2020-05-18T15:03:04-05:00 2019-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2019-01-01 391397899 AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY INC AMER 7158459283 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 E VICTOR ROSS MD TREASURER 7158459283 2020-04-28 1 JOSHUA J BOYLE CPA P01811665 7158453111 2020-04-28 68.113.233.207 2020-04-28 10:09:57 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FEDE6E2ED2B59B1C13DC36E78E84E5663127854C 2019 2020-11-06 18:47:13Z J DIANNE DALSKY 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 4920394 0 X WWW.ASLMS.ORG X 1981 WI THE MISSION OF THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY IS TO PROMOTE EXCELLENCE IN PATIENT CARE BY ADVANCING BIOMEDICAL APPLICATION OF LASERS AND OTHER RELATED TECHNOLOGIES WORLD WIDE. 19 19 13 95 42650 24680 1092268 948414 1874347 1992193 457156 270679 6746 63858 3430517 3275144 126937 216274 0 0 734601 769965 0 0 76481 1938546 1938788 2800084 2925027 630433 350117 6623550 7855236 1216562 1270212 5406988 6585024 X THE MISSION OF THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY (ASLMS)IS TO PROMOTE EXCELLENCE IN PATIENT CARE BY ADVANCING BIOMEDICAL APPLICATION OF LASERS AND OTHER RELATED TECHNOLOGIES WORLDWIDE.THE VISION OF ASLMS IS TO BE THE WORLD'S PRE-EMINENT RESOURCE FOR BIOMEDICAL LASER AND OTHER RELATED TECHNOLOGIES, RESEARCH, EDUCATION, AND CLINICAL KNOWLEDGE. 0 0 1601143 1468592 THE SOCIETY HOLDS AN ANNUAL CONFERENCE AT WHICH THEY OFFER VARIOUS PRESENTATIONS OF LASER RESEARCH APPLICATIONS AND DEVELOPMENTS TO INDIVIDUALS. 428163 115826 AS PART OF THEIR ANNUAL MEMBERSHIP TO THE SOCIETY, MEMBERS RECEIVE A JOURNAL SUBSCRIPTION, ELECTRONIC NEWSLETTERS, AND HAVE ACCESS TO AN ONLINE DIRECTORY. THE VARIOUS PUBLICATIONS ARE DESIGNED TO KEEP MEMBERS CURRENT ON LASER TECHNOLOGY. ELEVEN ISSUES OF THE OFFICIAL JOURNAL OF THE ASLMS WERE PUBLISHED IN 2019. 216274 216274 GRANTS FOR RESEARCH, STUDENT TRAVEL AND PROFESSIONAL DEVELOPMENT. 266650 480951 OTHER PROGRAM SERVICES RELATE TO COURSES AND SEMINARS AS PART OF REGIONAL OR ONLINE EDUCATION PROGRAMS. 266650 480951 2512230 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 16 0 13 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X J DIANNE DALSKY 7158459283 2100 STEWART AVE STE 240 WAUSAU WI 54401 BAHMAN ANVARI PHD (2022) BASIC SCIENCE REP 0.50 X 0 0 0 G DAVID BAXTER TD DPHIL MBA (2022) BASIC SCIENCE REP 0.50 X 0 0 0 GUILLERMO AGUILAR PHD (2020) BIOMEDICAL ENGINEER 0.50 X 0 0 0 CRAIG DRILL (2020) INDUSTRIAL/MARKETING 0.50 X 0 0 0 FREDERICK C BEDDINGFIELD III MD (2022) INDUSTRIAL/R&D REP 0.50 X 0 0 0 ARISA E ORTIZ MD (2022) LASER MEDICINE REP 0.50 X 0 0 0 GIRISH S MUNAVALLI MD MHS FACMS (2022) LASER MEDICINE REP 0.50 X 0 0 0 BRIAN S BIESMAN MD (2022) LASER SAFETY REP 0.50 X 0 0 0 MURAD ALAM MD MSCI MBA (2021) LASER SURGERY REP 0.50 X 0 0 0 OMAR A IBRAHIMI MD PHD (2022) LASER SURGERY REP 0.50 X 0 0 0 JILL WAIBEL MD (2021) LASER SURGERY REP 0.50 X 0 0 0 REBECCA SPRAGUE RN NP-C (2020) NURSING/ALLIED HEALTH 0.50 X 0 0 0 M CRISTINA CHAVANTES MD PHD (TERM 4/2019) BASIC SCIENCE 0.50 X 0 0 0 MERETE HAEDERSDAL MD (TERM 4/2019) BASIC SCIENCE 0.50 X 0 0 0 BRIAN A PRYOR PHD (TERM 4/19) INDUSTRIAL/R&D 0.50 X 0 0 0 GERALD GOLDBERG MD (TERM 4/2019) LASER MEDICINE 0.50 X 0 0 0 DAVID H MCDANIEL MD (TERM 4/2019) LASER SAFETY 0.50 X 0 0 0 ASHISH C BHATIA MD FAAD (TERM 4/19) LASER SURGERY 0.50 X 0 0 0 MATHEW M AVRAM MD JD (TERM 4/2019) PAST PRESIDENT 0.50 X 0 0 0 DIETER MANSTEIN MD PHD PRESIDENT 0.50 X X 0 0 0 THOMAS ROHRER MD PRESIDENT-ELECT 0.50 X X 0 0 0 HENRY CHAN MD PHD FRCP VICE PRESIDENT 0.50 X X 0 0 0 E VICTOR ROSS MD TREASURER 0.50 X X 0 0 0 SUZANNE L KILMER MD SECRETARY 0.50 X X 0 0 0 J STUART NELSON MD PHD HISTORIAN 0.50 X X 0 0 0 ERIC F BERNSTEIN MD MSE PAST PRESIDENT 0.50 X X 0 0 0 J DIANNE DALSKY EXECUTIVE DIRECTOR 40.00 X 79015 0 20903 79015 0 20903 0 0 0 0 SHEPARD AV COMPANY 101 UTAH AVE SOUTH SAN FRANCISCO CA 94080 AUDIO VISUAL FOR ANNUAL CONFERENCE 386236 CENTERPLATE CO CONVENTION CENTER 700 14TH ST DENVER CO 80202 CONFERENCE FOOD AND BEVERAGE 241007 2 734280 73432 140702 73432 948414 ANNUAL CONFERENCE 611430 1511242 1468592 42650 COURSES & SEMINARS 611430 371745 371745 109206 109206 1992193 142599 142599 115826 115826 1682748 1554668 128080 128080 128080 38614 73432 90582 -51968 -51968 3275144 2065369 42650 218711 197355 197355 18919 18919 99918 34971 59951 4996 507447 429785 46425 31237 24236 20949 1786 1501 97271 82815 8458 5998 41093 32052 6574 2467 62512 18754 31256 12502 43703 41518 2185 31753 31753 7482 7482 135191 117693 15418 2080 125597 105147 20450 100138 78108 16022 6008 909710 905266 2222 2222 162 162 88089 68710 14094 5285 36176 36176 SEMINARS & COURSES 184784 184784 PUBLICATIONS EXPENSE 182559 182559 PRECEPTORSHIP EXPENSE 26881 26881 INDUSTRY ADVISORY COUNC 4051 4051 2925027 2512230 336316 76481 100 100 492962 390763 156599 197951 233814 159132 549788 410515 196235 139273 5530827 6955121 13013 12896 6623550 7855236 124974 104288 1091588 1153981 0 11943 1216562 1270212 X 3271768 4069390 2135220 2515634 5406988 6585024 6623550 7855236 X 350117 874121 -46202 X X 0 1 X 1 0 X 891569 919523 906065 1092268 948414 4757839 1481318 1502112 1736229 1874347 1992193 8586199 22155 16039 19949 118348 38614 215105 2395042 2437674 2662243 3084963 2979221 13559143 60745 25848 20656 51292 27053 185594 0 60745 25848 20656 51292 27053 185594 13373549 194324 198740 214271 245452 258425 1111212 194324 198740 214271 245452 258425 1111212 2589366 2636414 2876514 3330415 3237646 14670355 0.91160 0.91450 0.07570 0.07340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3449633 128194 665490 8927 4234390 3570764 110259 -175097 10372 45921 3449633 3174972 50368 372358 5887 21047 3570764 3017127 31609 155025 10805 17984 3174972 2974001 68436 4529 13293 16546 3017127 0.49450 0.41670 0.08880 0 0 549788 410515 139273 139273 LEASE PAYABLE 11943 11943 4134662 874121 874121 3260541 31753 -17150 14603 3275144 2910424 17150 17150 2893274 31753 31753 2925027 PART V, LINE 4: THE SOCIETY'S ENDOWMENTS CONSIST OF FOUR FUNDS ESTABLISHED TO BENEFIT THE SOCIETY FOR A VARIETY OF PURPOSES. THE SOCIETY HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENTS WHILE SEEKING TO PRESERVE THE FAIR VALUE OF THE ENDOWMENT ASSETS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -17,150. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE 17,150. 0 0 0 0 0 0 0 0 0 0 TRAVEL GRANTS SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLOMBIA, ECUADOR, 1 1000 WIRE TRANSFER TRAVEL GRANTS EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIU 6 6000 WIRE TRANSFER TRAVEL GRANTS EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 1 1000 WIRE TRANSFER 0 0 0 0 0 0 PART I, LINE 2: PER THE GRANT APPLICATION: APPLICANTS WILL HAVE 60 DAYS OF THE AWARD BEING MADE TO PROVIDE EVIDENCE THEY ARE AGGRESSIVELY PURSUING APPROVAL. EACH GRANT RECIPIENT'S SITUATION WILL BE MONITORED AND EVALUATED INDIVIDUALLY, AND AT A POINT IN TIME THAT IT APPEARS APPROVAL WILL NOT BE GIVEN, OR THE APPLICANT IS NOT DILIGENT IN PURSUING APPROVAL, THE GRANT AWARD WILL BE WITHDRAWN. ASLMS MONITORS THE USE OF GRANT FUNDS BY REQUIRING THE RECIPIENTS TO SIGN A GRANT ACCEPTANCE FORM WHICH OUTLINES THE GRANT FINANCING AND GRANT EXPENDITURE REPORTING REQUIREMENTS. BY SIGNING THE ACCEPTANCE FORM, THE RECIPIENT AGREES TO THE DESCRIBED SCHEDULE OF GRANT PAYMENTS, THE RECIPIENT AGREES TO RETURN ALL RESEARCH GRANT FUNDS WHICH ARE NOT EXPENDED IN THE COMPLETION OF THE RESEARCH PROJECT, AND THAT UPON REQUEST BY ASLMS, THE RECIPIENT WILL PROMPTLY PROVIDE THE SOCIETY WITH A SUMMARY OF THE FUNDS EXPENDED BY THE RECIPIENT ON THE RESEARCH PROJECT. PART III ACCOUNTING METHOD: SILENT AUCTION 112046 73432 38614 73432 17150 112046 73432 38614 73432 17150 90582 -51968 1 UNIVERSITY OF ARIZONA B 220 W 6TH ST B116 TUCSON AZ 85701 742652689 UNIV 5000 RESEARCH MA GENERAL HOSPITAL 399 REVOLUTION DRIVE SOMMERVILLE MA 02145 042697983 501(C)(3) 97630 RESEARCH UNIVERSITY OF CALIFORNIA 3040 ANTEATER INSTRUCTION AND RESEARCH BUILDING IRVINE CA 92697 952226406 501(C)(3) 5000 RESEARCH UNIVERSITY OF IOWA 30 SOUTH DUBUQUE ST 2ND FLOOR IOWA CITY IA 52240 426004813 UNIV 5000 RESEARCH MOY FINCHER-CHIPPS FACIAL PLASTICS & DERMATOLOGY 421 N RODEO DR 7 BEVERLY HILLS CA 90210 954402336 5000 RESEARCH UNIVERSITY OF SOUTH CAROLINA 1600 HAMPTON ST 6TH FLOOR COLUMBIA SC 29208 576001153 UNIV 62630 RESEARCH 5 1 TRAVEL GRANT 14 13419 PART I, LINE 2: PER THE GRANT APPLICATION: APPLICANTS WILL HAVE 60 DAYS OF THE AWARD BEING MADE TO PROVIDE EVIDENCE THEY ARE AGGRESSIVELY PURSUING APPROVAL. EACH GRANT RECIPIENT'S SITUATION WILL BE MONITORED AND EVALUATED INDIVIDUALLY, AND AT A POINT IN TIME THAT IT APPEARS APPROVAL WILL NOT BE GIVEN, OR THE APPLICANT IS NOT DILIGENT IN PURSUING APPROVAL, THE GRANT AWARD WILL BE WITHDRAWN. ASLMS MONITORS THE USE OF GRANT FUNDS BY REQUIRING THE RECIPIENTS TO SIGN A GRANT ACCEPTANCE FORM WHICH OUTLINES THE GRANT FINANCING AND GRANT EXPENDITURE REPORTING REQUIREMENTS. BY SIGNING THE ACCEPTANCE FORM, THE RECIPIENT AGREES TO THE DESCRIBED SCHEDULE OF GRANT PAYMENTS, THE RECIPIENT AGREES TO RETURN ALL RESEARCH GRANT FUNDS WHICH ARE NOT EXPENDED IN THE COMPLETION OF THE RESEARCH PROJECT, AND THAT UPON REQUEST BY ASLMS, THE RECIPIENT WILL PROMPTLY PROVIDE THE SOCIETY WITH A SUMMARY OF THE FUNDS EXPENDED BY THE RECIPIENT ON THE RESEARCH PROJECT. X SILENT AUCTION ITEMS 49 73432 FMV 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION TRACKS THE NUMBER OF CONTRIBUTIONS FOR THEIR SILENT AUCTION. FORM 990, PART VI, SECTION A, LINE 6 THE AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY UTILIZES AN INDUSTRY ADVISORY COUNCIL, MADE UP OF 12 MEMBERS WHICH ARE ORGANIZATIONS. THERE ARE THREE CLASSES OF VOTING MEMBERS. ASSOCIATES ARE SCIENTISTS, PHYSICIANS, OR OTHER HEALTH CARE PROFESSIONALS. FELLOWS ARE ASSOCIATES WHO ACTIVELY PARTICIPATE IN THE SOCIETY AND HAVE BEEN IN GOOD STANDING FOR A PERIOD OF TIME SPECIFIED BY THE BOARD OF DIRECTORS. LIFE MEMBERS ARE ASSOCIATES OR FELLOWS ARE PHYSICALLY UNABLE TO CONTINUE IN SCIENTIFIC, BIOLOGICAL, OR MEDICAL PRACTICE OR HAVE RETIRED FROM THESE INDUSTRIES. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS VOTE TO ELECT OFFICERS AND BOARD REPRESENTATIVES. FORM 990, PART VI, SECTION A, LINE 7B BY-LAW REVISING VOTED ON BY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 IS DISTRIBUTED TO EACH MEMBER OF THE GOVERNING BODY (BOARD MEMBERS) BEFORE FINAL SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C SOCIETY OFFICERS, MEMBERS OF THE BOARD OF DIRECTORS AND CANDIDATES FOR THOSE POSITIONS, AS WELL AS COMMITTEE MEMBERS, SHALL DISCLOSE FINANCIAL INTERESTS, POTENTIAL CONFLICTS OF INTEREST AND ANY INFORMATION REQUESTED BY STATES IN WHICH THE SOCIETY IS REGISTERED AS A CHARITABLE ORGANIZATION BY COMPLETING AND SIGNING A DISCLOSURE STATEMENT ON AN ANNUAL BASIS AND AS DISCLOSURE INFORMATION CHANGES. ALL MEMBERS OF THE BOARD OF DIRECTORS AND OF COMMITTEES ESTABLISHED BY THE BOARD SHALL VERBALLY DISCLOSE ACTUAL AND POTENTIAL CONFLICTS OF INTEREST INVOLVING ANY PERTINENT ITEM ON A BOARD OR COMMITTEE AGENDA AND SHALL RECUSE FROM DISCUSSION AND VOTING. THE SECRETARY SHALL RECORD SUCH DISCLOSURES AND RECUSALS IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15A EACH YEAR, THE HUMAN RESOURCE COMMITTEE APPROVES THE INCENTIVE PACKAGES OFFERED TO KEY EMPLOYEES. THE BOARD OF DIRECTOR'S FINANCE COMMITTEE APPROVES THE YEARLY BUDGET, WHICH INCLUDES THE SALARIES OF THESE EMPLOYEES. IN ORDER TO DETERMINE SALARY REASONABLENESS, A PUBLISHED STUDY WAS USED FOR COMPARABILITY. AT THE NOVEMBER BOARD MEETING THE BUDGET, INCLUDING SALARIES, WAS APPROVED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -46,202. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.