2023-05-12T13:17:50-05:00 2022-06-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2021-07-01 042104230 FORSYTH DENTAL INFIRMARY FOR CHILDREN FORS 6172625200 245 FIRST STREET CAMBRIDGE MA 02142 SOK CHENG SOH CHIEF FINANCIAL OFFICER 6172625200 2023-05-11 1 SOK CHENG SOH XXX-XX-XXXX SORIE KABA CPA P01317106 5083669100 2023-05-11 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z THE FORSYTH INSTITUTE SOK CHENG SOH 245 FIRST STREET CAMBRIDGE MA 02142 38215333 0 X WWW.FORSYTH.ORG X 1910 MA FOR MORE THAN 100 YEARS, FORSYTH HAS BEEN A LEADER IN ORAL HEALTH RESEARCH AND PEDIATRIC DENTAL CARE. TODAY, WE ARE GROUNDED IN A 3-PILLARED STRATEGIC PLAN FOCUSED ON BIOLOGICAL RESEARCH, CLINICAL SERVICE AND PUBLIC HEALTH OUTREACH, AND TECHNOLOGICAL INNOVATION. 19 18 168 79 1096626 0 10873715 13366112 3826542 5563621 1886876 2723293 57962 55122 16645095 21708148 1045896 1415617 0 0 11608601 13577343 3063 0 295062 9997209 10973574 22654769 25966534 -6009674 -4258386 49095156 37341891 10226899 8325115 38868257 29016776 FOR MORE THAN 100 YEARS, FORSYTH HAS BEEN A LEADER IN ORAL HEALTH RESEARCH AND PEDIATRIC DENTAL CARE. TODAY, WE ARE GROUNDED IN A 3-PILLARED STRATEGIC PLAN FOCUSED ON BIOLOGICAL RESEARCH, CLINICAL SERVICE AND PUBLIC HEALTH OUTREACH, AND TECHNOLOGICAL INNOVATION. 0 0 18111165 1415617 4466995 THE FORSYTH INSTITUTE IS THE ONLY INDEPENDENT RESEARCH INSTITUTE IN THE UNITED STATES FOCUSING ON THE CONNECTIONS BETWEEN ORAL HEALTH AND OVERALL WELLNESS. 18111165 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 24 0 1 168 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MA X X SOK CHENG SOH 6172625200 245 FIRST STREET CAMBRIDGE MA 02142 WENYUAN SHI CEO & CHIEF SCIENTIFIC OFFICER 45.00 X X 442104 0 33568 THOMAS VAN DYKE VP CLINICAL & TRANS. RES. 45.00 X 311763 0 27851 WANDA CORDOVA CFO & TREASURER (UNTIL 4/30/22) 45.00 X 275126 0 21261 IBRAHIM KANTARCI SENIOR SCIENTIST 45.00 X 251918 0 29028 CARLINE DUROCHER GENERAL LEGAL COUNSEL & SEC 45.00 X 222856 0 50269 PRAMOD SOPARKAR SENIOR SCIENTIST 45.00 X 221860 0 44861 PAULA LAPALME CHIEF ADMINISTRATION OFFICER 45.00 X 213422 0 24227 HATICE HASTURK SENIOR MEMBER OF STAFF 45.00 X 203494 0 26646 TINGXI WU DIR. OF ORTHODONTIC AND CRANIOFACIAL DEVELOPMENT 45.00 X 188188 0 23969 SOK CHENG SOH CHIEF FINANCIAL OFFICER (AS OF 6/6/22) 45.00 X 0 0 0 ELYSE CHERRY CHAIR 1.00 X X 0 0 0 DAVID ELLIS VICE CHAIR (UNTIL 9/9/21) 1.00 X X 0 0 0 RICHARD ANDERS DIRECTOR 1.00 X 0 0 0 JANICE BOURQUE DIRECTOR 1.00 X 0 0 0 CHARLES BRIDGES DIRECTOR 1.00 X 0 0 0 PAM CZEKANSKI DIRECTOR 1.00 X 0 0 0 CATHERINE D'AMATO DIRECTOR 1.00 X 0 0 0 BRUCE DONOFF DIRECTOR 1.00 X 0 0 0 DAI FENG DIRECTOR 1.00 X 0 0 0 MICHAEL GREELEY DIRECTOR 1.00 X 0 0 0 STEPHANIE HSIEH DIRECTOR 1.00 X 0 0 0 KARLA JARVIS DIRECTOR 1.00 X 0 0 0 RAJ KOHLI DIRECTOR 1.00 X 0 0 0 BRUCE LIEBERTHAL DIRECTOR 1.00 X 0 0 0 MICHAEL MONOPOLI DIRECTOR 1.00 X 0 0 0 PETER NESSEN DIRECTOR 1.00 X 0 0 0 WALTER PRESSEY DIRECTOR 1.00 X 0 0 0 ROBYN REDFIELD DIRECTOR 1.00 X 0 0 0 PAMELA SCOTT DIRECTOR 1.00 X 0 0 0 2330731 0 281680 9 0 1 0 FOLEY HOAG LLP SEAPORT WEST 155 SEAPORT BLVD BOSTON MA 02210 LEGAL 155359 1 308243 12432234 625635 13366112 RESEARCH 541700 2719764 2719764 FESC RESEARCH CENTER 541700 1558667 1558667 DENTAL SERVICES 621400 1285190 188564 1096626 5563621 529801 529801 6250 6250 18639608 28742 16474858 0 2164750 28742 2193492 2193492 20180 308243 32327 -12147 -12147 MISCELLANEOUS INCOME 900099 61019 61019 61019 21708148 4466995 1096626 2778415 1412436 1412436 3181 3181 1395260 136545 1157217 101498 9385253 6468399 2874233 42621 396703 277231 115426 4046 1685860 1075580 591952 18328 714267 439923 264967 9377 34373 34373 499320 499320 81029 81029 61400 61400 319760 54317 265299 144 1485225 1340872 144174 179 4975035 4634361 313818 26856 110838 73392 12870 24576 103632 38823 25316 39493 1501693 1398827 94757 8109 206627 192473 13038 1116 DUES & SUBSCRIPTIONS 780302 181482 584141 14679 OUTSIDE SERVICES 330249 123904 202395 3950 REPAIRS & MAINTENANCE 316484 163233 153251 BANK FEES 103705 103705 63902 34786 29026 90 25966534 18111165 7560307 295062 1351700 535271 2371914 2577687 332846 311668 30197693 25926400 5545838 4271293 34287769 28271458 5205089 1374514 49095156 37341891 2488936 2714467 414426 442061 3888255 3000000 3435282 2168587 10226899 8325115 X 38854598 28949648 13659 67128 38868257 29016776 49095156 37341891 -4258386 -5593095 0 X X 0 1 X 1 1 1 X 11497146 13809241 10237652 10873715 13366112 59783866 2920350 3366338 2928986 2849038 4466995 16531707 14417496 17175579 13166638 13722753 17833107 76315573 32050 10500 41500 20000 65000 169050 1558289 1536558 1929134 2149315 1687609 8860905 1590339 1547058 1970634 2169315 1752609 9029955 67285618 1063100 2052920 634383 541542 536051 4827996 1063100 2052920 634383 541542 536051 4827996 493402 302674 114557 58017 61019 1029669 15973998 19531173 13915578 14322312 18430177 82173238 0.81880 0.83010 0.05880 0.05940 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: MISCELLANEOUS INCOME 2017 AMOUNT: $ 108,090. 2018 AMOUNT: $ 187,657. 2019 AMOUNT: $ 74,557. 2020 AMOUNT: $ 58,017. 2021 AMOUNT: $ 61,019. EVENT INCOME NET OF DONATIONS 2017 AMOUNT: $ 60,290. 2018 AMOUNT: $ 115,017. 2019 AMOUNT: $ 40,000. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. INSURANCE CLAIM PAYMENT 2017 AMOUNT: $ 325,022. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61400 61400 25905134 25966534 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 68496 68805 15990 61400 214691 250000 250000 250000 250000 1000000 1500000 LOBBYING ACTIVITY: EXPENSES INCLUDE A CONTRACT WITH A LOBBYING FIRM FOR ASSISTANCE WITH STATE GRANT LOBBYING. ADDITIONALLY, FORSYTH BELONGS TO MEMBERSHIP ORGANIZATIONS WHICH ENGAGE IN LOBBYING ACTIVITIES. A PORTION OF THE DUES PAID ARE SPECIFICALLY IDENTIFIED AS LOBBYING EXPENSES. 39492858 -3036607 6810279 29645972 34218606 9667919 4393667 39492858 39661387 1032607 6475388 34218606 44278955 2371539 1341452 8330559 39661387 50258923 5209122 6191078 49276967 1.00000 0 0 16774746 13139289 3635457 11555088 11184148 370940 1867859 1602963 264896 4271293 DEFERRED RENT 2168587 2168587 X PART V, LINE 4: TO SUPPORT THE CHARITABLE MISSION OF THE FORSYTH DENTAL INFIRMARY FOR CHILDREN. PART X, LINE 2: THE INSTITUTE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INSTITUTE HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022. THE INSTITUTE'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART III ACCOUNTING METHOD: PART I, LINE 2: THE INSTITUTE ASSIGNS RESPONSIBILITY FOR MONITORING THE USE OF GRANT FUNDS OUTSIDE OF THE UNITED STATES TO ITS OFFICE OF SPONSORED RESEARCH. THIS OFFICE MONITORS ALL GRANT MAKING ACTIVITY INCLUDING ALL APPLICABLE COMPLIANCE REGULATIONS. MONITORING INCLUDES PERIODIC REVIEWS OF BUDGET TO ACTUAL REPORTS BY BOTH THE OFFICE OF SPONSORED RESEARCH AND THE PRINCIPAL INVESTIGATOR TO ENSURE FUNDS ARE USED ACCORDING TO THE AGREEMENT. EXPENSES ARE ACCOUNTED FOR ON AN ACCRUAL BASIS. DENTECH 325000 304820 20180 17802 TASTE & TOAST 3423 3423 14525 328423 308243 20180 32327 32327 -12147 0 BRIGHAM & WOMEN'S HOSPITAL 77 LOUIS PASTER AVE HIM836 BOSTON MA 02115 042312909 501 (C)(3) 110612 0 PROGRAM SUPPORT HARVARD UNIVERSITY 677 HUNTINGTON AVENUE BOSTON MA 02115 042103580 501 (C)(3) 45181 0 PROGRAM SUPPORT MARINE BIOLOGICAL LABORATORY 7 MBL ST WOODSHOLE MA 02543 042104690 501 (C)(3) 428719 0 PROGRAM SUPPORT STATE UNIVERSITY OF NY 206 CROFTS HALL BUFFALO NY 14260 160865182 501 (C)(3) 105052 0 PROGRAM SUPPORT UNIVERSITY OF CHICAGO 900 E 57TH STREET CHICAGO IL 606371447 362177139 501 (C)(3) 88847 0 PROGRAM SUPPORT UNIVERSITY OF FLORIDA PO BOX 113001 GAINSEVILLE FL 32611 596002052 501 (C)(3) 50925 0 PROGRAM SUPPORT UNIVERSITY OF WASHINGTON GC 4333 BROOKLYN AVENUE NE BOX 359472 SEATTLE WA 981959472 916001537 GOV'T 238530 0 PROGRAM SUPPORT UNIVERSITY OF TENNESSEE 847 MONROE AVENUE SUITE 117 MEMPHIS TN 38163 626001636 501 (C)(3) 7629 0 PROGRAM SUPPORT VENTER (NIH2720A) 4120 CAPRICORN LC LA JOLLA CA 92037 521842938 501 (C)(3) 384394 0 PROGRAM SUPPORT 9 PART I, LINE 2: ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE U.S. THE INSTITUTE ASSIGNS RESPONSIBILITY FOR MONITORING THE USE OF GRANT FUNDS TO ITS OFFICE OF SPONSORED RESEARCH. THIS OFFICE MONITORS ALL GRANT MAKING ACTIVITY INCLUDING ALL APPLICABLE COMPLIANCE REGULATIONS. MONITORING INCLUDES PERIODIC REVIEWS OF BUDGET TO ACTUAL REPORTS BY BOTH THE OFFICE OF SPONSORED RESEARCH AND THE PRINCIPAL INVESTIGATOR TO ENSURE FUNDS ARE USED ACCORDING TO THE AGREEMENT. EXPENSES ARE ACCOUNTED FOR ON AN ACCRUAL BASIS. X X X X 0 0 0 0 0 0 0 0 0 WENYUAN SHI CEO & CHIEF SCIENTIFIC OFFICER 442104 0 0 0 0 0 10242 0 23326 0 475672 0 0 0 THOMAS VAN DYKE VP CLINICAL & TRANS. RES. 311763 0 0 0 0 0 20760 0 7091 0 339614 0 0 0 WANDA CORDOVA CFO & TREASURER (UNTIL 4/30/22) 275126 0 0 0 0 0 19690 0 1571 0 296387 0 0 0 IBRAHIM KANTARCI SENIOR SCIENTIST 251918 0 0 0 0 0 17538 0 11490 0 280946 0 0 0 CARLINE DUROCHER GENERAL LEGAL COUNSEL & SEC 222856 0 0 0 0 0 16788 0 33481 0 273125 0 0 0 PRAMOD SOPARKAR SENIOR SCIENTIST 221860 0 0 0 0 0 15298 0 29563 0 266721 0 0 0 PAULA LAPALME CHIEF ADMINISTRATION OFFICER 213422 0 0 0 0 0 8206 0 16021 0 237649 0 0 0 HATICE HASTURK SENIOR MEMBER OF STAFF 203494 0 0 0 0 0 14399 0 12247 0 230140 0 0 0 TINGXI WU DIR. OF ORTHODONTIC AND CRANIOFACIAL 188188 0 0 0 0 0 13729 0 10240 0 212157 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY TAX ADVISORS WITH INFORMATION PROVIDED BY MANAGEMENT. THE DRAFT FORM 990 IS REVIEWED BY THE CEO, CFO, AND THE AUDIT, RISK & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. IT IS THEN DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT FORSYTH'S CONFLICT OF INTEREST POLICY APPLIES TO FORSYTH'S BOARD MEMBERS, OFFICERS, ADMINISTRATORS, AND RESEARCH EMPLOYEES AND WAS ESTABLISHED TO PROTECT THE INTEREST OF THE INSTITUTE - THE DESIGN, CONDUCT, OR REPORTING OF OPERATIONS OR RESEARCH. CONSISTENT WITH THE POLICY, OFFICERS, ADMINISTRATORS, RESEARCH STAFF EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. TO ACCOMPLISH THIS OBJECTIVE, THIS POLICY ESTABLISHES A DISCLOSURE SYSTEM WHERE BY POTENTIAL CONFLICT SITUATIONS WILL BE IDENTIFIED, REVIEWED AND ADDRESSED. FORSYTH OFFICERS, ADMINISTRATORS, AND RESEARCH EMPLOYEES - FORSYTH'S SECRETARY/GENERAL COUNSEL IS THE INSTITUTIONAL OFFICIAL WHO IS RESPONSIBLE FOR DISSEMINATING THE CONFLICT OF INTEREST POLICY AND COLLECTING SIGNED DISCLOSURE STATEMENTS WHEN THE EMPLOYEES ARE FIRST HIRED AND ANNUALLY THEREAFTER. THE RESOLUTION OF ANY CONFLICT OR PERCEIVED CONFLICT IS IDENTIFIED BY THE INSTITUTIONAL OFFICIAL, IN CONSULTATION WITH FORSYTH'S CONFLICT OF INTEREST COMMITTEE. FORSYTH BOARD MEMBERS - FORSYTH'S SECRETARY/GENERAL COUNSEL IS RESPONSIBLE FOR DISSEMINATING THE CONFLICT OF INTEREST POLICY AND COLLECTING SIGNED DISCLOSURE STATEMENTS FROM BOARD MEMBERS AT THE TIME THEY ARE APPOINTED AND ANNUALLY THEREAFTER. THE RESOLUTION OF ANY CONFLICT OR PERCEIVED CONFLICT IS IDENTIFIED BY THE SECRETARY IN CONSULTATION WITH THE CHAIRMAN OF FORSYTH'S BOARD OF DIRECTORS. AS A VOTING BOARD MEMBER, THE CEO DOES NOT VOTE ON AND IS RECUSED WHEN A CONFLICT OF INTEREST ARISES. FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING COMPENSATION CEO COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE INDEPENDENT BOARD OF DIRECTORS. COMPARABLE COMPENSATION DATA AND FORM 990 DATA FROM OTHER ORGANIZATIONS ARE UTILIZED FOR THE REVIEW OF CEO COMPENSATION. THE CEO REVIEWS AND APPROVES COMPENSATION FOR THE EXECUTIVE MANAGEMENT, USING MARKET SURVEYS AND FORM 990 DATA FOR OTHER SIMILAR ORGANIZATIONS. THESE DECISIONS ARE REVIEWED BY THE BOARD OF DIRECTORS. ANNUALLY, FORSYTH PARTICIPATES IN A COMPENSATION SURVEY THAT INCLUDES COMPARATIVE DATA OF SIMILAR ORGANIZATIONS. THESE ANALYSES ARE UTILIZED IN THE REVIEW OF THE CEO AND EXECUTIVE MANAGEMENT'S COMPENSATION. BOTH THE DELIBERATION AND DECISION PROCESS FOR DETERMINING COMPENSATION OF THE CEO AND EXECUTIVE MANAGEMENT IS CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE FORSYTH INSTITUTE MAKES ITS GOVERNING DOCUMENTS, WRITTEN POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THESE ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FORSYTH INNOVATION LLC 245 FIRST STREET CAMBRIDGE MA 02142 TECH DEV DE 0 0 FORSYTH FORSYTH INTERNATIONAL INC 245 FIRST STREET CAMBRIDGE MA 02142 043443294 DENTAL CARE MA 501(C)(3) LINE 9 FORSYTH 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0