2015-05-01T12:27:13-05:00 2014-12-31 390758449 WIPFLI LLP PO BOX 8010 WAUSAU WI 544028010 990 2014-01-01 391397899 AMERICAN SOCIETY FOR LASER MEDICINE AND SURGERY INC AMER 7158459283 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 MATHEW M AVRAM MD JD TREASURER 7158459283 2015-04-16 1 KATHLEEN J LABRAKE CPA P00164006 7158453111 2015-04-16 2014 2016-03-07 17:11:31Z J DIANNE DALSKY 2100 STEWART AVENUE NO 240 WAUSAU WI 54401 3972803 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 19 0 0 1312365 1298319 1392198 1409600 567377 284446 116364 117253 3388304 3109618 166677 194538 0 0 553158 561751 0 0 16852 1592256 1680379 2312091 2436668 1076213 672950 4860211 5509180 902291 956257 3957920 4552923 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 1224015 0 1046144 THE SOCIETY HOLDS AN ANNUAL CONFERENCE AT WHICH THEY OFFER VARIOUS PRESENTATIONS OF LASER RESEARCH APPLICATIONS AND DEVELOPMENTS TO INDIVIDUALS. 402351 0 234029 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 2014. 194538 194538 0 GRANTS FOR RESEARCH, STUDENT TRAVEL AND PROFESSIONAL DEVELOPMENT. 161730 246680 OTHER PROGRAM SERVICES RELATE TO COURSES AND SEMINARS AS PART OF REGIONAL OR ONLINE EDUCATION PROGRAMS. 161730 246680 1982634 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 31 0 1 11 1 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 1 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 JUANITA J ANDERS PHD PRESIDENT 0.50 X X 0 0 0 KRISTEN M KELLY MD VICE PRESIDENT 0.50 X X 0 0 0 JEFFREY S DOVER MD PAST-PRESIDENT 0.50 X X 0 0 0 ROBERT A WEISS MD PRESIDENT-ELECT 0.50 X X 0 0 0 ELIZABETH L TANZI MD (2015) SECRETARY 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 (2017) TREASURER 0.50 X X 0 0 0 ERIC F BERNSTEIN MD MSE (2015) LASER MEDICINE REPRESENTATIVE 0.50 X 0 0 0 BRIAN JF WONG MD PHD (2015) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 HENRY HL CHAN MBBS PHD FRCP (2015) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 JAMES W TUNNELL PHD (2016) BASIC SCIENCE REPRESENTATIVE 0.50 X 0 0 0 GERALD J WILMINK PHD (2016) BASIC SCIENCE REPRESENTATIVE 0.50 X 0 0 0 CRAIG A DRILL (2016) INDUSTRIAL/R&D REPRESENTATIVE 0.50 X 0 0 0 DIETER MANSTEIN MD (2016) LASER MEDICINE REPRESENTATIVE 0.50 X 0 0 0 PATRICIA A OWENS RN MHA (2016) LASER SAFETY REPRESENTATIVE 0.50 X 0 0 0 THOMAS E ROHRER MD (2016) LASER SURGERY REPRESENTATIVE 0.50 X 0 0 0 BAHMAN ANVARI PHD (2017) BIOMEDICAL ENGINEERING REPRESENTATIVE 0.50 X 0 0 0 RICHARD BANKOWSKI (2017) INDUSTRIAL/MARKETING REPRESENTATIVE 0.50 X 0 0 0 MARY STOLL BS RN (2017 NURSING/ALLIED HEALTH REPRESENTATIVE 0.50 X 0 0 0 J DIANNE DALSKY EXECUTIVE DIRECTOR 40.00 X 84567 0 17123 84567 0 17123 0 0 0 0 PRODUCTION ASSOCIATES LLC 1900 CAMPUS COMMONS DRIVE SUITE 10 RESTON VA 20191 AUDIOVISUAL SERVICES 248664 JOHN WILEY & SONS INC 111 RIVER STREET HOBOKEN NJ 07030 PUBLISHING SERVICES 156067 HESS REINERTSON & BRUNNER SC 605 SCOTT STREET WAUSAU WI 54403 LEGAL SERVICES 109900 3 746914 91504 3025 456876 1298319 ANNUAL CONFERENCE 611430 1046144 1046144 COURSES & SEMINARS 611430 226680 226680 JOURNAL CONTRACT 900099 20000 20000 116776 116776 1409600 84329 84329 117253 117253 1042457 842340 200117 200117 200117 20845 91504 20845 0 3109618 1526853 0 284446 129360 129360 57178 57178 8000 8000 101691 66099 32541 3051 351647 228571 112527 10549 17200 11180 5504 516 60777 39505 19449 1823 30436 19784 9739 913 101021 65664 35357 42863 27861 15002 29590 29590 112697 73253 39444 109443 91252 18191 104287 67787 36500 783774 740907 42867 19284 12535 6749 33103 33103 PUBLICATIONS EXPENSE 232119 232119 SEMINARS & COURSES 87023 87023 PRECEPTORSHIP EXPENSE 15183 15183 MEMBERSHIP PROMOTION 8224 8224 1768 1149 619 2436668 1982634 437182 16852 100 100 441359 593534 516067 710998 80383 73353 218316 180333 25781 37983 3793671 4090174 2850 3038 4860211 5509180 75671 52839 826620 903418 902291 956257 X 2791987 2931518 232548 245892 933385 1375513 3957920 4552923 4860211 5509180 672950 -77947 0 X X 0 1 X 1 0 X 891333 940193 1087518 1312365 1298319 5529728 1244645 1167466 1232388 1392198 1409600 6446297 22025 23083 22718 20845 88671 2135978 2129684 2342989 2727281 2728764 12064696 165250 79277 53290 297817 0 165250 79277 53290 297817 11766879 154061 147312 146995 164603 201582 814553 646 646 154707 147312 146995 164603 201582 815199 2290685 2276996 2489984 2891884 2930346 12879895 0.91360 0.91500 0.06330 0.06470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2463105 442128 100975 17413 14794 2974001 1763509 468921 250589 19914 2463105 1407120 213164 152051 8826 1763509 1412258 50350 -44352 11136 1407120 1287026 135272 10040 1412258 0.52960 0.46250 0.00790 0 0 199941 180333 19608 18375 18375 37983 X 3022926 -77947 -29590 -107537 3130463 -20845 -20845 3109618 2427923 20845 20845 2407078 29590 29590 2436668 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, 2014 AND 2013. FEDERAL TAX RETURNS FOR TAX YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -29,590. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE -20,845. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSE 20,845. 0 0 0 0 0 0 0 0 0 0 TRAVEL GRANTS NORTH AMERICA 1 1000 WIRE TRANSFER TRAVEL GRANTS SOUTH AMERICA 3 3000 WIRE TRANSFER TRAVEL GRANTS EUROPE (INCLUDING ICELAND & GREENLAND) 2 2000 WIRE TRANSFER TRAVEL GRANTS EAST ASIA AND THE PACIFIC 2 2000 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 112349 91504 20845 20845 112349 91504 20845 20845 20845 0 1 UNIVERSITY OF CA-IRVINE 5171 CALIFORNIA AVE STE 150 IRVINE CA 92697 952226406 STATE OF CA 39360 RESEARCH 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 UNIVERSITY OF CA-SAN DIEGO 9500 GILMAN DRIVE LA JOLLA CA 92093 956006144 STATE OF CA 20000 RESEARCH THE GENERAL HOSPITAL CORPORATION 100 CAMBRIDGE ST 15TH FLOOR 1526 E-3 BOSTON MA 02114 041564655 501(C)(3) 60000 RESEARCH 5 0 TRAVEL GRANT 37 42245 HORACE FURUMOTO AWARD 2 10000 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 4 SIGNIFICANT CHANGES APPROVED BY THE BOARD OF DIRECTORS TO GOVERNING DOCUMENTS IN 2014 INCLUDED THE FOLLOWING CHANGES TO BOARD POLICIES: 1. POLICY 1(A) & (B) (MISSION STATEMENT AND VISION STATEMENT) WERE CHANGE TO CLARIFY THE FOCUS OF THE SOCIETY FROM "RELATED TECHNOLOGIES" TO "ENERGY BASED CONFLICTS." 2. POLICY 3(A)(2)B WAS CHANGED TO REFLECT THE REQUIRED LEVEL OF PARTICIPATION TO QUALFY FOR FELLOW MEMBERSHIP STATUS. 3. POLICY 6(A)4 WAS AMENDED TO CLARIFY THE FOLE OF THE SECRETARY IN MONITORING THE DISCLOSURE OF INTERESTS POLICY AND IDENTIFYING AND REPORTING CONFLCTS OF INTEREST. 4. POLICY 8(A0(3) WAS AMENDED TO STATE THAT THE EARLY CAREER SCIENTIST AND RESIDENT/FELLOW BOARD REPRESENTATIVE WILL SERVE AS NON-VOTING MEMBERS OF THE EDUCATION AND STANDARDS INNOVATIONS COMMITTEE. 5. POLICY 8(A)4 WAS CHANGED TO 8(A)12 AND THE STRUCTURE, DUTIES AND PROCEDURES OF THE ANNUAL CONFERENCE PROGRAM COMMITTEE WERE REWRITTEN WITH SUBSTANTIAL CHANGES. 6. POLICY 8(D)2 WAS AMENDED TO PROVIDE THE PROCEDURES FOR THE SELECTION AND APPOINTMENT BY THE BOARD OF DIRECTORS OF A RESIDENT/FELLOW REPRESENTATIVE AND AN EARLY CAREER SCIENTIST REPRESENTATIVE AS NON-VOTING MEMBERS OF THE BOARD TO PROVIDE STUDENTS' PERSPECTIVES. 7.ITEM 10 OF THE APPENDIX TO THE BOARD POLICIES, INVESTMENT POLICY, AT DIVERSITY AND QUALITY, FIXED INCOME, WAS AMENDED TO ALLOW THE CORPORATE FIXED INCOME REPRESENTATION OF THE FIXED INCOME PORTION OF THE FUND TO EXCEED 70% IF THE FIXED INCOME HOLDINGS ARE COMPRISED SOLELY OF AT LEAST THREE DIVERSIFIED, BROAD BASED FIXED INCOME MUTUAL FUNDS. 8.ITEM 15 OF THE APPENDIX TO THE BOARD POLICIES, CME MISSION STATEMENT, WAS REPLACED BY THE UPDATED CME MISSION STATEMENT AND THE ASLMS COMMERCIAL SUPPORT GUIDELINES TO MEET ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) GUIDELINES. 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.