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      <MissionDescription>The American Lung Association's mission is to save lives by improving lung health and preventing lung disease, with the ultimate vision of a world free of lung disease. The National Headquarters of the American Lung Association fights lung disease through its own activities and by servicing, supporting, and leading its local Lung Associations. Among its varied responsibilities, the National Headquarters: - Funds research into the causes, prevention, and cures of lung disease. - Advocates at the national level for policies that protect lung health, including fighting for healthy air. - Provides a broad array of health educational programs and services to support smoking cessation, help prevent lung disease and to assist people with lung disease in better managing their condition. - Supports local Lung Associations' implementation of health educational programs and dissemination of educational material. - Provides an array of learning opportunities and tools to develop nationwide volunte</MissionDescription>
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      <Description>Health Education Every year, the American Lung Association helps people manage their lung disease, overcome their nicotine addiction, and live healthier lives. The two key components of the National Headquarters' work are supporting our network of local Lung Associations and developing lung health education materials for the public. Local Lung Associations rely on us to develop health programs and provide expert training, guidance and materials to support their mission outreach. We are also a trusted resource where the public can find information on myriad lung diseases, make treatment decisions, and get support and tools to manage their conditions or care for a loved one. This past year we provided a wide array of services to help prevent and treat lung disease. In 2010-11 we substantially advanced this mission, touching lives from coast to coast. Lung Disease: For Over 40 Years, the Choice of People with Chronic Lung Disease - In the U.S. alone, over 37 million adults have a chronic lung disease, such as COPD, asthma, pulmonary fibrosis, sarcoidosis or lung cancer. Because these chronic conditions do not have a cure, people need to learn how to manage living with their lung disease. American Lung Association Better Breathers Clubs help by providing patient-focused, community-based educational opportunities and support. These support groups offer a welcoming venue for people with chronic lung disease and their loved ones, who often feel alone and isolated. Together, members learn the skills that help them manage their condition and improve their quality of life. Hundreds of clubs are serving many thousands of people across the U.S. living with chronic lung disease. Connecting Patient and Families with Expert Advice - In all of our programs and health education materials, people with questions about lung health are referred to the American Lung Association's Lung HelpLine at 1-800-LUNG-USA. In fiscal year 2010-11, the nurses and respiratory therapists who staff the Lung HelpLine answered over 200,000 calls on topics ranging from clean air to helping a family member quit smoking. Matching Lung Cancer Patients with Help - The Lung Cancer Clinical Trials Matching Service is specifically designed for lung cancer patients and their families and is being conducted in collaboration with twelve lung cancer advocacy organizations. This service provides personalized education and helps to identify clinical trial options based on a person's specific diagnosis, stage and treatment history. Each person is also assigned a specially trained Clinic Trials Navigator who serves as a guide though the process. Supporting Asthma-Friendly Learning Environments - Through the American Lung Association's Asthma-Friendly School's Initiative (AFSI), 200 districts nationwide worked toward creating safer school environments for students, faculty, and staff. Technical assistance and one-on-one support was provided to ten new AFSI coalitions that established long-term asthma management plans for their schools. AFSI focuses on four strategies to implement a comprehensive approach to asthma management in school; maximizing health services, providing asthma education, creating a healthy school environment, and ensuring full participation in physical activity for all students. In the 2010-11 school year, 13,000 students were reached through the Open Airways For Schools program, a recommended component of AFSI that builds self-management skills for students with asthma. Highlighting Disparities in Lung Health - This year, we continued to spotlight the ways in which some groups are disproportionately affected by lung disease in our society in the ongoing Disparities in Lung Health Series. The report Missed Opportunities: Influenza and Pneumonia vaccination in Older Adults investigated the possible causes of and solutions to the low rates of life-saving vaccinations being given among African American and Latino seniors. Tobacco Helping Thousands of Smokers to Quit - The American Lung Association's Freedom From Smoking and Not-On-Tobacco (N-O-T) have helped hundreds of thousands of teen and adult smokers quit. These community-based programs guide the smokers through the quitting process, helping them to determine their smoking pattern, create an individualized quit plan and navigate the first few weeks as a nonsmoker. Because not everyone quits smoking the same way, the Lung Association also offers Freedom From Smoking Online and one-on-one cessation counseling through the Lung HelpLine. In fiscal year 2010-11, these programs helped over 48,000 smokers end their addiction to nicotine and transition to a new, smokefree lifestyle. Supporting Smokefree Communities - In fiscal year 2010-11, the American Lung Association was awarded ARRA funds through the Communities Putting Prevention to Work program. This funding enabled us to provide technical assistance and training to communities nationwide in support of their efforts to improve community health by decreasing smoking rates and reducing exposure to harmful secondhand smoke.</Description>
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        <Description>FIELD FUNDRAISING The American Lung Association's Planned Giving team focuses its work on assisting with field development by providing support to the ALA chartered regional associations. This support includes training local staff to be effective planned giving fundraisers; helping develop annual regional work plans; being informed on local follow up activities pertaining to requests from donors for planned giving information; reviewing quarterly reports on planned giving income and bequest notifications; sending reports to regional CEOs on the planned giving work in their geographic areas. A variety of National staff provide Special Events support to the ALA chartered regional associations. This support is designed to assist in the development, marketing and implementation of events and promotions strategies. Among the assistance provided are planning (goal setting, strategic review, development of template material, feasibility studies); training (monthly conference calls, best practice staff training, listserv based materials, staff training webinars, etc.); implementation (sponsorship calls, recruitment, event attendance/participation); coaching (staff, leadership, volunteers); coordination of collateral; solicit national sponsors/teams; build, facilitate and integrate e-commerce platforms; and evaluation of new events. The primary focus is to increase the Chartered Associations net revenue and fully integrate best practice strategies into the overall work plan. The Major Gifts team works with the ALA chartered regional associations on joint funding prospects and provides one-on-one assistance when requested. Among the support activities are compilation of research lists and development of research profiles; evaluation of funding proposals; strategic advice regarding funding initiatives and prospects; providing training at staff meetings and conference calls. This year we provided a wealth screening overlay and a follow-on research tool; a donor centric assessment; and predictive donor modeling for the chartered association staff. The Direct Response team develops and implements campaign plans for all direct mail appeals, telemarketing campaigns and the residential program in conjunction with our direct response consulting agency. All funds generated are deposited directly into local association accounts on a regular (weekly or bi-weekly) basis with detailed reports by campaign for the current period and YTD. Local associations are billed monthly for direct response expenses and quarterly for a 30% share of the net income generated by the programs. Associations are provided with a budget for each program along with cash flow and billing schedules, as well as quarterly updates on actual performance. Billed expenses are reconciled to actual costs at the end of the fiscal year. Images of all rollout mailing packages are posted on LungNet for reference by local associations. Monthly direct response calls or meetings are conducted to which all local CEOs are invited to participate for updates on the program and any issues or questions that arise.</Description>
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        <Description>Research Funding research has been a cornerstone of the Lung Association's fight against lung disease for more than a century. In 2010-11, our donors again made it possible to fund high quality researchers seeking treatments and cures for an array of lung diseases from asthma to lung cancer. Our Nationwide Research Awards and Grants Program fosters laboratory and patient-centered and social behavior research to prevent, treat and hopefully find a cure for all lung diseases. In 2010-11, our program funded 55 grants to further promising, cutting-edge research. Additional support in funding this year's research program came from partnerships with AAAAI, the CHEST Foundation and NTM Info. The Lung Association's Asthma Clinical Research Centers Network (ACRC) continues to contribute major improvements to asthma treatments through a network of 18 clinical centers throughout the country. In 2010-11, ongoing ACRC research centered on two major questions: is a dietary supplement of soy isoflavones is an effective treatment in patients with poorly controlled asthma and will the treatment of sinusitis (chronic disease of the nose and sinuses) with nasal steroids improve asthma control.</Description>
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        <NamePerson>ADAM S GOLDBERG ESQ</NamePerson>
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        <Explanation>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 MEMBERS OF CONGRESS, THEIR STAFF AND THE PUBLIC ON LUNG HEALTH ISSUES. WE ADVOCATE FOR CLEAN, HEALTHY AIR TO REDUCE THE HEALTH IMPACTS OF AIR POLLUTION. WE FOCUS ON SUPPORTING THE IMPLEMENTATION AND STRENGTHENING OF THE NATION'S CLEAN AIR LAWS. WE STRONGLY SUPPORT 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 IN WASHINGTON, D.C. AND IN THE STATES FOR TOBACCO CONTROL LAWS, INCLUDING EFFORTS TO REGULATE TOBACCO PRODUCTS, PROMOTE TOBACCO CESSATION AND ELIMINATE EXPOSURE TO SECONDHAND SMOKE. Specifically, the $15,654 in lobbying expenditures reported on Line 1(i) represents 50% of the costs of holding Advocacy Day (inclusive of the time of the VP and the Director of Advocacy spent planning and implementing the event).</Explanation>
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        <Explanation>Part IV, Line 2b: Escrow and Custodial Arrangements The American Lung Association holds certain annuity funds on behalf of its Chartered Associations. The asset and related liability are reported on the organization's balance sheet and effectively net out. Part V, Line 4: DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS American Lung Association maintains various donor restricted funds whose purpose is to provide long-term support for its programs. In classifying such funds for financial statement purposes as either permanently restricted, temporarily restricted or unrestricted net assets, the Board of Directors looks to explicit directions of the donor where applicable and the provisions of the laws of the State of New York. National Headquarters has adopted investment policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets.</Explanation>
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        <Identifier>Schedule D</Identifier>
        <ReturnReference>Part X: Description of Uncertain Tax Positions Under FIN48</ReturnReference>
        <Explanation>In July 2006, the FASB issued guidance in the area of "Accounting for Uncertainty in Income Taxes." The standard clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This standard provides that the tax effects from an uncertain tax position can be recognized in the financial statements only if the position is "more-likely-than-not" to be sustained if the position were to be challenged by a taxing authority. The standard also provides guidance on measurement, classification, interest and penalties, and disclosure. It was effective for National Headquarters on July 1, 2009, and had no impact on the accompanying financial statements. The tax years ended 2007, 2008, 2009 and 2010 are still open to audit for both federal and state purposes. National Headquarters has processes presently in place to ensure the maintenance of its tax-exempt status, to identify and report unrelated income, to determine its filing and tax obligations in jurisdictions for which it has nexus, and to identify and evaluate other matters that may be considered tax positions.</Explanation>
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        <Explanation>Change in fair value of beneficial interest in trust - $247,590 Change in value of Split Interest Agreements - ($6,558) Pension and life insurance benefit plan activities - $2,290,648 Total - $2,531,680 Schedule D, Part XII, Line 2d- Change in fair value of beneficial interest in trust - $247,590 Change in value of Split Interest Agreements - ($6,558) Pension and life insurance benefit plan activities - $2,290,648 Total Change Reportable on Line 2(d) - $2,531,680</Explanation>
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        <NamePerson>CARRIE MARTIN</NamePerson>
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        <Identifier>Schedule J, Part I, Line 7</Identifier>
        <Explanation>The American Lung Association provided one discretionary bonus in the year ending June 30, 2011. This bonus was provided to the President &amp; Ceo, Charles Connor. The bonus was awarded based on merit and was determined by the Leadership Committee. The Leadership Committee then passes its recommendation to the Executive Committee where the Chairman of the Board ultimately approves the bonus.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B</Identifier>
        <Explanation>Line 11: Review process of Form 990 The American Lung Association prepares its Form 990 and then submits it to an outside accounting firm for review. The Association has established the following review process to ensure that the information reported is complete and accurate. Once the Form 990 has been prepared, reviewed by management and its external accounting firm, and is ready to be filed with the Internal Revenue Service, it is submitted electronically to members of the organization's governing body, the Audit Committee, for any comments prior to its submission. The members of the governing body have 10 days to review the form; they subsquently meet by conference call to review any comments by the group and agree to any changes that may need to be made to the form prior to its submission to the Internal Revenue Service. Each of these comments are documented, addressed and finalized in board minutes before the submission. Line 12: Conflict of Interest Policy ALA currently has in place a conflict of interest policy which it annually monitors and enforces. The board currently mandates that all members of management, the governing body, and staff annually sign a conflict of interest policy and disclose any potential or actual conflicts that may exist. The signed conflict of interest policy is submitted to the governance committee. These statements are reviewed for potential or actual conflicts. If a potential or actual conflict of interest exists, the committee will notify members of management about such conflict and investigate the conflict. If management establishes that an actual conflict exists, the member of management will be notified immediately and will not be allowed to vote or be a part of any decisions about any such transactions that have to do with the conflict until such time there is no longer a conflict. Line 15: Compensation Review The American Lung Association has established a compensation policy for their leadership committee to follow in establishing the compensation for their CEO, 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 should document 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 comparable date used and relied upon to make the decision. The compensation review process for the CEO and other officer or key employees was last undertaken in December 2010.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C</Identifier>
        <Explanation>Line 19: Disclosure The three most recent Form 990's and Annual Reports are available on the American Lung Association's website, www.lungusa.org. Governing documents and the conflict of interest policy are available to the public per request. The website also provides the names of Board Directors and a copy of the Ethics Policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990</Identifier>
        <Explanation>Part XI, Line 5: Other Changes in net assets or fund balances Consists of unrealized gains on investments of $124,418, change in fair value of beneficial interest in trust of $247,590, change in value of split-interest agreements of ($6,558) and pension and life insurance benefit plan activities of $2,290,648. Part XII,Line 2c: Financial Statements and Reporting The joint Finance/Audit Committee of the Board has the fiduciary responsibility for hiring of the audit firm, the review of the risk issues for the association and the final audit review and package that is accepted by the Board. The Committee meets with the Audit firm independently from staff during the audit review process and recommends to the Board the acceptance of the Audit and its findings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Program Service Accomplishments</Identifier>
        <ReturnReference>Part III, Line 4d</ReturnReference>
        <Explanation>Advocacy Every year, the American Lung Association fights for public policies that support our mission to save lives by improving lung health and preventing lung disease. In 2010-11, our advocacy efforts again yielded important results. Healthy Air In early 2011, we launched our new Healthy Air Campaign to protect the Clean Air Act from attempts in Congress to weaken the law and to push the Environmental Protection Agency to implement its lifesaving protections. We successfully stopped a federal appropriations bill we called "toxic for public health" that was loaded up with policy changes that would weaken and delay clean air protections. Later, the U.S. Senate held firm to protect and maintain the Clean Air Act, rejecting several attempts to block the law. Our volunteers testified in Houston, Sacramento and Arlington, VA in support of tighter ozone standards. President and CEO Charles Connor appeared with EPA Administrator Lisa Jackson to announce a proposal to cleanup mercury and air toxics from coal-fired power plants. Our volunteers turned out in large numbers at hearings in Chicago, Philadelphia and Atlanta to support power plant cleanup. We submitted extensive comments with our partners on the need to clean up these power plants. We issued Toxic Air: The Case for Cleaning Up Coal-fired Power Plants to call attention to the 84 hazardous air pollutants that come from coal- and oil- fired power plants. That report urged EPA to finally adopt measures that clean up those emissions that had been required in the Clean Air Act Amendments of 1990, but not yet put in place 21 years later. Working with a diverse coalition of supporters on a long campaign, we celebrated in December, 2010 when President Obama signed the reauthorization of the bi-partisan Diesel Emissions Reduction Act. This is legislation that authorizes the cleanup of older, dirty diesel engines with state of the art pollution controls. Our State of the Air 2011 report acknowledged progress against air pollution in many areas, but found that roughly half of all Americans live in areas where air pollution levels endanger lives. This twelfth annual report also found that nearly every major city was still burdened by air pollution, although most of the cities with the highest ozone and particle levels had reduced their pollution levels. The State of the Air report (www.stateoftheair.org) included a national air quality "report card" that assigned A-F grades to communities across the country. It also ranked cities and counties most affected by the most widespread types of pollution, ozone and particle pollution, and graphed trends for each city and county with monitored data since 1996. Health Care The American Lung Association worked to implement the landmark Patient Protection and Affordable Care Act and expand insurance coverage of quit-smoking treatments. The law extends health insurance coverage to millions of Americans who are currently uninsured -- including those with lung disease. The law puts a major emphasis on prevention and management of chronic diseases, including COPD and asthma. Lung Disease In April, our volunteers raised the profile and the need for increased funding for lung cancer research with the first Lung Cancer Research Call-in Day. Volunteers from across the country contacted their members of Congress to urge more funding for lifesaving lung cancer research at the National Institutes of Health. We continued to advocate for lung cancer and research and programs to support all lung diseases, including asthma, COPD and tuberculosis throughout the year. Tobacco Control The American Lung helped ensure that the U.S. Food and Drug Administration (FDA) is moving forward with the new law that gives FDA effective authority to regulate tobacco products' manufacture, distribution and sale to protect the public health. The FDA finalized important new graphic warning labels for cigarette packages. The Lung Association led an aggressive effort to support these tough new labels. In November 2010, we issued our 3rd annual comprehensive look at state coverage of tobacco cessation treatment, Helping Smokers Quit: State Cessation Coverage. The report showed states are missing a big opportunity to help smokers quit and to save taxpayer money by covering comprehensive tobacco treatments. Earlier in September in collaboration with researchers at Penn State University we released Smoking Cessation: the Economic Benefits, a report that showed for each dollar invested in smoking cessation, states see an average potential return on investment of $1.26. State of Tobacco Control 2010 graded the strength of state and federal laws to protect citizens from tobacco-caused illnesses at the heart of America's chronic disease crisis. The report found that the federal government had taken some important steps forward over the past few years, while most states failed to enact critical policy measures to protect people from deadly tobacco products. No state received all A's and eight states received all F's. Our 2010 State Legislated Actions on Tobacco Issues report and online database provided most of the data that underpins the State of Tobacco Control report. Additional American Lung Association program Service Accomplishments: Field Program Development SUPPORT OF AMERICAN LUNG ASSOCIATION CHARTERED ASSOCIATIONS The American Lung Association national headquarters supports its 10 chartered associations through coaching, training, consultation and technical assistance. American Lung Association staff and volunteers throughout the country are provided skill-building and other learning opportunities to help them successfully deliver the American Lung Association's mission. Through implementation of these staff learning and volunteer development offerings, chartered associations are kept current on best practices in lung health programs and delivery, advocacy, financial management, fundraising, leadership development and volunteer management. One-on-one coaching and consultation by national headquarters staff is offered as needed or requested. Individual discipline groups (e.g. chief executive officers, chief financial officers, chief development officers, program managers, etc.) meet regularly with national headquarters peers to share ideas, problem-solve, and network. The American Lung Association conducts a nationwide volunteer and staff recognition program. Volunteers and staff are recognized on an ongoing basis for outstanding performance. An annual recognition ceremony is held at a meeting of the American Lung Association Board of Directors and Nationwide Assembly where awards for highest achievement are given in specific categories. The American Lung Association Board of Directors provides strategic direction for the national headquarters and its chartered associations. Coordination and monitoring of national and chartered association strategic alignment is provided through a Board-approved metric-based performance management system. The American Lung Association Board of Directors is responsible for oversight of chartered association compliance to policies and performance standards. Assistance is provided by the national headquarters to those chartered associations that do not meet requirements and/or standards.</Explanation>
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