Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES INC
Employer identification number
31-4379531
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
7,534,106
5,341,548
4,857,810
5,315,041
6,791,528
29,840,033
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
1,520,522
1,482,814
1,820,968
2,032,205
2,000,903
8,857,412
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
9,054,628
6,824,362
6,678,778
7,347,246
8,792,431
38,697,445
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
38,697,445
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
9,054,628
6,824,362
6,678,778
7,347,246
8,792,431
38,697,445
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
99,856
38,438
9,406
29,187
60,479
237,366
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
99,856
38,438
9,406
29,187
60,479
237,366
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
21,569
15,845
33,214
532
1,275
72,435
13
Total support. (Add lines 9, 10c, 11, and 12.)..
9,176,053
6,878,645
6,721,398
7,376,965
8,854,185
39,007,246
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.210 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.290 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.610 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.520 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES INC
Employer identification number
31-4379531
Return Reference
Explanation
FORM 990, PART III
THE AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES' MISSION IS TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE. AMONG OUR VARIED RESPONSIBILITIES, WE: -FUND RESEARCH INTO THE CAUSES, PREVENTION, AND CURES OF LUNG DISEASE. -ADVOCATE FOR POLICIES THAT PROTECT LUNG HEALTH, INCLUDING FIGHTING FOR HEALTHY AIR. -PROVIDE A BROAD ARRAY OF HEALTH EDUCATIONAL PROGRAMS AND SERVICES TO SUPPORT SMOKING CESSATION, HELP PREVENT LUNG DISEASE, AND TO ASSIST PEOPLE WITH LUNG DISEASE IN BETTER MANAGING THEIR CONDITION. -PROVIDE AN ARRAY OF LEARNING OPPORTUNITIES AND TOOLS TO DEVELOP REGIONAL VOLUNTEER AND STAFF LEADERS. -PROVIDE THE PUBLIC WITH THE LATEST INFORMATION ON LUNG DISEASE AND LOCAL LUNG ASSOCIATION ACTIVITIES THROUGH THE AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES' WEBSITE, WWW.MIDLANDLUNG.ORG. THE PROGRAM SERVICES OF THE AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES CAN BE BROKEN DOWN INTO THREE BROAD CATEGORIES: RESEARCH, ADVOCACY, AND HEALTH EDUCATION. RESEARCH FUNDING RESEARCH HAS BEEN A CORNERSTONE OF THE LUNG ASSOCIATION'S FIGHT AGAINST LUNG DISEASE FOR MORE THAN A CENTURY. IN 2013-14, OUR DONORS AGAIN MADE IT POSSIBLE TO FUND HIGH QUALITY RESEARCHERS SEEKING TREATMENTS AND CURES FOR AN ARRAY OF LUNG DISEASES FROM ASTHMA TO LUNG CANCER. THROUGH OUR AFFILIATION WITH ALA NATIONAL, OUR NATIONWIDE RESEARCH AWARDS AND GRANTS PROGRAM FOSTERS LABORATORY AND PATIENT-CENTERED AND SOCIAL BEHAVIOR RESEARCH TO PREVENT, TREAT, AND HOPEFULLY FIND A CURE FOR ALL LUNG DISEASES. THE LUNG ASSOCIATION'S ASTHMA CLINICAL RESEARCH CENTERS NETWORK (ACRC) CONTINUES TO CONTRIBUTE MAJOR IMPROVEMENTS TO ASTHMA TREATMENTS THROUGH A NETWORK OF CLINICAL CENTERS THROUGHOUT THE COUNTRY INCLUDING AN ACRC AT THE OHIO STATE UNIVERSITY IN COLUMBUS, OHIO. DURING THE YEAR, THE ACRC PRODUCED A NUMBER OF MANUSCRIPTS AND EDITORIALS THAT WERE PUBLISHED IN ESTEEMED JOURNALS SUCH AS THE AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, THE NEW ENGLAND JOURNAL OF MEDICINE, AND CHEST. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, THE AMERICAN LUNG ASSOCIATION FUNDED 10 RESEARCH STUDIES IN OUR FOUR-STATE REGION. IN ADDITION, WE PROVIDED $401,904 IN ONGOING SUPPORT FOR THE NATIONWIDE ASTHMA CLINICAL RESEARCH CENTER (ACRC) PROGRAM. RESEARCH STUDIES WERE FUNDED AT THE UNIVERSITY OF LOUISVILLE, UNIVERSITY OF MICHIGAN, WAYNE STATE UNIVERSITY, CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER, THE OHIO STATE UNIVERSITY, AND UNIVERSITY OF CINCINNATI. ADVOCACY EVERY YEAR THE LUNG ASSOCIATION FIGHTS FOR LEGISLATION DEFENDING YOUR RIGHT TO BREATHE HEALTHY AIR, FREE OF POLLUTION OR TOBACCO SMOKE. IN 2013-14, OUR ADVOCACY EFFORTS AGAIN YIELDED IMPORTANT VICTORIES. TOBACCO CONTROL THE AMERICAN LUNG ASSOCIATION IN KENTUCKY IS A FOUNDING MEMBER OF SMOKE-FREE KENTUCKY, A COALITION OF OVER 400 MEMBERS THAT IS WORKING TO MAKE ALL INDOOR PUBLIC AND WORK PLACES COMPLETELY SMOKE-FREE. THE AMERICAN LUNG ASSOCIATION IN TENNESSEE CONTINUED TO WORK WITH OUR PUBLIC HEALTH PARTNERS TO ENSURE THE CURRENT STATE LAW PROHIBITING SMOKING IN PUBLIC PLACES AND WORKPLACES WAS NOT WEAKENED. IN ADDITION, THE AMERICAN LUNG ASSOCIATION IN TENNESSEE SUPPORTED THE GOVERNORS HEALTHY TENNESSEE PLAN AND STATE DEPARTMENT OF HEALTH INITIATIVES TO REDUCE AND PREVENT TOBACCO USE AND REDUCE SECONDHAND SMOKE. HEALTHY AIR WE LAUNCHED OUR NEW HEALTHY AIR CAMPAIGN TO PROTECT THE CLEAN AIR ACT FROM ATTEMPTS IN CONGRESS TO WEAKEN THE LAW AND TO PUSH THE ENVIRONMENTAL PROTECTION AGENCY TO IMPLEMENT ITS LIFESAVING PROTECTIONS. OUR STATE OF THE AIR 2014 REPORT ACKNOWLEDGED PROGRESS AGAINST AIR POLLUTION IN MANY AREAS BUT FOUND THAT ROUGHLY HALF OF ALL AMERICANS LIVE IN AREAS WHERE AIR POLLUTION LEVELS ENDANGER LIVES. THE STATE OF THE AIR REPORT EVALUATES HIGH OZONE DAYS, PARTICULE POLLUTIONS, AND GROUPS AT RISK. THIS ANNUAL REPORT ALSO FOUND THAT NEARLY EVERY MAJOR CITY IN OUR FOUR-STATE REGION IS STILL BURDENED BY AIR POLLUTION. HEALTH EDUCATION EVERY YEAR THE AMERICAN LUNG ASSOCIATION OF THE MIDLAND STATES IS THERE TO HELP PEOPLE MANAGE THEIR LUNG DISEASE, OVERCOME THEIR NICOTINE ADDICTION, AND LIVE HEALTHIER LIVES. WE ARE A TRUSTED RESOURCE WHERE THE PUBLIC CAN FIND INFORMATION REGARDING VARIOUS LUNG DISEASES, MAKE TREATMENT DECISIONS, AND GET SUPPORT AND TOOLS TO MANAGE THEIR CONDITIONS OR CARE FOR A LOVED ONE. LUNG CANCER RESOURCES INCLUDE CLASSES AND SUPPORT GROUPS; LUNG CONNECTION COMMUNITY (AN ONLINE PATIENT SUPPORT NETWORK); CALL TO ACTION, LUNG CANCER CLINICAL TRIALS, AND INTERACTIVE TREATMENT DECISION TOOLS SUCH AS FACING LUNG CANCER. TOBACCO TO HELP ADULT SMOKERS QUIT, THE AMERICAN LUNG ASSOCIATION OFFERS FREEDOM FROM SMOKING, WIDELY RECOGNIZED AS THE GOLD STANDARD FOR SMOKING CESSATION CLASSES. FREEDOM FROM SMOKING IS AVAILABLE AS A GROUP CLINIC, AN ONLINE PROGRAM, AND A SELF-HELP BOOK. WE ALSO HAVE A TEEN SMOKING CESSATION PROGRAM, NOT-ON-TOBACCO, THAT IS A USER-FRIENDLY GATEWAY FOR THOSE LOOKING FOR A TOBACCO CESSATION PROGRAM. LUNG DISEASE THE LONG-TERM GOAL OF THE AMERICAN LUNG ASSOCIATION IS TO REDUCE THE BURDEN OF LUNG DISEASE ON PATIENTS AND THEIR FAMILIES. WE DO THIS AS FOLLOWS: -TAUGHT ADULTS AND CHILDREN HOW TO CONTROL THEIR ASTHMA - OUR ASTHMA EDUCATION PROGRAMS STRIVE TO REDUCE ILLNESS DUE TO ASTHMA BY HELPING ADULTS AND CHILDREN LEARN THE SKILLS THEY NEED TO AVOID ASTHMA TRIGGERS, MANAGE THEIR MEDICATIONS, COMMUNICATE WITH THEIR HEALTH CARE TEAM, AND MORE. BREATHE WELL, LIVE WELL, OUR ASTHMA MANAGEMENT PROGRAM FOR ADULTS, WAS LAUNCHED FOUR YEARS AGO AND CONTINUES TO EXPAND. THROUGH OUR OPEN AIRWAYS FOR SCHOOLS PROGRAM THOUSANDS OF CHILDREN ARE ABLE TO BETTER MANAGE THEIR ASTHMA AND MISS FEWER DAYS OF SCHOOL. -PROVIDED GUIDANCE FOR ASTHMA-FRIENDLY SCHOOLS - ASTHMA 123 SUPPORTS CHILDREN WITH ASTHMA BY PROVIDING A COMPREHENSIVE FRAMEWORK FOR ASTHMA MANAGEMENT IN SCHOOLS, ENABLING THEM TO STAY HEALTHY IN SCHOOL AND READY TO LEARN. THE LUNG ASSOCIATION PROVIDES CAPACITY BUILDING ASSISTANCE TO LOCAL COMMUNITIES TO ENSURE A SUSTAINABLE, COMPREHENSIVE APPROACH TO ASTHMA MANAGEMENT IN SCHOOLS. -IMPROVED QUALITY OF LIFE FOR PEOPLE LIVING WITH COPD - BETTER BREATHER CLUBS, OUR LONGEST-RUNNING EDUCATIONAL INTERVENTION PROGRAM, IMPROVE THE QUALITY OF LIFE FOR THEIR MEMBERS BY PROVIDING EDUCATION, RESOURCES, NETWORKING, AND SUPPORT. THE LUNG ASSOCIATION WORKS CONSTANTLY TO REFRESH AND STANDARDIZE THE PROGRAM MATERIALS AND TO PROVIDE EXPERT TECHNICAL ASSISTANCE TO LOCAL OFFICES THAT ARE MANAGING CLUBS. -CONNECTED PATIENTS AND FAMILIES WITH EXPERT ADVICE - IN ALL OF OUR PROGRAMS AND EDUCATION MATERIALS, PEOPLE WITH QUESTIONS ABOUT LUNG HEALTH ARE REFERRED TO THE AMERICAN LUNG ASSOCIATION'S LUNG HELPLINE (1-800-LUNGUSA). IN 2013-14, THE NURSES AND RESPIRATORY THERAPISTS WHO STAFF THE HELPLINE TOOK OVER 30,000 CALLS ON TOPICS RANGING FROM USE OF AIR CLEANING DEVICES TO TESTING FOR TUBERCULOSIS. -IN ADDITION THE DIVERSITY COMMITTEE'S ROLE IS TO RECOGNIZE, RESPECT, AND RESPOND TO THE NEEDS OF THE DIVERSE CULTURES AND COMMUNITIES THROUGHOUT THE ENTIRE SERVICE AREA OF ALAMS THROUGH RECRUITMENT AND EDUCATION; PROGRAM DIVERSITY AND PARTNERSHIPS; ADVOCACY; AND RESEARCH.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS REVIEWED BY MEMBERS OF THE STAFF OF THE ORGANIZATION AS WELL AS BY MEMBERS OF THE BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD MEETS ON A REGULAR BASIS AND ANY BOARD MEMBER THAT HAS A CONFLICT OF INTEREST ABSTAINS ON ANY ISSUES WITH WHICH THEY MIGHT HAVE A CONFLICT. THE BOARD ALSO SIGNS A CONFLICT OF INTEREST STATEMENT ONCE PER YEAR.
FORM 990, PART VI, SECTION B, LINE 15A
THE BOARD'S EXECUTIVE COMMITTEE AND CEO OVERSIGHT COMMITTEE PERFORM A FORMAL REVIEW OF THE CEO ON AN ANNUAL BASIS AND THE EXECUTIVE COMMITTEE SETS THE ANNUAL SALARY BASED ON THE LOCALIZED COMPENSATION SURVEYS BY NON-PROFITS INCLUDING BOARDSOURCE AND THE OHIO ASSOCIATION OF NON-PROFIT ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19
THESE POLICIES ARE AVAILABLE THROUGH THE ORGANIZATION'S WEBSITE.
FORM 990, PART XI, LINE 9:
CHANGE IN SPLIT INTEREST AGREEMENTS 198,292. MINIMUM PENSION LIABILITY -109,986.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.