2019-05-10T08:19:31-05:00 2018-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2018-01-01 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 2019-04-25 1 JOSHUA J BOYLE CPA P01811665 7158453111 2019-04-25 50.50.56.238 2019-04-25 09:19:36 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FEDE6E2ED2B59B1C13DC36E78E84E5663127854C 2018 2019-02-21 02:37:17Z J DIANNE DALSKY 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 9223185 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 98 0 0 906065 1092268 1736229 1874347 265193 457156 124385 6746 3031872 3430517 127768 126937 0 0 660461 734601 0 0 72808 1744043 1938546 2532272 2800084 499600 630433 6605184 6623550 1048031 1216562 5557153 5406988 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 1641296 0 1499304 THE SOCIETY HOLDS AN ANNUAL CONFERENCE AT WHICH THEY OFFER VARIOUS PRESENTATIONS OF LASER RESEARCH APPLICATIONS AND DEVELOPMENTS TO INDIVIDUALS. 433322 0 109960 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 2018. 126937 126937 35000 GRANTS FOR RESEARCH, STUDENT TRAVEL AND PROFESSIONAL DEVELOPMENT. 189890 375043 OTHER PROGRAM SERVICES RELATE TO COURSES AND SEMINARS AS PART OF REGIONAL OR ONLINE EDUCATION PROGRAMS. 189890 375043 2391445 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 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 20 0 1 13 1 0 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 ERIC F BERNSTEIN MD MSE PRESIDENT 0.50 X X 0 0 0 DIETER MANSTEIN MD PHD PRESIDENT-ELECT 0.50 X X 0 0 0 THOMAS ROHRER MD 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 MATHEW M AVRAM MD JD PAST PRESIDENT 0.50 X 0 0 0 M CRISTINA CHAVANTES MD PHD (2019) BASIC SCIENCE REPRE 0.50 X 0 0 0 MERETE HAEDERSDAL MD (2019) BASIC SCIENCE REPRE 0.50 X 0 0 0 GUILLERMO AGUILAR PHD (2020) BIOMEDICAL ENGINEER 0.50 X 0 0 0 CRAIG DRILL (2020) INDUSTRIAL/MARKETIN 0.50 X 0 0 0 BRIAN A PRYOR PHD (2019) INDUSTRIAL/R&D REPR 0.50 X 0 0 0 HENRY CHAN MD PHD FRCP (2021) LASER MEDICINE REPR 0.50 X 0 0 0 GERALD A GOLDBERG MD (2019) LASER MEDICINE REPR 0.50 X 0 0 0 DAVID H MCDANIEL MD (2019) LASER SAFETY REPRES 0.50 X 0 0 0 MURAD ALAM MD MSCI MBA (2021) LASER SURGERY REPRE 0.50 X 0 0 0 ASHISH C BHATIA MD FAAD (2019) LASER SURGERY REPRE 0.50 X 0 0 0 JILL WAIBEL MD (2021) LASER SURGERY REPRE 0.50 X 0 0 0 REBECCA SPRAGUE RN NP-C (2020) NURSING/ALLIED HEAL 0.50 X 0 0 0 PAUL M FRIEDMAN MD (TERM 4/2018) LASER SURGERY 0.50 X 0 0 0 PETRA WILDER-SMITH DDS PHD (TERM 4/2018) LASER SURGERY 0.50 X 0 0 0 EMIL A TANGHETTI MD (TERM 4/18) LASER MEDICINE 0.50 X 0 0 0 KRISTEN M KELLY MD (TERM 4/2018) PAST PRESIDENT 0.50 X 0 0 0 J DIANNE DALSKY EXECUTIVE DIRECTOR 40.00 X 78509 0 20353 78509 0 20353 0 0 0 0 HILTON ANATOLE 2201 STEMMONS FREEWAY DALLAS TX 75207 FOOD & BEVERAGE AT ANNUAL CONFERENCE 332187 PRODUCTION ASSOCIATES 1900 CAMPUS COMMONS DR STE 100 RESTON VA 20191 AUDIO VISUAL FOR ANNUAL CONFERENCE 280304 JOHN WILEY & SONS PO BOX 416502 BOSTON MA 02241 PUBLISHING SERVICES 113950 3 725581 241457 125230 241457 1092268 ANNUAL CONFERENCE 611430 1499304 1499304 COURSES & SEMINARS 611430 253120 253120 121923 121923 1874347 135492 135492 109960 109960 5857770 5536106 321664 321664 321664 118348 241457 256562 -138214 -138214 35000 35000 35000 3430517 2019307 0 318942 48550 48550 23831 23831 54556 54556 98861 34602 59317 4942 475635 404753 41558 29324 20268 17915 1088 1265 101537 85845 9445 6247 38300 29874 6128 2298 54730 16419 27365 10946 41036 38984 2052 45921 45921 11891 11891 131678 114488 15104 2086 110878 96497 14381 98750 77025 15800 5925 986963 983519 1722 1722 100013 78010 16002 6001 36037 36037 MEMBERSHIP PROMOTION 201165 201165 SEMINARS & COURSES 97622 97622 PRECEPTORSHIP EXPENSE 14883 14883 INDUSTRY ADVISORY COUNC 6979 6979 2800084 2391445 335831 72808 100 100 524249 492962 196498 156599 225178 233814 524355 328120 268117 196235 5386585 5530827 4457 13013 6605184 6623550 101816 124974 946215 1091588 1048031 1216562 X 3476358 3271768 554869 2135220 1525926 0 5557153 5406988 6605184 6623550 630433 -780598 0 X X 0 1 X 1 0 X 1298319 891569 919523 906065 1092268 5107744 1409600 1481318 1502112 1736229 1874347 8003606 20845 22155 16039 19949 118348 197336 2728764 2395042 2437674 2662243 3084963 13308686 15808 60745 25848 20656 51292 174349 0 15808 60745 25848 20656 51292 174349 13134337 201582 194324 198740 214271 245452 1054369 201582 194324 198740 214271 245452 1054369 2930346 2589366 2636414 2876514 3330415 14363055 0.91450 0.91010 0.07340 0.06990 X 3570764 110259 -175097 10372 45921 3449633 3174972 50368 372358 5887 21047 3570764 3017127 31609 155025 10805 17984 3174972 2974001 68436 4529 13293 16546 3017127 2463105 442128 100975 17413 14794 2974001 0.50690 0.47430 0.01880 0 0 487075 328120 158955 37280 37280 196235 X 2584103 -780598 -780598 3364701 45921 19895 65816 3430517 2734268 -19895 -19895 2754163 45921 45921 2800084 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 X, LINE 2: THE SOCIETY IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE SOCIETY IS ALSO EXEMPT FROM STATE INCOME TAX. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -15,105. RETURN OF PRIOR YEAR GRANT 35,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE 15,105. RETURN OF PRIOR YEAR GRANT -35,000. 0 0 0 0 0 0 0 0 0 0 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM RESEARCH 34103 WIRE TRANSFER 1 0 TRAVEL GRANTS SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLOMBIA, ECUADOR, 4 3734 WIRE TRANSFER TRAVEL GRANTS EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIU 6 6000 WIRE TRANSFER TRAVEL GRANTS & HORACE FURUMOTO EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 2 2000 WIRE TRANSFER HORACE FURUMOTO MIDDLE EAST AND NORTH AFRICA 1 4000 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. SILENT AUCTION 359805 241457 118348 241457 15105 359805 241457 118348 241457 15105 256562 -138214 1 UNIVERSITY OF CALIFORNIA 141 INNOVATION DRIVE IRVINE CA 92617 952226406 501(C)(3) 5000 RESEARCH MA GENERAL HOSPITAL 399 REVOLUTION DRIVE SOMMERVILLE MA 02145 042697983 501(C)(3) 35000 RESEARCH 2 0 TRAVEL GRANT 26 22831 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 42 241457 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 XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.