Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2021 , and ending 06-30-2022
BCheck if applicable:
CName of organization
AMERICAN LUNG ASSOCIATION
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
55 W WACKER DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60601
D Employer identification number

13-1632524
E Telephone number

G Gross receipts $ 146,789,377
F Name and address of principal officer:
HAROLD WIMMER
55 W WACKER DRIVE
CHICAGO,IL60601
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.LUNG.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1918
M State of legal domicile: ME
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE ALA IS TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 19
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 647
6 Total number of volunteers (estimate if necessary) ............. 6 80,222
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 83,540,236 112,291,164
9 Program service revenue (Part VIII, line 2g) ......... 7,910,149 2,513,033
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 6,732,235 9,862,711
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,392,606 4,726,028
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 99,575,226 129,392,936
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 12,606,840 13,235,010
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 41,720,667 41,926,003
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 414,866 446,755
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet11,432,174    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 43,990,188 46,318,937
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 98,732,561 101,926,705
19 Revenue less expenses. Subtract line 18 from line 12....... 842,665 27,466,231
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 232,813,823 215,049,116
21 Total liabilities (Part X, line 26)............. 64,375,082 49,385,591
22 Net assets or fund balances. Subtract line 21 from line 20..... 168,438,741 165,663,525
Part II
Signature Block
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Firm's name MediumBullet

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May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE AMERICAN LUNG ASSOCIATION'S MISSION IS TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE. WE DO THIS THROUGH EDUCATION, ADVOCACY, AND RESEARCH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 48,822,218 including grants of $   ) (Revenue $ 2,288,870 )
LUNG CANCER, ASTHMA, LUNG DISEASE AND TOBACCO CONTROL: LUNG DISEASE, INCLUDING COPD, IS A LEADING CAUSE OF DEATH IN AMERICA AND LUNG CANCER IS THE LEADING CAUSE OF CANCER DEATH. THE COVID-19 PANDEMIC, IN ITS THIRD YEAR, CONTINUES TO BE A PRIORITY FOR THE COUNTRY AND FOR THE AMERICAN LUNG ASSOCIATION. THE LUNG ASSOCIATION WORKS EVERY DAY ACROSS THE U.S. TO RAISE AWARENESS FOR THE NEED TO PRIORITIZE LUNG DISEASE PREVENTION AND TREATMENT, PROTECT OUR AIR, REDUCE TOBACCO USE, PROVIDE SUPPORT FOR PEOPLE LIVING WITH LUNG DISEASE AND THEIR CAREGIVERS, AND RAISE FUNDS FOR RESEARCH TO BENEFIT EVERYONE'S LUNGS. AS THE COVID-19 PANDEMIC EVOLVED IN THIS COUNTRY, OUR RESPONSE ADAPTED AS WELL. OUR COVID-19 ACTION INITIATIVE CONTINUED TO SHOW REAL IMPACT AS THE CATALYST FOR NEW COVID-19 ADVOCACY, OUTREACH AND RESEARCH GRANTS, INCLUDING THE COVID-19 AND RESPIRATORY VIRUS RESEARCH AWARD WHICH PROVIDES $100,000 OF FUNDING A YEAR FOR TWO YEARS. AS A FOUNDING PARTNER OF THE WHITE HOUSE VACCINATION TASK FORCE, WE INVITED AMERICANS TO BECOME AN AMERICAN LUNG ASSOCIATION VACCINE AMBASSADOR BY DOWNLOADING OUR VACCINE TOOLKIT AND USING ITS INFORMATION TO EDUCATE THEIR FAMILY AND FRIENDS ABOUT THE IMPORTANCE OF LIFESAVING COVID-19 VACCINATIONS. OUR BETTER FOR IT TOOLKITS ALSO HELPED POPULATIONS THAT ARE HISTORICALLY HESITANT ABOUT VACCINATIONS MAKE INFORMED DECISIONS ABOUT COVID-19 VACCINATION. IN SEPTEMBER 2021, OUR COVID-19 RELIEF FREEDOM FROM SMOKING (FFS) PLUS PROGRAM PROVIDED A ONE-YEAR FREE MEMBERSHIP TO FREEDOM FROM SMOKING PLUS CESSATION PROGRAM TO HUNDREDS WHO QUIT SMOKING DURING THE PANDEMIC. TO REDUCE MISINFORMATION AND CONFUSION ABOUT MASK USE DURING THE PANDEMIC, WE PRODUCED A SERIES OF COMMUNICATIONS EXPLAINING THE TYPES OF MASKS AND THEIR PROPER USE, INCLUDING AN INFOGRAPHIC, WIDELY SHARED ON SOCIAL MEDIA.IN OCTOBER 2021, WE LAUNCHED A NEW ONLINE COMMUNITY CALLED LIVING WITH LONG COVID. THIS COMMUNITY ALLOWS THOSE FACING LONG COVID AND THEIR LOVED ONES TO CONNECT AND RECEIVE PEER-TO-PEER SUPPORT. IT JOINS OUR TEN OTHER ONLINE SUPPORT COMMUNITIES. ADDITIONALLY, OUR BETTER BREATHERS CLUBS BEGAN ACCEPTING THOSE WITH LONG COVID SYMPTOMS INTO THEIR ONLINE AND IN-PERSON SUPPORT GROUPS.TO INCREASE ACCESS TO IMPORTANT HEALTH EDUCATION, WE EXPANDED OUR WEBSITE TO THE TEN MOST-USED LANGUAGES IN THE U.S. TO EDUCATE MORE PEOPLE ABOUT COVID-19, LUNG CANCER AND OTHER LUNG DISEASES. LUNG.ORG IS NOW AVAILABLE IN ENGLISH, SPANISH, ARABIC, CHINESE (SIMPLIFIED MANDARIN), FILIPINO, FRENCH, GERMAN, KOREAN, RUSSIAN AND VIETNAMESE. AND THROUGHOUT THE YEAR, OUR GROWING AND ENGAGED SOCIAL AUDIENCE RELIED ON US TO GIVE THEM INFORMATION THEY COULD TRUST ACROSS ALL OUR SOCIAL CHANNELS. IN ADDITION TO COVID-19, WE CONTINUED TO FOCUS ON ALL LUNG DISEASES, INCLUDING LUNG CANCER. WE CONTINUED OUR FOCUS ON REDUCING LUNG CANCER THROUGH OUR ONGOING LUNG FORCE INITIATIVE WHICH RAISES AWARENESS, LUNG CANCER RESEARCH FUNDING, AND PROVIDES EDUCATION AND SUPPORT TO LUNG CANCER PATIENTS AND CAREGIVERS. OUR "SAVED BY THE SCAN" CAMPAIGN RAISED AWARENESS ABOUT LIFESAVING LUNG CANCER SCREENING BY GENERATING OVER 140,000 QUIZ COMPLETIONS TO HELP PEOPLE LEARN IF THEY SHOULD BE SCANNED FOR LUNG CANCER. IN NOVEMBER 2021, WE OBSERVED LUNG CANCER AWARENESS MONTH BY SHARING NEW LUNG CANCER RESOURCES, INSPIRING PATIENT STORIES AND LIFESAVING LUNG CANCER SCREENING INFORMATION. WE ALSO RELEASED OUR LUNG HEALTH BAROMETER, WHICH SURVEYED 4,000 WOMEN AND MEN ABOUT THEIR UNDERSTANDING OF LUNG CANCER. IT FOUND THAT LUNG CANCER AWARENESS CONTINUES TO IMPROVE BUT MORE WORK STILL NEEDS TO BE DONE. IN NOVEMBER WE ALSO RELEASED OUR ANNUAL "STATE OF LUNG CANCER" REPORT, WHICH EXAMINES KEY LUNG CANCER INDICATORS THROUGHOUT EACH STATE.RADON EXPOSURE IS THE SECOND LEADING CAUSE OF LUNG CANCER. DURING JANUARY, RADON ACTION MONTH, AND THROUGHOUT THE YEAR, WE ENCOURAGE EVERYONE TO TEST THEIR HOMES FOR RADON AND SEEK RADON MITIGATION IF NECESSARY. THE LUNG ASSOCIATION LED THE EFFORT TO CREATE THE NEW FIVE-YEAR NATIONAL RADON ACTION PLAN WITH THE GOAL OF REDUCING HEALTH INEQUITIES TO PROTECT ALL AMERICANS FROM RADON EXPOSURE.IN MARCH, WE HELD OUR SEVENTH ANNUAL LUNG FORCE ADVOCACY DAY. LUNG FORCE HEROES - THOSE PERSONALLY AFFECTED BY LUNG CANCER - FROM ACROSS THE COUNTRY CALLED THEIR MEMBERS OF CONGRESS AND ASKED THEM TO SUPPORT $49 BILLION IN RESEARCH FUNDING FOR THE NATIONAL INSTITUTES OF HEALTH AND $11 BILLION IN FUNDING FOR THE CDC. THEY ALSO URGED THEM TO MAKE QUALITY HEALTHCARE MORE AFFORDABLE FOR MILLIONS OF AMERICANS BY MAKING THE EXPANDED PREMIUM TAX CREDITS PERMANENT. ASTHMA MAKES BREATHING DIFFICULT FOR MILLIONS OF AMERICANS, INCLUDING 5.5 MILLION CHILDREN. THIS YEAR, WE PUBLISHED OUR NEW INDOOR AIR QUALITY IN SCHOOLS GUIDE AND UPDATED OUR OTHER ASTHMA RESOURCES INCLUDING OUR ASTHMA FRIENDLY SCHOOLS ONLINE MODULE, KICKIN' ASTHMA, OPEN AIRWAYS FOR SCHOOLS AND MORE. WE TEAMED UP WITH OTHER HEALTH ORGANIZATIONS TO CREATE "LITTLE AIRWAYS, BIG VOICES," A PROGRAM TO BRING THE VOICE OF FAMILIES IMPACTED BY ASTHMA IN CHILDHOOD TO THE FOREFRONT OF DRUG DEVELOPMENT AND RESEARCH. WE LAUNCHED OUR NEW FEND OFF FLU EDUCATIONAL CAMPAIGN TO INCREASE INFLUENZA KNOWLEDGE AND VACCINATION RATES. OUR LUNGCAST PODCAST SERIES, PRESENTED IN PARTNERSHIP WITH HCPLIVE, CONTINUED TO PROVIDE HEALTHCARE PROFESSIONALS WITH THE LATEST SCIENCE IN COVID-19 AND OTHER LUNG TOPICS; INCLUDED SESSIONS ON COPD, LUNG CANCER SCREENING, SLEEP APNEA AND MORE. EVERY YEAR IN THE U.S., MORE THAN 480,000 PEOPLE DIE FROM TOBACCO USE AND EXPOSURE TO SECONDHAND SMOKE, MAKING IT THE LEADING CAUSE OF PREVENTABLE DEATH IN THIS COUNTRY. TRAGICALLY, EACH DAY THOUSANDS OF KIDS STILL PICK UP A TOBACCO PRODUCT FOR THE FIRST TIME. E-CIGARETTES ARE ALSO TOBACCO PRODUCTS AND YOUTH VAPING HAS BECOME AN EPIDEMIC THAT THREATENS TO ADDICT ANOTHER GENERATION TO NICOTINE. THAT'S WHY CREATING A TOBACCO-FREE FUTURE FOR AMERICA IS A CORE PART OF OUR MISSION. THE AMERICAN LUNG ASSOCIATION HAS COMMITTED $2 MILLION TOWARD RESEARCH TO UNDERSTAND THE ALARMING EFFECTS OF VAPING ON KIDS AND FIND A SOLUTION TO VAPING RELATED LUNG INJURY.AS PART OF OUR EDUCATION AND AWARENESS EFFORTS ON YOUTH VAPING, WE CONTINUED PROMOTING OUR "GET YOUR HEAD OUT OF THE CLOUD" CAMPAIGN, PRODUCED IN COLLABORATION WITH THE AD COUNCIL. THIS CAMPAIGN REACHED 160,000 AMERICAN PARENTS WITH FACTS AND GUIDANCE ON HOW TO TALK ABOUT VAPING WITH THEIR KIDS. IN AUGUST 2021, WE ANNOUNCED THE VAPE-FREE SCHOOLS SCHOLARSHIP FUND, A NEW EFFORT TO FUND SCHOOLS' IMPLEMENTATION OF OUR VAPE-FREE SCHOOLS INITIATIVE, SO THAT MORE KIDS CAN ACCESS CESSATION, SUPPORT AND EDUCATION. THE SCHOLARSHIP DRIVE SOUGHT TO RAISE FUNDS TO GIVE SCHOOLS ACROSS THE COUNTRY ACCESS TO ONLINE TRAINING AND RESOURCES TO HELP STUDENTS QUIT VAPING. THE VAPE-FREE SCHOOLS INITIATIVE INCLUDES NOT ON TOBACCO (N-O-T), OUR VOLUNTARY QUIT SMOKING PROGRAM FOR TEENS, AND INDEPTH, AN ALTERNATIVE FOR STUDENTS WHO FACE SUSPENSION FOR VIOLATION OF SCHOOL TOBACCO, VAPING OR NICOTINE USE POLICIES. WE ALSO LAUNCHED NOT FOR ME, A WEB-BASED PROGRAM THAT GIVES STUDENTS THE TOOLS TO QUIT SMOKING OR VAPING. IT TEACHES TEENS ABOUT THE IMPORTANCE OF PHYSICAL ACTIVITY, NUTRITION, ENHANCING THEIR SENSE OF SELF-CONTROL AND MORE.WE ENCOURAGED SMOKERS TO KEEP THEIR NEW YEAR'S RESOLUTION TO QUIT, AND START A TOBACCO-FREE LIFE IN 2022, PROVIDING TOOLS AND SUPPORT TO HELP, INCLUDING OUR LUNG HELPLINE AND TOBACCO QUITLINE (1-800-LUNGUSA), FREEDOM FROM SMOKING PROGRAM AND SUPPORT GROUPS.OUR 20TH ANNUAL "STATE OF TOBACCO CONTROL" REPORT, LAUNCHED IN JANUARY, CELEBRATED THE PROGRESS WE'VE MADE OVER THE LAST TWO DECADES TO END TOBACCO USE BUT FOUND THAT PRODUCTS LIKE E-CIGARETTES AND OTHER FLAVORED TOBACCO PRODUCTS CREATE CONCERN FOR LOSING ANOTHER GENERATION TO NICOTINE ADDICTION. THE REPORT ALSO CALLED ON THE BIDEN ADMINISTRATION TO REMOVE MENTHOL CIGARETTES AND FLAVORED CIGARS FROM THE MARKETPLACE. JUST FOUR MONTHS AFTER THE RELEASE OF OUR REPORT, THE FDA DID JUST THAT AND PROPOSED REMOVING THESE HARMFUL AND HIGHLY ADDICTIVE PRODUCTS FROM THE MARKET.
4b (Code:   ) (Expenses $ 20,734,419 including grants of $ 13,235,010 ) (Revenue $ 972,065 )
RESEARCH:FEW THINGS PROMISE TO IMPROVE PATIENTS' LIVES MORE THAN MEDICAL RESEARCH. FOR NEARLY 120 YEARS, THE AMERICAN LUNG ASSOCIATION HAS FOCUSED ON DRIVING EXCELLENCE AND INNOVATION THROUGH RESEARCH. WHEN WE LAUNCHED OUR COVID-19 ACTION INITIATIVE IN 2019, WE MADE RESEARCH OF CORONAVIRUSES A KEY COMPONENT. THIS YEAR, AS PART OF THIS BOLD INITIATIVE COMMITTING $25M TO END COVID-19 AND DEFEND AGAINST FUTURE RESPIRATORY VIRUSES, WE ANNOUNCED OUR SECOND ROUND OF COVID-19 RESEARCH GRANTS, INCLUDING THE COVID-19 AND RESPIRATORY VIRUS RESEARCH AWARD WHICH PROVIDES $100,000 OF FUNDING A YEAR FOR TWO YEARS. WE ALSO CONTINUED TO SUPPORT PROMISING RESEARCH IN ALL AREAS OF LUNG DISEASE, WITH THE HOPE OF ELIMINATING LUNG DISEASE AND IMPROVING THE LIVES OF THOSE LIVING WITH LUNG DISEASE. OUR RESEARCH PROGRAM INCLUDES OUR AWARDS AND GRANTS PROGRAM AND OUR EXPANDED AIRWAYS CLINICAL RESEARCH CENTERS NETWORK (ACRC), THE LARGEST NOT-FOR-PROFIT CLINICAL RESEARCH NETWORK DEDICATED TO ASTHMA AND COPD IN THE COUNTRY. THIS NETWORK CONDUCTS LARGE PATIENT-FOCUSED CLINICAL TRIALS LED BY SOME OF THE BEST INVESTIGATORS NATIONWIDE TO IMPROVE LUNG HEALTH.WE INCREASED OUR OVERALL RESEARCH FUNDING, INVESTING AN ADDITIONAL $12.6 MILLION, TO ACCELERATE LUNG HEALTH RESEARCH FOR 2021-2022. OUR ANNUAL ADVANCING RESEARCH PUBLICATION ILLUSTRATED OUR ONGOING RESEARCH INITIATIVES, FROM PATIENT STORIES TO SCIENTIFIC ARTICLES, AND RESEARCHER PROFILES AND CREATED A NEW WAY TO KEEP UP WITH OUR CUTTING-EDGE RESEARCH PROGRAM WITH OUR NEW RESEARCH NEWS WEBSITE.IN JUNE 2022, ENROLLMENT BEGAN FOR THE AMERICAN LUNG ASSOCIATION LUNG HEALTH COHORT - THE FIRST-EVER LARGE-SCALE LUNG HEALTH STUDY THAT WILL TRACK 4,000 YOUNG ADULTS (AGES 25-35) AT AN AGE OF PEAK LUNG HEALTH. THE LUNG ASSOCIATION'S AIRWAYS CLINICAL RESEARCH CENTERS NETWORK WILL CONDUCT THE RESEARCH, WORKING CLOSELY WITH RESEARCHERS AT PROMINENT FACILITIES ACROSS THE COUNTRY.THIS YEAR, WE PUBLISHED OUR MAJOR NATIONAL INSTITUTES OF HEALTH FUNDED CLINICAL TRIAL, CONDUCTED BY OUR AIRWAYS CLINICAL RESEARCH CENTERS NETWORK, THE ASTHMA BMI BASELINE STUDY (ABBS), WHICH EVALUATED ASTHMA SYMPTOMS AND THE IMPACT ON QUALITY OF LIFE FOR PEOPLE WHO HAVE POORLY CONTROLLED ASTHMA WITH AN ELEVATED BODY MASS INDEX (BMI). IT CONCLUDED THAT INTERVENTIONS ARE SERIOUSLY NEEDED TO IMPROVE LIFE QUALITY FOR THOSE WITH POORLY CONTROLLED ASTHMA AND OBESITY.THIS YEAR, WE LAUNCHED A NEW LUNG CANCER RESEARCH AWARD. KELLIE SMITH, PH.D., OF JOHNS HOPKINS UNIVERSITY, WAS AWARDED OUR FIRST-EVER PIERRE MASSION LUNG CANCER DISCOVERY AWARD, IN HONOR OF DR. MASSION'S LEGACY. DR. SMITH HOPES TO FIND A WAY TO PREVENT OR DELAY RELAPSES IN PATIENTS WITH EARLY-STAGE NON-SMALL CELL LUNG CANCER. DIVERSITY AND INCLUSION CONTINUE TO BE A KEY NEED IN THE WORLD OF RESEARCH, INCLUDING THE NEED TO IMPROVE ACCESS TO CLINICAL TRIALS. THE BLACK COMMUNITY IS DISPROPORTIONALLY IMPACTED BY LUNG CANCER AND UNDERREPRESENTED IN LUNG CANCER CLINICAL TRIALS. OUR CAMPAIGN "AWARENESS, TRUST AND ACTION" WORKED TO CLOSE THIS GAP BY EDUCATING ABOUT LUNG CANCER CLINICAL TRIALS AND EMPOWERING ALL LUNG CANCER PATIENTS, INCLUDING BLACK AMERICANS, TO PARTICIPATE. TO FURTHER IMPROVE DIVERSITY IN RESPIRATORY CARE, WE SPONSORED A SCHOLAR IN PULMONARY MEDICINE IN THE PRESTIGIOUS HAROLD AMOS MEDICAL FACULTY DEVELOPMENT PROGRAM, DEVELOPED TO INCREASE THE NUMBER OF FACULTY FROM HISTORICALLY MARGINALIZED BACKGROUNDS PURSUING CAREERS IN MEDICINE, DENTISTRY OR NURSING.AS A NEW MEMBER OF THE LUNG ASSOCIATION'S RESEARCH TEAM, FRANCISCO CARTUJANO, M.D., RECEIVED OUR 2021-2022 CATALYST AWARD FOR HIS PROJECT, "KICK VAPING: A VAPING CESSATION TEXT MESSAGING INTERVENTION FOR LATINO YOUNG ADULTS." THE PROJECT AIMS TO DEVELOP AND EVALUATE THE PRACTICALITY AND EFFECTIVENESS OF HIS KICK VAPING INITIATIVE, A TEXT MESSAGING INTERVENTION TO HELP LATINO AND HISPANIC YOUNG ADULTS STOP VAPING.
4c (Code:   ) (Expenses $ 18,046,683 including grants of $   ) (Revenue $ 846,060 )
ADVOCACY AND ENVIRONMENTAL:EVERY YEAR, THE AMERICAN LUNG ASSOCIATION SUPPORTS POLICIES AND LEGISLATION THAT CAN LEAD TO BETTER LUNG HEALTH ACROSS THE NATION. THESE INCLUDE LAWS THAT PROTECT OUR CHILDREN FROM DEADLY AIR POLLUTION AND TOBACCO PRODUCTS, SUPPORT FUNDING FOR CRITICAL LUNG DISEASE RESEARCH AND HEALTH PROGRAMS AT THE FEDERAL LEVEL, PROVIDE AFFORDABLE, QUALITY HEALTHCARE FOR MORE AMERICANS, AND MUCH MORE. THIS YEAR WE FUNDED MULTIPLE RESEARCH PROJECTS THAT WILL BUILD OUR UNDERSTANDING OF THE MANY WAYS AIR POLLUTION IMPACTS OUR LUNGS. WE ALSO ADVOCATED FOR STRONGER POLICIES TO CLEAN UP AIR POLLUTION AND CURB CLIMATE CHANGE. WE WORKED TO EDUCATE THE PUBLIC, MEDIA AND OUR NATION'S LEADERS ABOUT THE HARMFUL EFFECT DIRTY AIR HAS ON HEALTH AND WHAT WE NEED TO DO TO CLEAN IT UP. ADVOCATING FOR HEALTHY AIR WAS EVEN MORE IMPORTANT DURING THE COVID-19 PANDEMIC AS RESEARCH SHOWED THAT EXPOSURE TO AIR POLLUTION WAS LINKED TO WORSENED IMPACTS FROM COVID-19.IN LATE 2021, WE SAW THE IMPACT OF OUR CLEAN AIR ADVOCACY WITH TWO IMPORTANT LEGISLATIVE ACTIONS ON OZONE AND METHANE POLLUTION. THE ENVIRONMENTAL PROTECTION AGENCY (EPA) SHARED ITS DECISION TO RECONSIDER THE INADEQUATE OZONE STANDARD THAT THE PREVIOUS ADMINISTRATION PUSHED. THE LUNG ASSOCIATION AND PARTNERS SUED EPA OVER THE WEAK STANDARD AND URGED THE AGENCY TO RECONSIDER. WE ALSO ADVOCATED FOR THE REDUCTION OF METHANE POLLUTION FROM THE OIL AND GAS SECTOR, WHICH IS RAPIDLY ACCELERATING CLIMATE CHANGE AND CREATING TOXIC AIR POLLUTION. IN NOVEMBER 2021, EPA RELEASED A PROPOSED RULE TO CUT METHANE AND OTHER HARMFUL POLLUTANTS FROM NEW AND EXISTING OIL AND GAS OPERATIONS. CLIMATE CHANGE HAS MADE WILDFIRE MORE FREQUENT AND SEVERE. WE ADDRESSED THE EVER-WORSENING THREAT OF WILDFIRES IN A NEW REPORT "CAN PRESCRIBED FIRES MITIGATE HEALTH HARM?" THAT WEIGHS THE BENEFITS AND RISKS OF PRESCRIBED FIRES TO REDUCE HEALTH HARMS OF CATASTROPHIC WILDFIRES. FUELED BY CLIMATE CHANGE, WILDFIRES ARE BECOMING MORE FREQUENT AND INTENSE INCREASINGLY EXPOSING MORE AMERICANS TO THE POTENTIALLY DEADLY EFFECTS OF BREATHING WILDFIRE SMOKE. EARLY IN 2022, WE CELEBRATED A CLEAR VICTORY WHEN EPA FINALIZED STRONGER CAR EMISSION STANDARDS ON GREENHOUSE GAS EMISSIONS FOR LIGHT-DUTY VEHICLES FOR MODEL YEARS 2023-2026. HOWEVER, WE WERE DISAPPOINTED BY THE U.S. SUPREME COURT DECISION IN THE CASE OF WEST VIRGINIA V. EPA, WHICH LIMITS EPA'S AUTHORITY TO REGULATE GREENHOUSE GAS EMISSIONS FROM COAL AND OIL-FIRED POWER PLANTS. WE WILL CONTINUE TO ADVOCATE TO OVERTURN THIS DECISION AND RESTORE EPA'S POWER TO PROTECT OUR HEALTH.QUALITY AND AFFORDABLE HEALTHCARE ACCESS IS CRUCIAL TO ALL AMERICANS, ESPECIALLY LUNG DISEASE PATIENTS. IN JULY 2021, WE HOSTED OUR LEADING FOR LUNGS DAY OF ACTION TO URGE CONGRESS TO FURTHER EXPAND ACCESS TO QUALITY AND AFFORDABLE HEALTHCARE AND MAKE TRANSFORMATIVE INVESTMENTS IN CLEAN ENERGY, CLEAN TRANSPORTATION AND ENVIRONMENTAL JUSTICE TO ADDRESS AIR POLLUTION AND CLIMATE CHANGE. IN SEPTEMBER 2021, LUNG ASSOCIATION VOLUNTEER ADVOCATES HELD TWELVE VIRTUAL MEETINGS WITH KEY SENATE OFFICES, AND MANY MORE JOINED IN WITH OUR BRAND-NEW TOOL THAT MAKES IT EASY AND AUTOMATIC TO CONNECT WITH YOUR MEMBERS OF CONGRESS. WHEN HEALTHCARE ENROLLMENT OPENED IN NOVEMBER, AND THEN EXPANDED AT HEALTHCARE.GOV, WE ROLLED OUT A SERIES OF UPDATED TOOLS TO HELP PEOPLE UNDERSTAND THEIR CHOICES AND THE ENROLLMENT PROCESS. THIS YEAR, OUR HEALTHY AIR CAMPAIGN CONTINUED TO FIGHT FOR HEALTHY AIR FOR ALL AMERICANS. WE CONTINUED OUR FOCUS ON REDUCING TAILPIPE POLLUTION WITH THE RELEASE OF OUR "ZEROING IN ON HEALTHY AIR" REPORT, WHICH ADDRESSED THE HEALTH AND CLIMATE BENEFITS OF A WIDESPREAD SHIFT TO ZERO-EMISSION CARS, BUSES AND TRUCKS. IT ALSO SHINED A LIGHT ON LIVES THAT COULD BE SAVED, THE DOLLAR VALUE OF CLIMATE IMPACTS AVOIDED AND MORE. AS PART OF OUR ADVOCACY EFFORTS TO CONVINCE CONGRESS TO INVEST IN TRANSITIONING SCHOOL BUSES NATIONWIDE FROM DIESEL TO ELECTRIC, WE HELD A STAND-UP PRESS CONFERENCE IN SEPTEMBER 2021, ON CAPITOL HILL. WITH AN ELECTRIC SCHOOL BUS AS OUR BACKDROP, SENATOR TOM CARPER, OTHER MEMBERS OF CONGRESS, AND REPRESENTATIVES FROM NATIONAL CHILDREN'S HEALTH AND NURSING ORGANIZATIONS JOINED US TO SPEAK. EACH HIGHLIGHTED THE HEALTH BENEFITS OF ZERO-EMISSION, ELECTRIC SCHOOL BUSES AND CALLED ON CONGRESS TO MAKE THE SWITCH. A LETTER SIGNED BY 500 HEALTH PROFESSIONALS AND SENT TO CONGRESS HELPED DRIVE THE POINT HOME.IN APRIL 2022, WE RELEASED THE 23RD EDITION OF OUR ANNUAL "STATE OF THE AIR" REPORT. THIS YEAR'S REPORT SHOWED THAT DESPITE SOME NATIONWIDE PROGRESS ON CLEANING UP AIR POLLUTION, MORE THAN 40% OF AMERICANS LIVE WITH UNHEALTHY OZONE OR PARTICLE POLLUTION. THE REPORT FINDS THAT PEOPLE OF COLOR ARE SIGNIFICANTLY MORE LIKELY TO BREATHE POLLUTED AIR THAN WHITE PEOPLE. AS THE NATION WORKS TO ADDRESS CLIMATE CHANGE AND CONTINUE REDUCING AIR POLLUTION, WE MUST PRIORITIZE THE HEALTH OF DISPROPORTIONATELY BURDENED COMMUNITIES.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet87,603,320
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
435
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
647
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
19
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
19
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
AL , AK , AZ , AR , CA , CO , CT , DC , FL , GA , HI , IL , KS , KY , ME , MD , MA , MI , MN , MS , NH , NJ , NM , NY , NC , ND , OH , OK , OR , PA , RI , SC , TN , VA , WA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletLAURA SCOTT CFO3000 KELLY LANE   SPRINGFIELD,IL62711 (217) 787-5864
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) HAROLD WIMMER......................................................................
PRESIDENT & CEO
 40.00
.................
  		    X       547,872 0 60,007
(2) JEFF SEYLER......................................................................
CHEIF DIVISION OFFICER, EAST
 40.00
.................
  		      X     272,977 0 38,462
(3) JULIA FITZGERALD......................................................................
CHIEF MARKETING OFFICER
 40.00
.................
  		      X     273,156 0 35,312
(4) LAURA SCOTT......................................................................
CHEIF FINANCIAL OFFICER
 40.00
.................
  		    X       276,560 0 24,907
(5) SUE SWAN......................................................................
CHIEF DEVELOPMENT OFFICER
 40.00
.................
  		      X     254,829 0 45,829
(6) DEBORAH BROWN......................................................................
CHEIF MISSION OFFICER
 40.00
.................
  		      X     257,452 0 36,378
(7) WILLIAM PFEIFER......................................................................
EXE. VP, GOVERNANCE & STRATEGIC INITIATIVES
 40.00
.................
  		      X     249,260 0 38,273
(8) SARAH KRIKORIAN......................................................................
CHEIF HUMAN RESOURCES OFFICER
 40.00
.................
  		      X     244,700 0 32,287
(9) PAUL BILLINGS......................................................................
NATIONAL SENIOR VP, PUBLIC POLICY
 40.00
.................
  		        X   219,024 0 23,335
(10) SALLY DRAPER......................................................................
NATIONAL SVP, DEVELOPMENT, CORPORATE & FOUNDATION
 40.00
.................
  		        X   208,048 0 13,248
(11) ALLISON HICKEY......................................................................
EXECUTIVE VP, MOUNTAIN PACIFIC & CA
 40.00
.................
  		        X   205,857 0 14,115
(12) SUSAN RAPPAPORT......................................................................
NATIONAL VICE PRESIDENT, RESEARCH
 40.00
.................
  		        X   194,520 0 20,587
(13) NEIL BALLENTINE......................................................................
CHIEF TECHNOLOGY OFFICER
 40.00
.................
  		      X     180,223 0 26,729
(14) EMILY MURPHY......................................................................
DIVISION SENIOR VP, DEVELOPMENT
 40.00
.................
  		        X   173,864 0 14,887
(15) LEWIS BARTFIELD......................................................................
CHEIF DIVISION OFFICER, WEST
 40.00
.................
  		      X     157,356 0 23,833
(16) STEPHEN R O'KANE......................................................................
CHAIR
 2.00
.................
  		X   X       0 0 0
(17) PENNY J SCHILZ......................................................................
PAST CHAIR (THRU 6/2022)
 2.00
.................
  		X   X       0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHERYL A CALHOUN CPA MBA........................................................................
CHAIR-ELECT, DIRECTOR
 2.00
.......................   		X   X       0 0 0
(19) MICHAEL V CARSTENS........................................................................
SECRETARY / TREASURER
 2.00
.......................   		X   X       0 0 0
(20) SUMITA B KHATRI MD MS........................................................................
VICE CHAIR, MISSIONS PROGRAM
 2.00
.......................   		X           0 0 0
(21) FELIX AGUILAR MD MPH........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(22) RABIH I BECHARA MD FCCP........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(23) LARRY BLUMENTHAL MBA........................................................................
DIRECTOR (THRU 6/2022)
 2.00
.......................   		X           0 0 0
(24) ANNE E DIXON MD........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(25) DAVID G HILL MD........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(26) MARK C JOHNSON CFA MBA........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(27) COLLEEN M MCINTOSH JD LLM........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(28) SEAN R MULDOON MD MPH FCCP........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(29) JOE OCHIPINTI........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(30) JONATHON K ROSEN BA........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
(31) KATHLEEN M SKAMBIS JD MBA........................................................................
DIRECTOR (THRU 6/2022)
 2.00
.......................   		X           0 0 0
(32) JOHNNY A SMITH JR MA........................................................................
VICE CHAIR
 2.00
.......................   		X   X       0 0 0
(33) VICTOR WATERS MD JD FCLM........................................................................
DIRECTOR (THRU 8/2022)
 2.00
.......................   		X           0 0 0
(34) STERLING QL YEE MBA........................................................................
DIRECTOR
 2.00
.......................   		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 3,715,698 0 448,189
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet69
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
PRODUCTION SOLUTIONS

1953 GALLOWS RD SUITE 500
VIENNA,VA22182 		MARKETING 5,125,242
RR DONNELLEY

35 W WACKER DRIVE
CHICAGO,IL60601 		MARKETING 2,754,325
AD COUNCIL

815 SECOND AVENUE 9TH FLOOR
NEW YORK,NY10017 		PUBLIC SERVICE ADVERTISING 1,831,006
RESCUE AGENCY PUBLIC BENEFIT LLC

2437 MORENA BLVD
SAN DIEGO,CA92110 		MARKETING 1,747,863
INNOVAIRREBRICKMILL MARKETING SERVICES

2 EXECUTIVE CAMPUS SUITE 200
CHERRY HILL,NJ08002 		MARKETING 1,454,830
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet73
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 12,490,910
d Related organizations1d  
e Government grants (contributions)1e 40,800,448
f All other contributions, gifts, grants, and similar amounts not included above1f 58,999,806
g Noncash contributions included in lines 1a - 1f:$ 1g 144,416
h Total. Add lines 1a-1f.......MediumBullet 112,291,164
Program Service RevenueAmt Business Code
2a PROGRAM SERVICE CONTRACTS 541900 1,365,453 1,365,453    
b PROGRAM PARTICIPANT FEE 541900 1,058,318 1,058,318    
c MEMBERSHIP DUES 541900 89,262 89,262    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 2,513,033
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 5,058,083     5,058,083
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 3,175,287     3,175,287
(ii) Personal (i) Real
6a Gross rents   167,547 6a
b Less: rental expenses   0 6b
c Rental income or (loss)   167,547 6c
d Net rental income or (loss).......MediumBullet 167,547     167,547
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 697,944 18,454,625 7a
b Less: cost or other basis and sales expenses 454,795 13,893,146 7b
c Gain or (loss) 243,149 4,561,479 7c
d Net gain or (loss).........MediumBullet 4,804,628     4,804,628
8a Gross income from fundraising events (not including $ 12,490,910of contributions reported on line 1c). See Part IV, line 18 ....
8a 2,837,732
b Less: direct expenses ... 8b 3,048,500
c Net income or (loss) from fundraising events..MediumBullet -210,768   -210,768
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a RESEARCH GRANT SERVICE FEE 541900 1,295,198 1,295,198    
b            
c            
d All other revenue .... 298,764 298,764    
e Total. Add lines 11a–11d ...... MediumBullet 1,593,962
12 Total revenue. See instructions.....MediumBullet 129,392,936 4,106,995 0 12,994,777
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 13,235,010 13,235,010
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 2,991,257 2,632,306 89,737 269,214
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 30,626,907 26,096,309 786,929 3,743,669
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 2,376,711 2,023,633 64,995 288,083
9 Other employee benefits ....... 3,589,933 3,062,035 98,671 429,227
10 Payroll taxes ........... 2,341,195 1,999,188 64,560 277,447
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 446,755 446,755
f Investment management fees ...... 88,715   88,715  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 25,472,268 24,767,730 281,942 422,596
12 Advertising and promotion .... 1,079,446 821,015 197 258,234
13 Office expenses ....... 1,376,212 1,057,608 86,228 232,376
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 3,296,344 2,544,500 261,480 490,364
17 Travel ............ 565,209 510,241 4,387 50,581
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 77,712 64,045 7,969 5,698
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 351,157   351,157  
23 Insurance ... 401,800 303,841 33,899 64,060
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DIRECT MAIL 12,709,611 7,879,959 635,480 4,194,172
b MISCELLANEOUS 651,428 432,709 29,238 189,481
c POSTAGE & SHIPPING 132,524 95,211 4,405 32,908
d PRINTING 116,511 77,980 1,222 37,309
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 101,926,705 87,603,320 2,891,211 11,432,174
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 12,709,611 7,879,959 635,480 4,194,172
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 136,720 1 144,821
2 Savings and temporary cash investments ......... 30,204,501 2 27,213,680
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 10,646,065 4 17,309,277
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 306,570 7 10,687
8 Inventories for sale or use ............ 51,376 8 121,536
9 Prepaid expenses and deferred charges ...... 1,767,757 9 2,298,896
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 21,343,030
b Less: accumulated depreciation 10b 10,305,260 9,820,065 10c 11,037,770
11 Investments—publicly traded securities . 136,781,279 11 120,122,477
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 43,099,490 15 36,789,972
16 Total assets. Add lines 1 through 15 (must equal line 33)... 232,813,823 16 215,049,116
Liabilities 17 Accounts payable and accrued expenses ..... 11,029,182 17 12,591,730
18 Grants payable ... 12,436,934 18 12,257,372
19 Deferred revenue ......... 15,923,513 19 11,447,314
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 1,781,745
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 24,985,453 25 11,307,430
26 Total liabilities. Add lines 17 through 25.. 64,375,082 26 49,385,591
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 118,316,552 27 121,282,464
28 Net assets with donor restrictions ........... 50,122,189 28 44,381,061
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 168,438,741 32 165,663,525
33 Total liabilities and net assets/fund balances ........ 232,813,823 33 215,049,116
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
129,392,936
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
101,926,705
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
27,466,231
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
168,438,741
5
Net unrealized gains (losses) on investments ...............
5
-26,178,722
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-4,062,725
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
165,663,525
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 90,355,569 93,429,565 89,851,926 83,540,236 112,291,164 469,468,460
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 90,355,569 93,429,565 89,851,926 83,540,236 112,291,164 469,468,460
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) .. 10,211,588
6 Public support. Subtract line 5 from line 4. 459,256,872
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4.. 90,355,569 93,429,565 89,851,926 83,540,236 112,291,164 469,468,460
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 4,736,244 4,659,481 4,822,544 4,656,339 8,400,917 27,275,525
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 VI.).. 6,592,177 5,053,253 452,244 311,677   12,409,351
11 Total support. Add lines 7 through 10 509,153,336
12
12
32,516,313
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
90.200 %
15
15
87.320 %
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
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            
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            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
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.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on 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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 547,995. 2018 AMOUNT: $ 808,279. 2019 AMOUNT: $ 452,244. 2020 AMOUNT: $ 311,677. RESEARCH GRANT SERVICE FEE - 2017 AMOUNT: $ 1,378,900. 2018 AMOUNT: $ 408,500. TRUST INCOME - 2017 AMOUNT: $ 2,353,015. 2018 AMOUNT: $ 1,706,953. PROGRAM PARTICIPANT FEES - 2017 AMOUNT: $ 2,312,267. 2018 AMOUNT: $ 2,129,521.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
AMERICAN LUNG ASSOCIATION
  		Employer identification number
13-1632524
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
AMERICAN LUNG ASSOCIATION
  		Employer identification number

13-1632524
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
AMERICAN LUNG ASSOCIATION
  		Employer identification number

13-1632524
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
Yes
 
51,814
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
6,835
e
Publications, or published or broadcast statements? ...........................................................
Yes
 
1,768
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
119,739
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
475,501
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
19,873
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
675,530
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE AMERICAN LUNG ASSOCIATION VOLUNTEERS AND STAFF ENGAGE IN A WIDE RANGE OF ADVOCACY ACTIVITIES TO FURTHER OUR MISSION TO SAVE LIVES BY IMPROVING LUNG HEALTH AND PREVENTING LUNG DISEASE. OUR WORK INCLUDES EFFORTS TO EDUCATE ELECTED OFFICIALS, THEIR STAFF AND THE PUBLIC ON LUNG HEALTH ISSUES AND ACCESS TO HEALTHCARE. WE ADVOCATE FOR CLEAN, HEALTHY AIR TO REDUCE THE HEALTH IMPACTS OF AIR POLLUTION AND CURB CLIMATE CHANGE. WE FOCUS ON SUPPORTING THE IMPLEMENTATION AND STRENGTHENING OF THE NATION'S CLEAN AIR LAWS. WE STRONGLY SUPPORT THE PUBLIC HEALTH INFRASTRUCTURE AND LUNG HEALTH RESEARCH FUNDING INCLUDING FUNDING FOR LUNG CANCER, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), ASTHMA, TUBERCULOSIS AND OTHER LUNG DISEASES. FURTHERMORE, THE AMERICAN LUNG ASSOCIATION VOLUNTEERS AND STAFF ACTIVELY ADVOCATE AT THE NATIONAL, STATE AND LOCAL LEVELS FOR TOBACCO CONTROL LAWS, INCLUDING EFFORTS TO REGULATE TOBACCO PRODUCTS INCLUDING E-CIGARETTES, PROMOTE TOBACCO CESSATION AND ELIMINATE EXPOSURE TO SECONDHAND SMOKE.
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 9,016,928 8,600,852 8,779,996 7,773,457 1,207,060
b Contributions ... 5,300 5,000 6,100 1,003,500 7,380,831
c Net investment earnings, gains, and losses -952,335 1,326,442 -40,790 256,966 467,650
d Grants or scholarships ... 99,662 915,366 144,454 253,927 1,261,111
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....         20,973
g End of year balance ...... 7,970,231 9,016,928 8,600,852 8,779,996 7,773,457
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet100.000 %
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
No
(ii) Related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   2,582,203 2,582,203
b Buildings ....   14,499,820 6,293,769 8,206,051
c Leasehold improvements   455,278 320,709 134,569
d Equipment ....   3,805,729 3,690,782 114,947
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 11,037,770
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)BENEFICIAL INTEREST IN PERPETUAL TRUSTS 35,382,670
(2)AMOUNTS HELD ON BEHALF OF OTHERS 1,148,660
(3)REFUNDABLE DEPOSITS 258,642
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 36,789,972
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 11,307,430
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 135,196,629
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -26,178,722
b Donated services and use of facilities ......... 2b 36,133,855
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d -4,062,725
e Add lines 2a through 2d ..................... 2e 5,892,408
3 Subtract line 2e from line 1.................. 3 129,304,221
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 88,715
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 88,715
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 129,392,936
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 137,971,845
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 36,133,855
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 36,133,855
3 Subtract line 2e from line 1................... 3 101,837,990
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 88,715
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 88,715
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 101,926,705
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: PROCEEDS EARNED FROM THE CORPUS OF THESE NUMEROUS ENDOWMENT FUNDS MAY BE EXPENDED FOR RESEARCH, RESEARCH FELLOWSHIPS, LUNG-HEALTH EDUCATION, CONTINUING MEDICAL EDUCATION LECTURES, SCHOLARSHIPS, PATIENT ASSISTANCE, ADVOCACY, TOBACCO CESSATION ASSISTANCE, AND GENERAL OPERATIONS IN ACCORDANCE WITH DONOR STIPULATIONS.
PART X, LINE 2: THE ASSOCIATION IS DESIGNATED AS A NON-PROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THEREFORE, CHARITABLE CONTRIBUTIONS ARE TAX DEDUCTIBLE.
PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN TRUSTS -5,849,144. CHANGE IN VALUE OF SPLIT-INTEREST TRUSTS -162,165. CHANGE IN VALUE OF EQUITY METHOD INVESTMENTS -162,511. PENSION AND POSTRETIREMENT PLAN CHANGES 2,111,095.
Schedule D (Form 990) 2021


Additional Data


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SCHEDULE G (Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
NNE MARKETING
1666 MASSACHUSETTS AVE SUITE 14
 
LEXINGTON, MA02420 		DIRECT MARKETING   No 17,971,258 369,000 17,602,258
 
GATEWAY COMMUNICATIONS
16805 NE MASON COURT
 
PORTLAND, OR97230 		TELEMARKETING SERVICES   No 78,985 77,755 1,230
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 18,050,243 446,755 17,603,488
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY, DC
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

FIGHT FOR AIR CLIMB
(event type) 		(b) Event #2

LUNG FORCE WALKS
(event type) 		(c) Other events

46
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
6,248,230
2,481,036
6,599,376
15,328,642

2
Less: Contributions . . . .
6,248,230
2,481,036
3,761,644
12,490,910
3 Gross income (line 1 minus
line 2) . . . . . .
 
 
2,837,732
2,837,732



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . . 50,384 5,483 96,655 152,522
6 Rent/facility costs . . . . 351,336 49,254 329,333 729,923
7 Food and beverages . . . 30,171 7,740 438,031 475,942
8 Entertainment . . . . 12,430 13,433 35,661 61,524
9 Other direct expenses . . . 398,581 202,779 1,027,229 1,628,589
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 3,048,500
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -210,768
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990) 2021
Schedule G (Form 990) 2021
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
SCHEDULE G, PART I, LINE 2B, COLUMN (V) THE AMERICAN LUNG ASSOCIATION ACQUIRES CONTRIBUTIONS FROM DIRECT MAIL AND TELEMARKETING SERVICES. IN ORDER TO MANAGE THESE ACTIVITIES, THE AMERICAN LUNG ASSOCIATION CONTRACTS WITH PROFESSIONAL FUNDRAISERS TO DEVELOP FUNDRAISING STRATEGIES ON THESE INITIATIVES.
Schedule G (Form 990) 2021
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number
13-1632524
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) REGENTS OF THE UNIVERSITY OF MINNESOTA
2221 UNIV AVENUE SE STE 100
MINNEAPOLIS,MN55414 		41-6007513 501(C)(3) 100,000 0     RESEARCH
(2) UNIVERSITY OF MICHIGAN
3003 S STATE STREET 5082 WOLVERINE
TOWER
ANN ARBOR,MI48109 		38-6006309 501(C)(3) 418,743 0     RESEARCH
(3) ST VINCENT OF INDIANA
1 HOSPITAL DRIVE
INDIANAPOLIS,IN46260 		35-0869066 501(C)(3) 156,329 0     RESEARCH
(4) NEMOURS CHILDREN CLINIC
10140 CENTURION PARKWAY NORTH
JACKSONVILLE,FL32256 		59-0634433 501(C)(3) 190,389 0     RESEARCH
(5) ENTERTAINMENT INDUSTRY FOUNDATION (STAND UP 2 CANCER)
10880 WILSHIRE BOULEVARD SUITE 1400
LOS ANGELES,CA90024 		95-1644609 501(C)(3) 1,500,000 0     RESEARCH
(6) REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES
10889 WILSHIRE BOULEVARD SUITE 700
LOS ANGELES,CA900951406 		95-6006143 501(C)(3) 400,000 0     RESEARCH
(7) CASE WESTERN RESERVE UNIVERSITY
10900 EUCLID AVENUE
CLEVELAND,OH441067037 		34-1018992 501(C)(3) 100,000 0     RESEARCH
(8) NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA)
1100 13TH STREET NW THIRD FLOOR
WASHINGTON,DC20005 		52-1191985 501(C)(3) 96,987 0     RESEARCH
(9) UNIVERSITY HOSPITALS CLEVELAND MEDICAL CTR
11100 EUCLID AVENUE
CLEVELAND,OH44106 		34-1567805 501(C)(3) 200,000 0     RESEARCH
(10) THOMAS JEFFERSON UNIVERSITY
125 S 9TH STREET SUITE 600
PHILADELPHIA,PA19107 		23-1352651 501(C)(3) 100,000 0     RESEARCH
(11) UNIVERSITY OF COLORADO DENVER
13001 E 17TH PLACE BUILDING 500
AURORA,CO80045 		84-6000555 501(C)(3) 200,000 0     RESEARCH
(12) NATIONAL JEWISH MEDICAL AND RESEARCH CENTER
1400 JACKSON STREET
DENVER,CO80206 		74-2044647 501(C)(3) 227,314 0     RESEARCH
(13) UNIVERSITY OF TEXAS MD ANDERSON CANCER CTR
1515 HOLCOMBE BOULEVARD
HOUSTON,TX770307009 		74-6001118 501(C)(3) 200,000 0     RESEARCH
(14) THE UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER
1515 HOLCOMBE BOULEVARD
HOUSTON,TX77030 		74-6001118 501(C)(3) 150,000 0     RESEARCH
(15) EMORY UNIVERSITY
1599 CLIFTON ROAD 4TH FLOOR
ATLANTA,GA303224250 		58-0566256 501(C)(3) 100,000 0     RESEARCH
(16) TEMPLE UNIVERSITY
1852 N 10TH STREET
PHILADELPHIA,PA19122 		23-1365971 501(C)(3) 236,109 0     RESEARCH
(17) REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO
1855 FOLSOM STREET
SAN FRANCISCO,CA94143 		94-6036493 501(C)(3) 333,119 0     RESEARCH
(18) CHILDRENS NATIONAL MEDICAL CENTER
1935 MEDICAL DISTRICT DRIVE
DALLAS,TX75235 		75-0800628 501(C)(3) 150,000 0     RESEARCH
(19) YALE UNIVERSITY
2 WHITNEY AVENUE 6TH FLOOR
NEW HAVEN,CT06510 		06-0646973 501(C)(3) 100,000 0     RESEARCH
(20) GATEWAY FOR CANCER RESEARCH
20 NORTH MARTINGALE ROAD SUITE 180
SCHAUMBURG,IL60173 		73-1386920 501(C)(3) 400,000 0     RESEARCH
(21) UNIVERSITY OF KANSAS CTR FOR RESEARCH
2385 IRVING HILL ROAD
LAWRENCE,KS66045 		48-0680117 501(C)(3) 235,599 0     RESEARCH
(22) AMERICAN THORACIC SOCIETY INC
25 BROADWAY 4TH FLOOR
NEW YORK,NY10004 		06-1548706 501(C)(3) 271,710 0     RESEARCH
(23) UNIVERSITY OF HAWAII
2538 MCCARTHY MALL EDMONDSON 216
HONOLULU,HI86822 		99-6000354 501(C)(3) 150,000 0     RESEARCH
(24) UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
301 UNIVERSITY BOULEVARD
GALVESTON,TX775551166 		74-6000949 501(C)(3) 200,000 0     RESEARCH
(25) SEATTLE BIOMEDICAL RESEARCH INSTITUTE
307 WESTLAKE AVENUE
SEATTLE,WA98109 		91-1452438 501(C)(3) 154,029 0     RESEARCH
(26) UNIVERSITY OF GEORGIA RESEARCH FOUNDATION INC
310 E CAMPUS ROAD
ATHENS,GA30602 		58-1353149 501(C)(3) 100,000 0     RESEARCH
(27) UNIVERSITY OF FLORIDA
33 TIGERT HALL
GAINESVILLE,FL32611 		59-6002052 501(C)(3) 150,000 0     RESEARCH
(28) JOHNS HOPKINS UNIVERSITY
3910 KESWICH ROAD N4 327-B
BALTIMORE,MD21211 		52-0595110 501(C)(3) 1,170,000 0     RESEARCH
(29) UNIVERSITY OF ARKANSAS FOR MEDICAL SERVICES
4301 WEST MARKHAM STREET
ST LITTLE ROCK,AR72205 		71-6046242 501(C)(3) 150,000 0     RESEARCH
(30) WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARCH
455 MAIN STREET
CAMBRIDGE,MA02142 		06-1043412 501(C)(3) 100,000 0     RESEARCH
(31) SEATTLE CHILDREN'S HOSPITAL
4800 SAND POINT WAY NE
SEATTLE,WA981053901 		91-0564748 501(C)(3) 200,000 0     RESEARCH
(32) MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET
BOSTON,MA02114 		04-1564655 501(C)(3) 258,709 0     RESEARCH
(33) NEW YORK UNIVERSITY SCHOOL OF MEDICINE
550 FIRST AVENUE
NEW YORK,NY10016 		13-5562308 501(C)(3) 200,000 0     RESEARCH
(34) THE UNIVERSITY OF CHICAGO
5801 ELLIS AVENUE
CHICAGO,IL60637 		36-2177139 501(C)(3) 200,000 0     RESEARCH
(35) COLUMBIA UNIVERSITY
615 WEST 131ST STREET
NEW YORK,NY10027 		13-5598093 501(C)(3) 193,549 0     RESEARCH
(36) NORTHWESTERN UNIVERSITY
619 CLARK STREET
EVANSTON,IL60208 		36-2167817 501(C)(3) 343,984 0     RESEARCH
(37) UNIVERSITY OF TENNESSEE (HEALTH SCIENCE CTR)
62 SOUTH DUNLAP STREET SUITE 300
MEMPHIS,TN38163 		62-6001636 501(C)(3) 200,000 0     RESEARCH
(38) WASHINGTON UNIVERSITY
700 ROSEDALE AVENUECAMPUS BOX 1034
ST LOUIS,MO631121408 		43-0653611 501(C)(3) 47,500 0     RESEARCH
(39) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
7703 FLOYD CURL DRIVE MC7828
SAN ANTONIO,TX782293900 		74-1586031 501(C)(3) 15,389 0     RESEARCH
(40) VIRGINIA COMMONWEALTH UNIVERSITY
800 E LEIGH STREET SUITE 3100
RICHMOND,VA23284 		54-6001758 501(C)(3) 200,000 0     RESEARCH
(41) BOARD OF TRUSTEES OF THE UNIVERISTY OF ILLINOIS
809 S MARSHFIELD AVENUE M/C 551
CHICAGO,IL606127502 		37-6000511 501(C)(3) 75,000 0     RESEARCH
(42) UNIVERSITY OF VERMONT
85 SOUTH PROSPECT STREET
BURLINGTON,VT05405 		03-0179440 501(C)(3) 414,279 0     RESEARCH
(43) THE OHIO STATE UNIVERSITY
901 WOODY HAYES DRIVE 2020
BLANKENSHIP HALL
COLUMBUS,OH43210 		31-6025986 501(C)(3) 301,500 0     RESEARCH
(44) GEORGIA TECH RESEARCH CORPORATION
926 DALNE STREET NW
ATLANTA,GA303320415 		58-0603146 501(C)(3) 150,000 0     RESEARCH
(45) UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
CONTROLLERS OFFICE SERVICE COMPLES
BUILDING
LOUISVILLE,KY40292 		61-1029626 501(C)(3) 200,000 0     RESEARCH
(46) BAYLOR COLLEGE OF MEDICINE
ONE BAYLOR PLAZA
HOUSTON,TX770303411 		74-1613878 501(C)(3) 214,239 0     RESEARCH
(47) ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
ONE GUSTAVE L LEVY PLACE BOX 3500
NEW YORK,NY100296574 		13-6171197 501(C)(3) 247,500 0     RESEARCH
(48) DUKE UNIVERSITY
PO BOX 104132
DURHAM,NC27708 		56-0532129 501(C)(3) 441,078 0     RESEARCH
(49) WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
PO BOX 22371
NEW YORK,NY100872371 		13-1623978 501(C)(3) 200,000 0     RESEARCH
(50) BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCE CTR
PO BOX 26901 RP865 ROOM 560
OKLAHOMA CITY,OK731260901 		73-1563627 501(C)(3) 150,000 0     RESEARCH
(51) UNIVERSITY OF ARIZONA
PO BOX 3308
TUCSON,AZ85722 		74-2652689 501(C)(3) 173,034 0     RESEARCH
(52) UNIVERSITY OF SOUTHERN CALIFORNIA
UNIVERSITY GARDENS BUILDING STE 205
LOS ANGELES,CA900898006 		95-1642394 501(C)(3) 400,000 0     RESEARCH
(53) UNIVERSITY OF ALABAMA AT BIRMINGHAM
UNIVERSITY STATION
BIRMINGHAM,AL35294 		63-6005396 501(C)(3) 464,289 0     RESEARCH
(54) RETURNED FUNDS & CANCELLED PAYMENTS - VARIOUS UNIVERSITIES
55 W WACKER DRIVE
CHICAGO,IL60601 		13-1632524 501(C)(3) -95,368 0     RESEARCH
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
53
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: AWARD RECIPIENTS ARE REQUIRED TO SUBMIT A RENEWAL APPLICATION AFTER THEIR FIRST YEAR OF FUNDING. RENEWAL APPLICATIONS ARE THEN REVIEWED BY OUR RESEARCH COMMITTEE CHAIRS FOR APPROVAL OF SECOND YEAR FUNDING. AT THE TIME OF TERMINATION (AFTER THE SECOND YEAR OF FUNDING), AWARD RECIPIENTS ARE REQUIRED TO SUBMIT A SUMMARY OF THEIR ACTIVITIES, COPIES OF PRESENTATIONS AND/OR PUBLICATIONS, AND A CASH DISBURSEMENT REPORT FOR THE ENTIRE GRANT TIME.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1HAROLD WIMMER
PRESIDENT & CEO 		(i)

(ii)		 522,872
-------------
0 		25,000
-------------
0 		0
-------------
0 		30,397
-------------
0 		29,610
-------------
0 		607,879
-------------
0 		0
-------------
0
2JEFF SEYLER
CHEIF DIVISION OFFICER, EAST 		(i)

(ii)		 253,226
-------------
0 		19,751
-------------
0 		0
-------------
0 		28,138
-------------
0 		10,324
-------------
0 		311,439
-------------
0 		0
-------------
0
3JULIA FITZGERALD
CHIEF MARKETING OFFICER 		(i)

(ii)		 253,380
-------------
0 		19,776
-------------
0 		0
-------------
0 		15,808
-------------
0 		19,504
-------------
0 		308,468
-------------
0 		0
-------------
0
4LAURA SCOTT
CHEIF FINANCIAL OFFICER 		(i)

(ii)		 256,810
-------------
0 		19,750
-------------
0 		0
-------------
0 		22,934
-------------
0 		1,973
-------------
0 		301,467
-------------
0 		0
-------------
0
5SUE SWAN
CHIEF DEVELOPMENT OFFICER 		(i)

(ii)		 236,725
-------------
0 		18,104
-------------
0 		0
-------------
0 		25,960
-------------
0 		19,869
-------------
0 		300,658
-------------
0 		0
-------------
0
6DEBORAH BROWN
CHEIF MISSION OFFICER 		(i)

(ii)		 238,986
-------------
0 		18,466
-------------
0 		0
-------------
0 		25,170
-------------
0 		11,208
-------------
0 		293,830
-------------
0 		0
-------------
0
7WILLIAM PFEIFER
EXE. VP, GOVERNANCE & STRATEGIC INIT 		(i)

(ii)		 242,658
-------------
0 		6,602
-------------
0 		0
-------------
0 		25,866
-------------
0 		12,407
-------------
0 		287,533
-------------
0 		0
-------------
0
8SARAH KRIKORIAN
CHEIF HUMAN RESOURCES OFFICER 		(i)

(ii)		 227,500
-------------
0 		17,200
-------------
0 		0
-------------
0 		13,405
-------------
0 		18,882
-------------
0 		276,987
-------------
0 		0
-------------
0
9PAUL BILLINGS
NATIONAL SENIOR VP, PUBLIC POLICY 		(i)

(ii)		 211,775
-------------
0 		7,249
-------------
0 		0
-------------
0 		23,335
-------------
0 		0
-------------
0 		242,359
-------------
0 		0
-------------
0
10SALLY DRAPER
NATIONAL SVP, DEVELOPMENT, CORPORATE 		(i)

(ii)		 198,486
-------------
0 		9,562
-------------
0 		0
-------------
0 		13,248
-------------
0 		0
-------------
0 		221,296
-------------
0 		0
-------------
0
11ALLISON HICKEY
EXECUTIVE VP, MOUNTAIN PACIFIC & CA 		(i)

(ii)		 199,958
-------------
0 		5,899
-------------
0 		0
-------------
0 		14,115
-------------
0 		0
-------------
0 		219,972
-------------
0 		0
-------------
0
12SUSAN RAPPAPORT
NATIONAL VICE PRESIDENT, RESEARCH 		(i)

(ii)		 190,768
-------------
0 		3,752
-------------
0 		0
-------------
0 		20,587
-------------
0 		0
-------------
0 		215,107
-------------
0 		0
-------------
0
13NEIL BALLENTINE
CHIEF TECHNOLOGY OFFICER 		(i)

(ii)		 168,175
-------------
0 		12,048
-------------
0 		0
-------------
0 		13,792
-------------
0 		12,937
-------------
0 		206,952
-------------
0 		0
-------------
0
14EMILY MURPHY
DIVISION SENIOR VP, DEVELOPMENT 		(i)

(ii)		 167,272
-------------
0 		6,592
-------------
0 		0
-------------
0 		14,887
-------------
0 		0
-------------
0 		188,751
-------------
0 		0
-------------
0
15LEWIS BARTFIELD
CHEIF DIVISION OFFICER, WEST 		(i)

(ii)		 157,356
-------------
0 		0
-------------
0 		0
-------------
0 		17,664
-------------
0 		6,169
-------------
0 		181,189
-------------
0 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4B HAROLD WIMMER RECEIVED $35,057 FROM A 457(F) PLAN.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( SUPPLIES ) X 50 144,416 FMV
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2021)
Schedule M (Form 990) (2021)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2021)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
AMERICAN LUNG ASSOCIATION
 
Employer identification number

13-1632524
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1A EXECUTIVE COMMITTEE: THE EXECUTIVE COMMITTEE SHALL ACT IN PLACE OF AND WITH THE FULL AUTHORITY OF THE BOARD OF DIRECTORS WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, SUBJECT TO THE BOARD'S POWER TO AMEND OR CHANGE THOSE ACTIONS WHICH HAVE NOT BEEN IMPLEMENTED PRIOR TO THE BOARD MEETING OR MEETINGS FOLLOWING THE EXECUTIVE MEETING AT WHICH SUCH ACTION WAS TAKEN. THE BOARD OF DIRECTORS HAS THE POWER TO AUTHORIZE AND DELEGATE TO THE EXECUTIVE COMMITTEE TO THE EXTEND PERMITTED BY THE ASSOCIATION'S BYLAWS AND APPLICABLE LAW. THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO APPOINT OFFICERS EXCEPT ON AN INTERIM BASIS TO FILL A VACANCY, ENTER INTO OR AMEND CONTRACTS WITH OFFICERS, AMEND THE POLICIES MANUAL, OR BORROW MONEY IN EXCESS OF THE AMOUNTS EXPRESSLY AUTHORIZED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE NO AUTHORITY TO AMEND THE ARTICLES OF INCORPORATION, ADOPT A PLAN OF MERGER OR CONSOLIDATION, AUTHORIZE THE SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTAILLY ALL OF THE PROPERTY AND ASSETS OF THE ASSOCIATION, AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE ASSOCIATION OR REVOCATION OF SUCH DISSOLUTION, OR AMEND THE BYLAWS OF THE ASSOCIATION. THE EXECUTIVE COMMITTEE MAY ESTABLISH A LEADERSHIP SUBCOMMITTEE CONSISTING OF THE CHAIR, VICE-CHAIR, AND PAST-CHAIR, WHICH SHALL SERVE AS THE EXECUTIVE COMMITTEE'S LIAISON TO THE PRESIDENT AND CEO. THE GOVERNANCE COMMITTEE, TAKING INTO ACCOUNT GEOGRAPHY, EXPERTISE, RACE, ETHNICITY, GENDER, AGE AND OTHER DIVERSITY FACTORS, SHALL PRESENT ANNUALLY TO THE BOARD OF DIRECTORS ITS RECOMMENDED NOMINEES FOR MEMBERS OF THE BOARD OF DIRECTORS, MEMBERS OF THE GOVERNANCE COMMITTEE AND OFFICERS (OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER) OF THE ASSOCIATION (INCLUDING A RECOMMENDATION WHERE APPROPRIATE, FOR THE DESIGNATION OF THE VICE-CHAIR AS CHAIR-ELECT). OTHER NOMINATIONS MAY NOT BE MADE AT THE MEETING OF THE BOARD OF DIRECTORS FROM THE FLOOR.
FORM 990, PART VI, SECTION B, LINE 11B AMERICAN LUNG ASSOCIATION HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE CFO. PRIOR TO ELECTRONIC SUBMISSION, IT IS REVIEWED BY THE ORGANIZATION'S DELEGATED RESPONSIBLE BODY, THE AUDIT AND RISK OVERSIGHT COMMITTEE, FOR APPROVAL. AFTER APPROVAL BY THE AROC COMMITTEE, THE MEMBERS OF THE GOVERNING BODY REVIEW THE FORM PRIOR TO SUBMISSION. ALL COMMENTS ARE DOCUMENTED, ADDRESSED AND FINALIZED BEFORE SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C ALA CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT MONITORS AND ENFORCES ANNUALLY AND HAS A STANDING GOVERNANCE COMMITTEE THAT OVERSEES ITS EXECUTION. THE ORGANIZATION CURRENTLY MANDATES THAT ALL MEMBERS OF THE GOVERNING BODY, COMMITTEE MEMBERS AND ALL STAFF ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY STATEMENTS ARE SUBMITTED TO THE GOVERNANCE COMMITTEE. THESE STATEMENTS ARE REVIEWED FOR POTENTIAL OR ACTUAL CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15 THE AMERICAN LUNG ASSOCIATION HAS ESTABLISHED A COMPENSATION POLICY FOR ITS LEADERSHIP COMMITTEE TO FOLLOW IN ESTABLISHING THE COMPENSATION FOR ITS CFO, TOP MANAGEMENT OFFICIAL, OTHER OFFICERS OR KEY EMPLOYEES. THE POLICY MANDATES THAT EXECUTIVE COMPENSATION BE PERIODICALLY REVIEWED BY THE COMMITTEE AND THAT THE COMMITTEE SHOULD BE FREE OF CONFLICTS OF INTEREST. IN ADDITION, THE APPROVING COMMITTEE NEEDS TO REVIEW APPROPRIATE AND ADEQUATE DATA TO DETERMINE THE REASONABLENESS OF THE COMPENSATION BEING CONSIDERED. THE COMMITTEE MAY USE A VARIETY OF INFORMATION AND STUDIES THAT ARE AVAILABLE TO DETERMINE THAT THE APPROPRIATE LEVEL OF COMPENSATION IS BEING PAID TO ITS EXECUTIVES. THE COMMITTEE'S DECISION ON THE AMOUNT OF COMPENSATION PAID IS DOCUMENTED IN A CONTEMPORANEOUSLY WRITTEN FORMAT AND DOCUMENTS THE DATE OF THE DECISION, THE MEMBERS PRESENT DURING THE MEETING AND THOSE WHO VOTED ON IT. THE DETAILS OF THE TRANSACTION THAT WAS APPROVED AND THE COMPARABILITY DATA USED AND RELIED UPON TO MAKE THE DECISION. ALA CONDUCTS PERIODIC COMPENSATION REVIEW FOR THE CEO AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19 THE THREE MOST RECENT YEARS OF FORM 990 AND ANNUAL REPORTS ARE AVAILABLE ON AMERICAN LUNG ASSOCIATION'S WEBSITE, WWW.LUNG.ORG. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OUR WEBSITE ALSO PROVIDES THE NAMES OF OUR BOARD OF DIRECTORS AND OUR ETHICS POLICY.
FORM 990, PART IX, LINE 11G PROGRAM CONSULTING : PROGRAM SERVICE EXPENSES 19,286,066. TOTAL EXPENSES 19,286,066. OTHER FEES: PROGRAM SERVICE EXPENSES 5,481,664. MANAGEMENT AND GENERAL EXPENSES 281,942. FUNDRAISING EXPENSES 422,596. TOTAL EXPENSES 6,186,202.
FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN TRUSTS -5,849,144. CHANGE IN VALUE OF SPLIT-INTEREST TRUSTS -162,165. CHANGE IN VALUE OF EQUITY METHOD INVESTMENTS -162,511. PENSION AND RETIREMENT PLAN CHANGES 2,111,095.
FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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