2019-11-15T09:21:25-06:00 2018-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2018-01-01 043150037 THE BOSTON FOUNDATION FOR SIGHT INC BOST 7817267337 464 HILLSIDE AVENUE NO 205 NEEDHAM MA 02494 SARA A YOST CHIEF FINANCIAL OFFICER 7817267337 2019-11-14 1 CRAIG KLEIN P00734640 6177610600 207.172.72.163 2019-11-14 08:13:09 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 60FF9891D1F5F02B6CE76569FE37055EDA903CEE 2018 2020-04-17 16:48:07Z BOSTONSIGHT SARA YOST 464 HILLSIDE AVENUE NO 205 NEEDHAM MA 02494 6372769 0 X WWW.BOSTONSIGHT.ORG X 1992 MA OUR MISSION IS TO IMPROVE QUALITY OF LIFE BY TRANSFORMING THE UNDERSTANDING, TREATMENT, AND CARE OF THE OCULAR SURFACE. WE ACHIEVED THIS THROUGH FIVE KEY STRATEGIES: PUBLIC AND PROFESSIONAL EDUCATION; CLINICAL RESEARCH; PATIENT ENGAGEMENT AND EMPOWERMENT; SPECIALIZED MEDICAL TREATMENT; AND TECHNICAL INNOVATION. 10 9 43 9 416085 -673030 251134 275022 5019318 5198742 3499 6628 154275 530752 5428226 6011144 24105 16476 0 0 3451096 3659984 0 0 216403 2337239 2215175 5812440 5891635 -384214 119509 3877164 4096199 473103 572939 3404061 3523260 X OUR MISSION IS TO IMPROVE QUALITY OF LIFE BY TRANSFORMING THE UNDERSTANDING, TREATMENT, AND CARE OF THE OCULAR SURFACE. 0 0 3158499 16476 5186248 BOSTON FOUNDATION FOR SIGHT D/B/A BOSTONSIGHT IS A WORLD RENOWNED NONPROFIT EYE HEALTH CARE ORGANIZATION. OUR MISSION IS TO IMPROVE QUALITY OF LIFE BY TRANSFORMING THE UNDERSTANDING, TREATMENT, AND CARE OF THE OCULAR SURFACE. SINCE 1992 WE HAVE RESTORED SIGHT TO THOUSANDS OF PATIENTS FROM AROUND THE WORLD. PROSTHETIC REPLACEMENT OF THE OCULAR SURFACE ECOSYSTEM (PROSE) IS AN INTEGRATED AND ITERATIVE TREATMENT PIONEERED BY BOSTONSIGHT THAT RESTORES VISUAL FUNCTION, SUPPORTS HEALING, REDUCES SYMPTOMS AND IMPROVES QUALITY OF LIFE FOR PATIENTS SUFFERING WITH COMPLEX CORNEAL DISEASE. BOSTONSIGHT (REGISTERED TRADEMARK) PROSE USES FDA CLEARED (1994) CUSTOM DESIGNED AND FABRICATED PROSTHETIC DEVICES TO REPLACE OR SUPPORT IMPAIRED OCULAR SURFACE SYSTEM FUNCTIONS.OUR NEEDHAM, MA CENTER OF EXCELLENCE INCLUDES A PROSE CLINIC, A RESEARCH CENTER, A STATE-OF-THE-ART MANUFACTURING LAB AND A PATIENT AND FAMILY SUPPORT CENTER. COMPASSIONATE CARE IS AT THE HEART OF OUR APPROACH TO MEDICINE. ADDITIONAL SERVICES RELATING TO OCULAR SURFACE DISEASE INCLUDE PUBLIC AND PROFESSIONAL EDUCATION; CLINICAL RESEARCH; PATIENT ENGAGEMENT AND EMPOWERMENT; AND TECHNICAL INNOVATION. 1277912 457871 BOSTONSIGHT SCLERAL: IN FURTHERANCE OF BOSTONSIGHT'S MISSION TO IMPROVE QUALITY OF LIFE BY TRANSFORMING THE UNDERSTANDING, TREATMENT, AND CARE OF THE OCULAR SURFACE, BOSTONSIGHT HAS DEVELOPED A SCLERAL LENS FITTING SYSTEM AIMED AT HELPING AN EVEN GREATER NUMBER OF PATIENTS WHO SUFFER FROM OCULAR SURFACE DISEASE. BOSTONSIGHT PIONEERED A NEW SCLERAL LENS DESIGN, AND FITTING TECHNOLOGY, THAT ALLOWS THE ORGANIZATION TO EXPAND THE NUMBER OF TRAINED SCLERAL LENS PRACTITIONERS, DELIVERING OUR SIGHT-RESTORING SOLUTIONS TO THOUSANDS OF ADDITIONAL PATIENTS WHO SUFFER FROM OCULAR SURFACE DISEASE BOTH DOMESTICALLY AND INTERNATIONALLY. 4436411 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 15 0 1 43 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X GLEN R BUNNELL 7817267503 464 HILLSIDE AVENUE SUITE 205 NEEDHAM MA 02494 EUGENE A BONTE DIRECTOR 0.25 X 0 0 0 PAMELA J ANDERSON JD DIRECTOR 0.25 X 0 0 0 DAVID ROSENBLOOM DIRECTOR 0.25 X 0 0 0 MICHAEL RAIZMAN MD DIRECTOR 0.25 X 0 0 0 CLIFFORD SCOTT OD DIRECTOR 0.25 X 0 0 0 KATHLEEN WEINGARTEN DIRECTOR 0.25 X 0 0 0 MIKE KANE DIRECTOR (UNTIL DEC 2018) 0.25 X 0 0 0 KARSTEN RISCH MD DIRECTOR 0.25 X 0 0 0 SARAH SHOAF CABOT JD DIRECTOR 0.25 X 0 0 0 J LOUIS MACDONALD DIRECTOR 0.25 X 0 0 0 GENE GUSELLI PRESIDENT/DIRECTOR 40.00 X X 300262 0 33281 SARA YOST CFO/TREASURER 40.00 X 179459 0 34459 TARA STEPANIAN SECRETARY 40.00 X 73793 0 12291 DANIEL BROCKS MD MEDICAL DIRECTOR 40.00 X 225982 0 26680 DEBORAH JACOBS MD MEDICAL DIRECTOR (UNTIL 02/18) 40.00 X 226226 0 2411 KAREN CARRASQUILLO OD PHD DIRECTOR OF CLINICAL CARE 40.00 X 175889 0 9813 ILENE KNOPPING DIR., BOSTONSIGHT NETWORK 32.00 X 142436 0 26871 ALAN KWOK OD OPTOMETRIST 40.00 X 131895 0 33285 KLIMENTY LEVIN SOFTWARE ENGINEER 40.00 X 153495 0 9158 BITA ASGHARI OD OPTOMETRIST 40.00 X 122242 0 16283 CHIRAG PATEL OD OPTOMETRIST 40.00 X 118485 0 15086 1850164 0 219618 12 0 1 0 RSM US LLP 80 CITY SQUARE BOSTON MA 02129 IT CONSULTING 422729 1 275022 22217 275022 PATIENT SERVICES, NET 621110 3239641 3239641 NETWORK CLINIC REVENUE 621110 1922347 1922347 B&L SETTLEMENT REVENUE 900099 36754 18009 18745 5198742 6628 6628 85375 85375 758965 361625 397340 397340 OTHER REVENUE 900099 48037 48037 48037 6011144 5228034 416085 92003 16476 16476 1044940 728835 167328 148777 2088629 1592616 496013 69345 50757 16468 2120 211173 188993 18405 3775 245897 190706 45564 9627 88774 42034 46740 60990 60990 321856 201759 116063 4034 18577 11990 6587 37670 30022 6332 1316 86925 78620 2999 5306 495509 416949 68635 9925 22934 19390 2631 913 59145 57437 1708 258430 243007 13248 2175 95536 70635 24450 451 SUPPLIES 305863 295519 4664 5680 BANK FEES 81198 80791 407 POSTAGE & SHIPPING 79486 79174 312 TELEPHONE 52263 43157 7425 1681 150019 78335 51780 19904 5891635 4436411 1238821 216403 1506495 1811734 1511584 1122384 223357 225137 67742 112192 3529861 2737871 535068 791990 32918 32762 3877164 4096199 473103 572939 473103 572939 X 3199008 3294592 20053 43668 185000 185000 3404061 3523260 3877164 4096199 119509 -310 0 X 0 1 X 1 0 X 509578 393538 262729 251134 275022 1692001 509578 393538 262729 251134 275022 1692001 348386 1343615 300018 239602 4972 3965 92003 640560 2332561 27360370 0.57600 0.53770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 185000 185000 185000 185000 185000 185000 185000 185000 185000 185000 0.00000 1.00000 0.00000 0 0 481769 429627 52142 3048092 2308244 739848 791990 X 6372459 -310 361625 361315 6011144 0 6011144 6253260 361625 361625 5891635 0 5891635 PART V, LINE 4: THE ENDOWMENT IS SOLELY USED TO SUPPORT PATIENT SERVICES. PART X, LINE 2: BOSTONSIGHT ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. BOSTONSIGHT HAS IDENTIFIED ITS TAX STATUS AS A TAX EXEMPT ENTITY AND ITS DETERMINATION OF WHICH ACTIVITIES ARE RELATED AND UNRELATED AS ITS ONLY SIGNIFICANT TAX POSITIONS AND HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. BOSTONSIGHT IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. FEDERAL AND STATE INCOME TAX RETURNS ARE GENERALLY OPEN FOR EXAMINATION FOR THREE YEARS FOLLOWING THE DATE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 361,625. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 361,625. X 0 0 X X 1 0 0 0 0 0 0 1 0 GENE GUSELLI PRESIDENT/DIRECTOR 298186 0 590 0 1486 0 11000 0 22281 0 333543 0 0 0 SARA YOST CFO/TREASURER 177606 0 1691 0 162 0 7639 0 26820 0 213918 0 0 0 DANIEL BROCKS MD MEDICAL DIRECTOR 224258 0 1589 0 135 0 3366 0 23314 0 252662 0 0 0 DEBORAH JACOBS MD MEDICAL DIRECTOR (UNTIL 02/18) 48534 0 0 0 177692 0 1957 0 454 0 228637 0 0 0 KAREN CARRASQUILLO OD PHD DIRECTOR OF CLINICAL CARE 174039 0 1670 0 180 0 7045 0 2768 0 185702 0 0 0 ILENE KNOPPING DIR., BOSTONSIGHT NETWORK 140013 0 1649 0 774 0 5950 0 20921 0 169307 0 0 0 ALAN KWOK OD OPTOMETRIST 129575 0 1906 0 414 0 5654 0 27631 0 165180 0 0 0 KLIMENTY LEVIN SOFTWARE ENGINEER 151214 0 2281 0 0 0 6132 0 3026 0 162653 0 0 0 PART I, LINE 1A SEE RESPONSE FOR LINE 7 (BELOW). PART I, LINE 4A AN EMPLOYEE ENTERED INTO A SEVERANCE ARRANGEMENT. THAT EMPLOYEE RECEIVED TOTAL SEVERANCE PAY IN THE AMOUNT OF $177,692 IN 2018. PART I, LINE 7 ALL STAFF MEMBERS RECEIVED A $500 GIFT CARD AND $1,000 AS A BONUS (AND THESE AMOUNTS WERE GROSSED-UP TO MAXIMIZE THE VALUE TO OUR EMPLOYEES). THE PRESIDENT OF BOSTON FOUNDATION FOR SIGHT DETERMINED THE AMOUNT AND APPROVED THE GIFT CARDS AND CASH BONUSES FOR PAYMENT. THE PRESIDENT'S BONUS IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B UPON RECEIVING DRAFTS FROM OUR CPA FIRM (AUDITORS), BOSTONSIGHT WILL TAKE THE FOLLOWING STEPS TO ASSURE ACCURACY AND COMPLIANCE WITH FEDERAL TAX REGULATIONS. THE PRESIDENT AND CFO OF BOSTONSIGHT WILL REVIEW THE FORM 990 IN DETAIL INCLUDING ACCOUNT GROUPINGS. UPON SATISFACTORY REVIEW, THE BOSTONSIGHT TREASURER WILL SUBMIT THE FORM 990 DRAFT TO THE BOSTONSIGHT AUDIT COMMITTEE. THE CPA FIRM WILL HOLD A MEETING FOR THE AUDIT COMMITTEE TO ADDRESS ANY CONCERNS OR QUESTIONS. UPON SATISFACTORY REVIEW BY THE AUDIT COMMITTEE, THE FINAL FORM 990 WILL BE GENERATED BY THE CPA FIRM. THE FINAL COPY OF THE FORM 990 WILL BE EMAILED TO ALL BOARD MEMBERS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C WE REQUIRE BOSTONSIGHT DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO SIGN A CONFLICT OF INTEREST ACKNOWLEDGEMENT AND DISCLOSURE STATEMENT ANNUALLY. THE CEO AND CFO REVIEW THE FORMS AND DETERMINE IF A POTENTIAL CONFLICT EXISTS. ANY INDIVIDUAL THAT HAS A CONFLICT IS RECUSED FROM DISCUSSION AND VOTING ON THE GIVEN TOPIC. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE VIA THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. THE FORM 990 IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG. BOSTONSIGHT TECH INC 464 HILLSIDE AVE STE 205 NEEDHAM MA 02494 832514718 MANUFACTURING MEDICAL DEVICES MA THE BOSTON FOUNDATION FOR SIGHT C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0