2016-04-08T16:33:00-05:00 2015-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2015-01-01 391397899 AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY INC AMER 7158459283 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 GEORGE J HRUZA MD MBA INTERIM TREASURER 7158459283 2016-03-21 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2016-03-21 2015 2016-09-27 15:27:22Z J DIANNE DALSKY 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 3932891 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 11 0 0 0 1298319 891569 1409600 1481318 284446 217399 117253 120952 3109618 2711238 194538 160819 0 0 561751 649419 0 0 19487 1680379 1815016 2436668 2625254 672950 85984 5509180 5470029 956257 1034039 4552923 4435990 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 1357024 1094013 THE SOCIETY HOLDS AN ANNUAL CONFERENCE AT WHICH THEY OFFER VARIOUS PRESENTATIONS OF LASER RESEARCH APPLICATIONS AND DEVELOPMENTS TO INDIVIDUALS. 431539 204894 AS PART OF THEIR ANNUAL MEMBERSHIP TO THE SOCIETY, MEMBERS RECEIVE A JOURNAL SUBSCRIPTION, NEWSLETTERS, AND A 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 2015. 160819 160819 GRANTS FOR RESEARCH, STUDENT TRAVEL AND PROFESSIONAL DEVELOPMENT. 193437 276590 OTHER PROGRAM SERVICES RELATE TO COURSES AND SEMINARS AS PART OF REGIONAL OR ONLINE EDUCATION PROGRAMS. 193437 276590 2142819 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 11 1 0 0 0 0 0 1 1 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 DIANNE J DALSKY 7158459283 2100 STEWART AVE STE 240 WAUSAU WI 54401 JUANITA J ANDERS PHD PAST-PRESIDENT 0.50 X X 0 0 0 KRISTEN M KELLY MD PRESIDENT-ELECT 0.50 X X 0 0 0 ROBERT A WEISS MD PRESIDENT 0.50 X X 0 0 0 J STUART NELSON MD PHD (2015) HISTORIAN 0.50 X X 0 0 0 MATHEW M AVRAM MD JD VICE PRESIDENT 0.50 X X 0 0 0 SUZANNE L KILMER MD SECRETARY (EFF THRU 2018) 0.50 X X 0 0 0 GEORGE J HRUZA MD MBA INTERIM TREASURER 0.50 X X 0 0 0 JAMES W TUNNELL PHD (2016) BASIC SCIENCE REPRE 0.50 X 0 0 0 GERALD J WILMINK PHD (2016) BASIC SCIENCE REPRE 0.50 X 0 0 0 CRAIG A DRILL (2016) INDUSTRIAL/R&D REPR 0.50 X 0 0 0 DIETER MANSTEIN MD (2016) LASER MEDICINE REPR 0.50 X 0 0 0 PATRICIA A OWENS RN MHA (2016) LASER SAFETY REPRES 0.50 X 0 0 0 THOMAS E ROHRER MD (2016) LASER SURGERY REPRE 0.50 X 0 0 0 BAHMAN ANVARI PHD (2017) BIOMEDICAL ENGINEER 0.50 X 0 0 0 RICHARD BANKOWSKI (2017) INDUSTRIAL/MARKETIN 0.50 X 0 0 0 MARY STOLL BS RN (2017 NURSING/ALLIED HEALT 0.50 X 0 0 0 EMIL A TANGHETTI MD (2018) LASER MEDICINE REPR 0.50 X 0 0 0 PAUL M FRIEDMAN MD (2018) LASER MEDICINE REPR 0.50 X 0 0 0 PETRA WILDER-SMITH DDS PHD (2018) LASER MEDICINE REPR 0.50 X 0 0 0 DIANNE J DALSKY EXECUTIVE DIRECTOR 40.00 X 78549 0 20478 78549 0 20478 0 0 0 0 PRODUCTION ASSOCIATES LLC 1900 CAMPUS COMMONS DRIVE SUITE 10 RESTON VA 20191 AUDIOVISUAL SERVICES 233480 PROTECH ASSOCIATES INC 5457 TWN KNOLLS ROAD STE 400 COLUMBIA MD 21045 CONTRACTED SERVICES 154843 JOHN WILEY & SONS INC 111 RIVER STREET HOBOKEN NJ 07030 PUBLISHING SERVICES 149800 3 752956 54671 83942 891569 ANNUAL CONFERENCE 611430 1094013 1094013 COURSES & SEMINARS 611430 276590 276590 110715 110715 1481318 73372 73372 120952 120952 1343525 1199498 144027 144027 144027 22155 54671 22155 0 2711238 1602270 0 217399 108286 108286 39719 39719 12814 12814 98839 64245 31628 2966 428854 278755 137233 12866 12986 8440 4155 391 74357 48331 23794 2232 34383 22349 11002 1032 97432 63331 34101 42764 27797 14967 30750 30750 111732 98697 13035 127707 83010 44697 104985 68240 36745 869932 828042 41890 6761 4395 2366 35154 35154 PUBLICATIONS EXPENSE 245142 245142 SEMINARS & COURSES 106552 106552 PRECEPTORSHIP EXPENSE 21708 21708 MEMBERSHIP PROMOTION 7984 7984 6413 4982 1431 2625254 2142819 462948 19487 100 100 262090 207064 710998 563972 73353 175644 435687 187094 37983 248593 4421618 4271274 3038 3382 5509180 5470029 52839 70883 903418 963156 956257 1034039 X 2931518 2780383 245892 211658 1375513 1443949 4552923 4435990 5509180 5470029 85984 -202917 0 X X 0 1 X 1 0 X 940193 1087518 1312365 1298319 891569 5529964 1167466 1232388 1392198 1409600 1481318 6682970 22025 23083 22718 20845 22155 110826 2129684 2342989 2727281 2728764 2395042 12323760 157774 155555 15808 60745 389882 0 157774 155555 15808 60745 389882 11933878 147312 146995 164603 201582 194324 854816 147312 146995 164603 201582 194324 854816 2276996 2489984 2891884 2930346 2589366 13178576 0.90560 0.91360 0.06490 0.06330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2974001 68436 4529 13293 16546 3017127 2463105 442128 100975 17413 14794 2974001 1763509 468921 250589 19914 2463105 1407120 213164 152051 8826 1763509 1412258 50350 -44352 11136 1407120 0.51840 0.47860 0.00300 0 0 206923 187094 19829 228764 228764 248593 X 2499726 -202917 -30750 -233667 2733393 -22155 -22155 2711238 2616659 22155 22155 2594504 30750 30750 2625254 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: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE SOCIETY DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMININATION BY THE TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE SOCIETY RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2015 AND 2014. FEDERAL TAX RETURNS FOR TAX YEARS 2012 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -30,750. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -22,155. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE 22,155. 0 0 0 0 0 0 0 0 0 0 TRAVEL GRANTS AFRICA - EGYPT 1 1000 WIRE TRANSFER TRAVEL GRANTS SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 5 4987 WIRE TRANSFER TRAVEL GRANTS EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIU 6 5827 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 REASEARCH 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 76826 54671 22155 22155 76826 54671 22155 22155 22155 0 1 UNIVERSITY OF CA-RIVERSIDE 200 UNIVERSITY OFFICE BUILDING RIVERSIDE CA 925210217 956006684 STATE OF CA 5000 RESEARCH VANDERBILT UNIVERSITY PMB 401591 NASHVILLE TN 372401591 620476822 501(C)(3) 5000 RESEARCH THE GENERAL HOSPITAL CORPORATION 100 CAMBRIDGE ST 15TH FLOOR 1526 E-3 BOSTON MA 02114 041564655 501(C)(3) 49143 RESEARCH THE REGENTS OF THE UNIVERSITY OF CA 1002 HEALTH SCIENCES ROAD EAST IRVINE CA 92697 943067788 501(C)(3) 5000 RESEARCH JOHNS HOPKINS UNIVERSITY LATROBE HALL 3400 N CHARLES ST BALTIMORE MD 21218 520595110 501(C)(3) 44143 RESEARCH 5 TRAVEL GRANT 28 26909 HORACE FURUMOTO AWARD 1 9000 RICHARD FTIZPATRICK AWARD 1 1000 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 REASEARCH 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. 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 SCIENTIST, PHYSICIANS, OR OTHER HEALTH CARE PROFESSIONAL. 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 11 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.