECEIVE VARIABLE PAY OR INCENTIVES. PAYMENT OF SUCH REWARDS IS CONDITIONED ON THE ACHIEVEMENT OF FINANCIAL TARGETS RELATING TO COLLECTIONS FOR SERVICES. THE AMOUNTS PAID REPRESENT ONLY A LIMITED PORTION OF THE TOTAL COLLECTED; THE REMAINDER ENSURES THAT THE RELATED ORGANIZATION ACHIEVES A LEVEL OF REVENUE THAT WILL SUPPORT ITS OPERATIONS AND INVEST IN ENHANCING ITS OPERATIONS AND MEASURING PATIENT OUTCOMES. 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, PC (THE "CA PRACTICE")(C) RELATIONSHIP: HAROLD KOPLEWICZ, MD, PRESIDENT OF CHILD MIND INSTITUTE, INC. ("CMI"), IS ALSO THE SOLE SHAREHOLDER OF THE CA PRACTICE. THE CA PRACTICE WAS FORMED TO PROVIDE CLINICAL CARE AND TREATMENT TO CHILDREN AND ADOLESCENTS, WHICH UNDER APPLICABLE STATE LAW CMI IS NOT PERMITTED TO PERFORM AND WHICH ARE CRITICAL TO CMI'S MISSION TO TRANSFORM THE LIVES OF CHILDREN AND FAMILIES STRUGGLING WITH MENTAL HEALTH AND LEARNING DISORDERS.(D) TRANSACTIONS:(1) 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 CA PRACTICE. IN FURTHERANCE OF CMI'S MISSION, TO PROTECT CMI'S INTERESTS, TO SUPPORT CLINICAL ACTIVITIES CONDUCTED BY THE CA PRACTICE, AND TO COMPLY WITH THE FOREGOING OWNERSHIP REQUIREMENT, DR. KOPLEWICZ, A PHYSICIAN LICENSED IN NEW YORK AND CALIFORNIA, IS THE SOLE SHAREHOLDER OF THE CA PRACTICE. 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 AGREEMENT. TO FACILITATE THE FORMATION OF THE CA PRACTICE AND THE CONDUCT BY THE CA PRACTICE OF CLINICAL ACTIVITIES THAT FURTHER CMI'S MISSION, CMI ENTERED INTO A RESTRICTED GRANT AGREEMENT WITH THE CA PRACTICE, PURSUANT TO WHICH CMI AGREED TO MAKE SPECIAL PURPOSE RESTRICTED GRANTS UP TO THE AGGREGATE AMOUNT OF $5,000,000. IN ADDITION, CMI RAISED FUNDS FOR THE CA PRACTICE THROUGH ITS WEST COAST CAMPAIGN. THE RESTRICTED GRANT AGREEMENT PROVIDES, AMONG OTHER THINGS, THAT: (X) THE CA PRACTICE IS REQUIRED TO OPERATE IN A MANNER THAT IS, AND LIMITS ITS ACTIVITIES TO THOSE THAT ARE, CONSISTENT WITH AND FURTHER THE MISSION OF CMI; (Y) THE GRANTS MUST BE USED BY THE CA PRACTICE EXCLUSIVELY IN CONNECTION WITH THE CONDUCT OF ACTIVITIES THAT FURTHER AND SUPPORT CMI'S MISSION; AND (Z) THE CA PRACTICE MUST OBSERVE VARIOUS REPORTING, BUDGETARY, AND OTHER FINANCIAL REQUIREMENTS AND ENGAGE AUDITORS ACCEPTABLE TO CMI.IF THE CA PRACTICE FAILS TO OBSERVE THE REQUIREMENTS OF THE RESTRICTED GRANT AGREEMENT, THE AGREEMENT MAY BE TERMINATED, IN WHICH CASE UNSPENT FUNDS MUST BE RETURNED TO CMI AND DAMAGES MAY BE DUE.(3) SERVICES AGREEMENT. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT BETWEEN CMI AND THE CA PRACTICE, CMI PROVIDES CERTAIN SERVICES TO THE CA PRACTICE, FOR WHICH THE CA PRACTICE COMPENSATES CMI. CONSISTENT WITH CMI'S INTERNAL POLICIES AND PROCEDURES, THIS COMPENSATION IS BASED ON THE ACTUAL COST OF PROVIDING THE SERVICES. THE CA PRACTICE'S PAYMENT OBLIGATIONS TO CMI FOR SERVICES PROVIDED UNDER THIS SERVICES AGREEMENT IS CURRENTLY REFLECTED AS A RECEIVABLE ON CMI'S FINANCIAL STATEMENTS IN THE AMOUNT OF $ 1,568,256, AS REFLECTED IN PART X OF THIS FORM 990. (4) LICENSE AGREEMENT. PURSUANT TO A LICENSE AGREEMENT BETWEEN CMI AND THE CA PRACTICE, CMI GRANTED A ROYALTY-FREE LICENSE TO USE CERTAIN OF ITS TRADEMARKS AND DOMAIN NAMES TO THE CA PRACTICE SUBJECT TO CERTAIN TERMS AND CONDITIONS, INCLUDING CMI'S RIGHT TO TERMINATE THE LICENSE AGREEMENT IN THE EVENT OF THE BREACH OF THE TERMS AND CONDITIONS OF THE RESTRICTED GRANT AGREEMENT.(5) GRANT SERVICES AGREEMENT. PURSUANT TO A GRANT SERVICES AGREEMENT BETWEEN CMI AND THE CA PRACTICE, CMI ENGAGES THE CA PRACTICE TO PROVIDE CERTAIN SERVICES REQUIRED BY CONTRIBUTIONS OR GRANTS THAT CMI HAS RECEIVED AND WHICH CMI IS UNABLE TO PROVIDE. CMI DISCLOSES TO ITS DONORS AND GRANTORS THAT SERVICES WILL BE SUB-CONTRACTED TO THE CA PRACTICE TO SATISTY THE REQUIREMENTS OF THE DONATION OR GRANT. FOR THE PERIOD OCTOBER 1, 2023 TO DECEMBER 31, 2023, AMOUNTS PAID TO THE CA PRACTICE PURSUANT TO THE GRANT SERVICES AGREEMENT IN PERFORMANCE OF THESE REQUIREMENTS AMOUNTED TO $149,132, INCLUDED UNDER OTHER FEES FOR SERVICES EXPENSES IN PART IX OF THIS FORM 990. (6) BOARD OVERSIGHT OF RELATIONSHIP AND TRANSACTIONS:AS NOTED ABOVE, DR. KOPLEWICZ IS THE PRESIDENT OF CMI AND THE SOLE SHAREHOLDER OF THE CA PRACTICE. ACCORDINGLY, THE TRANSACTIONS BETWEEN CMI 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 BETWEEN CMI AND THE CA PRACTICE IN ACCORDANCE WITH CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY. X 5 323920 COMPARABLE SALES 0 1 1 PART I, COLUMN (B): THE AMOUNT NOTED REPRESENTS THE TOTAL NUMBER OF CONTRIBUTIONS. PART I, LINE 32B: CMI RECEIVES DONATED SECURITIES THROUGH A THIRD PARTY, WHICH IN TURN SELLS THE SECURITIES AND CONVERTS THEM TO CASH PROCEEDS. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIPS: A) PHYLLIS GREEN AND RANDOLPH COWEN ARE HUSBAND AND WIFE B) CHRISTINE AND RICHARD MACK ARE HUSBAND AND WIFE C) BROOKE GARBER NEIDICH AND DANIEL NEIDICH ARE HUSBAND AND WIFE D) PREETHI KRISHNA AND RAM SUNDARAM ARE HUSBAND AND WIFE E) JORDAN SCHAPS AND JIL SCHAPS ARE HUSBAND AND WIFE F) ZIBBY OWENS IS THE STEP-DAUGHTER OF HOWARD KATZ G) LISA AND GUY METCALFE ARE HUSBAND AND WIFE 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. FORM 990, 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 COMPENSATION IS REASONABLE. EVERY TWO TO THREE YEARS, CMI ENGAGES AN INDEPENDENT CONSULTANT TO CONDUCT A REVIEW OF CMI'S PAY PRACTICES AND TO ESTABLISH SALARY RANGES FOR 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. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 759,534. MANAGEMENT AND GENERAL EXPENSES 540,588. FUNDRAISING EXPENSES 36,797. TOTAL EXPENSES 1,336,919. CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,452,236. MANAGEMENT AND GENERAL EXPENSES 119,170. FUNDRAISING EXPENSES 76,741. TOTAL EXPENSES 5,648,147. SUBCONTRACTING FEES FROM AFFILIATED ENTITIES: PROGRAM SERVICE EXPENSES 1,087,573. MANAGEMENT AND GENERAL EXPENSES 16,092. FUNDRAISING EXPENSES 4,800. TOTAL EXPENSES 1,108,465. PAYROLL AND BENEFITS PROCESSING FEES: PROGRAM SERVICE EXPENSES 270. MANAGEMENT AND GENERAL EXPENSES 56,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,662. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -22,222. CHILD MIND MEDICAL PRACTICE PLLC 101 EAST 56TH STREET NEW YORK NY 10022 273037790 CHILDREN'S MENTAL HEALTH NY 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 FORM 990, SCHEDULE R PART V 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 CHILD MIND MEDICAL PRACTICE, PLLC (THE "NY PRACTICE"). IN FURTHERANCE OF CMI'S MISSION, TO PROTECT CMI'S INTERESTS, TO SUPPORT CLINICAL AND RESEARCH ACTIVITIES CONDUCTED BY THE PRACTICE, AND TO COMPLY WITH THE FOREGOING OWNERSHIP REQUIREMENT, DR. KOPLEWICZ, A PHYSICIAN LICENSED IN NEW YORK AND CALIFORNIA, IS THE SOLE MEMBER OF THE NY PRACTICE. (2) THE MEMBERSHIP INTERESTS IN THE NY PRACTICE HAVE BEEN STRUCTURED SO THAT NO MEMBER CAN RECEIVE, OR OTHERWISE REALIZE, ANY ECONOMIC BENEFIT FROM HOLDING THESE MEMBERSHIP INTERESTS OR FROM THE SALE OR OTHER DISPOSITION THEREOF. THE MEMBER HAS ENTERED INTO A BUY-SELL AGREEMENT WITH THE NY PRACTICE PURSUANT TO WHICH HE HAS AGREED NOT TO SELL HIS INTERESTS TO ANY PARTY OTHER THAN THE NY PRACTICE, WHICH MAY RE-PURCHASE HIS INTERESTS FOR AN AMOUNT NOT TO EXCEED THE NOMINAL AMOUNT THAT THE MEMBER PAID TO ACQUIRE THEM. FURTHER, THE NY PRACTICE'S ARTICLES OF ORGANIZATION PROVIDE THAT THE NY PRACTICE IS TO BE OPERATED SOLELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES IN FURTHERANCE AND SUPPORT OF CMI'S MISSION TO THE EXTENT NOT INCONSISTENT WITH RELEVANT NEW YORK LAW. NONE OF THE NY PRACTICE'S ASSETS, NET EARNINGS, INCOME OR PROFIT MAY BE DISTRIBUTED TO ANY MEMBER, MANAGER, OFFICER OR EMPLOYEE OF THE NY PRACTICE OR OTHER PRIVATE PERSON, AND IF THE NY PRACTICE IS EVER DISSOLVED, ITS ASSETS AND PROPERTY MUST BE DISTRIBUTED TO A CHARITABLE ORGANIZATION QUALIFYING FOR EXEMPTION FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CMI, THE NY PRACTICE, AND ITS MEMBER HAVE ALSO ENTERED INTO AN AFFILIATION AGREEMENT PROVIDING THAT THE MEMBER HOLDS HIS INTERESTS IN THE NY PRACTICE SOLELY FOR THE BENEFIT OF CMI AND CMI HAS THE RIGHT, IN ITS SOLE DISCRETION, TO FORCE THE TRANSFER OF A MEMBER'S INTERESTS IN THE NY PRACTICE TO ANOTHER LICENSED PHYSICIAN. (3) RESTRICTED GRANT AGREEMENT. TO FACILITATE THE FORMATION OF THE NY PRACTICE AND THE CONDUCT BY THE PRACTICE OF CLINICAL AND RESEARCH ACTIVITIES THAT FURTHER CMI'S MISSION, CMI ENTERED INTO A RESTRICTED GRANT AGREEMENT WITH THE NY PRACTICE PURSUANT TO WHICH CMI AGREED TO MAKE SPECIAL PURPOSE RESTRICTED GRANTS UP TO THE AGGREGATE AMOUNT OF $2,440,000. THE AGREEMENT WAS AMENDED TO ALLOW FOR FURTHER GRANTS FOR EXPENSES RELATED TO THE RELOCATION OF CMMP'S NY HEADQUARTERS (APPROX. $5,000,000) AND CERTAIN INFRASTRUCTURE UPGRADES ($752,000). THE RESTRICTED GRANT AGREEMENT PROVIDES, AMONG OTHER THINGS, THAT: (X) THE NY PRACTICE IS REQUIRED TO OPERATE IN A MANNER THAT IS, AND LIMITS ITS ACTIVITIES TO THOSE THAT ARE, CONSISTENT WITH AND FURTHER THE MISSION OF CMI; (Y) THE GRANTS MUST BE USED BY THE NY PRACTICE EXCLUSIVELY IN CONNECTION WITH THE CONDUCT OF ACTIVITIES THAT FURTHER AND SUPPORT CMI'S MISSION; AND (Z) THE NY PRACTICE MUST OBSERVE VARIOUS REPORTING, BUDGETARY AND OTHER FINANCIAL REQUIREMENTS AND ENGAGE AUDITORS ACCEPTABLE TO CMI. IF THE NY PRACTICE FAILS TO OBSERVE THE REQUIREMENTS OF THE RESTRICTED GRANT AGREEMENT, THE AGREEMENT MAY BE TERMINATED, IN WHICH CASE UNSPENT FUNDS MUST BE RETURNED TO CMI AND DAMAGES MAY BE DUE. (4) SERVICES AGREEMENT. PURSUANT TO AN ADMINISTRATIVE SERVICES AGREEMENT BETWEEN CMI AND THE NY PRACTICE, CMI PROVIDES CERTAIN SERVICES TO THE NY PRACTICE FOR WHICH THE NY PRACTICE COMPENSATES CMI. ACCORDINGLY, THE TRANSACTIONS BETWEEN CMI AND THE NY PRACTICE, INCLUDING THE AGREEMENT DESCRIBED ABOVE, WERE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF CMI. FURTHERMORE, THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF CMI OVERSEES THE ONGOING RELATIONSHIP BETWEEN CMI AND THE NY PRACTICE IN ACCORDANCE WITH CMI'S CONFLICT OF INTEREST AND DISCLOSURE POLICY.