O F T H E M I D L A N D S TAT E SSer v ing Kentucky, Mich igan , Oh io and Tennessee

2 0 1 5 | ANNUAL REPORT

WE ARE A FORCE TO BE RECKONED WITH

Our Vision A world free of lung disease.

A MESSAGE TO OUR FAITHFUL VOLUNTEERS, DONORS AND PARTNERS . . .

A STEP CLOSER TO OUR VISION. We are very proud to report a year of tremendous achievement for the American Lung Association of the Midland States. The confidence you have placed in us through your generous gifting of time, talent and treasure has enabled us to expand our reach to serve the needs of millions of lung disease patients and families in the Midland States region. In the pages that follow, we hope you will see how the collective energy of our volunteers, staff, donors and supporters is bringing us a step closer to our vision of a world free of lung disease.

DOING THE RIGHT THING. One thing we all have in common is the reality of not having enough time and money to do all the things we need to do. This is, most definitely, a common theme among nonprofit organizations. And for the board and staff at the ALA of the Midland States, the question of how to do the most good with available resources is paramount in our thinking, our discussions and our plans. With utmost respect for the trust you have placed in us through your financial support and with a profound sense of responsibility to do what is right and what is good, we have carefully deployed our resources in fiscal year 2015. We are funding promising new medical research; we are promoting new public policy initiatives through our growing core of health advocates; and we are educating the general public and health care providers by using exciting and innovative digital strategies.

OUR COMMITMENT, OUR PROMISE. Our organization has become recognized as a leader in the fight against lung disease. People look to us for cures; as a champion for clean air; for keeping our kids smoke-free and now, through our Lung Force Campaign, as an important resource for lung cancer patients and caregivers. But no single organization, government entity or individual can overcome the immense public health challenge posed by lung disease and its related causes. We must view this as a “shared responsibility”. As such, the ALA of the Midland States cannot promise an easy solution or that these challenges will be quickly overcome. What we can promise is a commitment to continue working with and value those who have chosen to stand with us in the fight against lung disease. We promise we will continue to seek out and welcome new partners and friends – with a keen focus on diversity and inclusion - to join in this important fight. And, perhaps most importantly, we promise to work harder than ever to earn the trust and support of the many dedicated volunteers who make our work possible!

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Barry GottschalkPresident and Chief Executive Officer

Lelie Newman, JDBoard Chair

Leslie Newman, JD, ChairHenderson, KY

Kelly Hamilton, CPA, Chair-ElectPowell, OH

LaVerne Yousey, MSTE, SecretaryAkron, OH

John Cloud, JD, TreasurerDayton, OH

Rebecca Baker, BSN, RN Franklin, TN

David Balas, JDSaugatuck, MI

Shelley Brazeau-TempleBrentwood, TN

Diana Ceballos, Ph.D., MSWest Chester, OH

Amy Chuang, MDOberlin, OH

Steven Coulter, MDSignal Mountain, TN

Tom FarringtonDouglas, MI

Blake GreensteinWesterville, OH

James Hunter IINashville, TN

Ginger JohnstonChattanooga, TN

Charles Kegley, Ph.D.Kent, OH

Sumita Khatri, MDCleveland, OH

Michael LawleyHixson, TN

Steve MonaghanLouisville, KY

Harry Perlstadt, Ph.D., MPHHaslett, MI

Jesse Roman, MDLouisiville, KY

Mary Scoblic, RN, MNLansing, MI

Kevin StutlerDetroit, MI

Leticia Towns, MSHA, FACHEMemphis, TN

Richard TrivisonnoCleveland, OH

Missia Vaselaney, JD, CPACleveland, OH

Board of Directors

Region A — Lansing-Western MI-UPMistie Bowser

Region B — Metro Detroit MI-Toledo OHTherese Smith, RN, MPA, CCM

Region C — Metro Cleveland-NE OHJay Kaufman

Region D — Columbus-Central OHSarah Varekojis, Ph.D., RRT

Region E — Cincinnati-Dayton OHDan Klocke

Region F — Louisville-Northern KYBryan Beatty, RRT

Region H — Nashville TN-Bowling Green KYGary Blalack

Region I — Knoxville-Chattanooga TNLisa Eaves

Regional Leadership Council Chairs

OUR Mission: To save lives by improving lung health and preventing lung disease.

OUR Vision: A world free of lung disease.

3 | Leadership

The Charles F. Kegley Diversity Award has been established by the American Lung Association of the Midland States to recognize lung health advocates who go above and beyond to promote inclusiveness and diversity.

The first recipient of the award was Dr. Charles Kegley, who was presented with a plaque at the association’s annual meeting in May. The award will be given annually.

“We all need oxygen, we all need healthy lungs, not just people like me. We have to keep listening to people’s concerns and keep working until we can find some kind of balance,” Kegley said as he accepted the award.

“Dr. Kegley’s dedication to our mission and his passion for promoting diversity within our organization is undeniable” said ALAMS President and CEO Barry Gottschalk. “He sees the elimination of cultural disparities as a shared responsibility among ALA staff and volunteers, requiring much more attention than most of us have been willing to give. Chuck’s efforts will ensure that the health needs of diverse communities will continue to be met, and that diverse communities are adequately represented among the Lung Association’s corps of volunteers.”

Throughout his 30 years as a volunteer with the American Lung Association, Dr. Kegley has been an integral leader for the American Lung Association, acting as an authority

on embracing diversity and education as tools to create a world free of lung disease. His leadership as a member of the chartered board of the American Lung Association of the Midland States and as chair of its Volunteer Engagement Committee has helped the organization better serve high risk communities.

Most recently, Dr. Kegley was instrumental in a demographic study that identified underserved populations in Kentucky, Michigan, Ohio and Tennessee, allowing the Lung Association to match its programs with communities that greatly need them. He has also worked to develop partnerships with diverse community groups to enhance the Lung Association’s reach. In addition, he has developed a workshop on diversity and cultural competencies for Lung Association staff and volunteers.

Dr. Kegley’s long career of advocating for diversity began in the heart of the civil rights movement of the 1960s, when he and his wife, Nora, moved to San German, Puerto Rico to act as the liaison between InterAmerican University and the Peace Corps. “We were the youngest people on staff there, and it was the first time we really experienced being the minority.”

After two years of service, his career then took him to Tanganyika, which is modern day Tanzania, to help local teacher training colleges establish a health curriculum.

After later returning to the US and accepting a professorship with Kent State University, Dr. Kegley spent more than 40 years learning and teaching about cross-cultural adaptation and health education. In 1983 he published his article “Working with Others Who Are Not like Me” in the Journal of School Health, which addresses the impact of dealing with immigrant and refugee children in school health services.

CONGRATULATIONS DR. KEGLEY

ALAMS Board Members Amy Chuang, MD, John Cloud, JD, and Charles Kegley, Ph.D. with award.

Leadership | 4

“We all need oxygen, we all need healthy lungs... we have to keep listening to people’s concerns and keep working until we can find some kind of balance.”

5 | Research

Yutaka Maeda, DVM, PhD

Cincinnati Children’s Hospital Medical Center

Cincinnati, OH

A SINGLE CELL could be the diff erence between a dying breath and a long, healthy life.

It could help a child score the winning goal, or give a grandparent the chance to see their grandchildren grow. That’s why our researchers are working tirelessly to fi nd that one cell out of trillions that could change the lives of lung disease patients across the world.

Yutaka Maeda, DVM, PhD of Cincinnati Children’s Hospital is using groundbreaking technology to do just that with his project Eradicating Every Last Lung Cancer Cell. “Although lung cancer treatment aims to eradicate tumor cells, in many cases, tumor cells recur after treatment,” Maeda explains. With his team, he intends to isolate and analyze individual lung cancer cells in order to learn what allows them to survive cancer treatments. “Single cell-sequencing technology has been developed over the last two years that allows us to capture and analyze individual tumor cells. We’re hoping to learn the Achilles’ heel of lung tumor cells and use it to develop treatments to eradicate every tumor cell.”

“We’re hoping to learn the Achilles’ heel of lung tumor cells and use it to develop treatments to eradicate every tumor cell.”

For the Fiscal year ending June 30, 2015 the American Lung Associati on funded four research studies and one Airways Clinical Research Center in our four-state region for a total of $1,463,473.

ERADICATING EVERY LAST LUNG CANCER CELL

Research | 6

AIRWAYS CLINICAL RESEARCH CENTER AT THE OHIO STATE UNIVERSITYJohn Mastronarde, MD, Principal Investigator

As the nati on’s largest not-for-profi t clinical research network dedicated to asthma treatment research, our nati onwide ACRC Network consists of 18 research centers nati onwide, including one at The Ohio State University. The ACRC is contributi ng crucial knowledge to help people with asthma. The current ACRC Protocol is the Smoking Asthmati cs Pilot Study (SAPS).

Mohammed Shatat, MDCase Western Reserve University, Cleveland, OH

Molecule Could Play Role in Improving Treatment

Pulmonary arterial hypertension (PAH) is a serious disease characterized by elevated pressure in the vessels that carry blood from the heart to the lungs. This causes the right side of the lung to become strained and, over time, can lead to heart failure.We have found that KLF4, a molecule present in the endothelial cells lining the blood vessels has a protective effect against the development of PAH. We will study the role of KLF4 in regulating endothelial progenitor cells (EPCs), which participate in repairing damaged endothelial cells and are being studied for treating PAH. Understanding the role of KLF4 in regulating EPC function may help enhance their use in therapy.

Andreas Schwingshackl, MD, PhDUniversity of Tennessee Health Science Center

Identifying New Targets to Treat Acute Lung Injury

Mechanical ventilation and oxygen therapy are common treatment options for acute lung injury (ALI), alt-hough both therapies are known to cause further damage to the lungs. Recent studies suggest that a particu-lar type of ion channel, 2-pore domain potassium (K2P), can sense signals at the cell membrane and convert them into specifi c cellular functions. The central hypothesis of this proposal is that the K2P channel is regulated by the treatments above and, in turn, regulates the release of infl ammatory mediators. Dr. Schwingshackl and team hope to identify these channels as new potential targets for the development of novel treatment strategies against ALI.

Bradley Winston Richmond, MDVanderbilt University Medical Center, Nashville, TN

Infections Could Play Role in Smokers’ Development of COPD

While most patients with chronic obstructive pulmonary disease (COPD) are current or former smokers, only some smokers develop severe COPD. Differences in frequency or response to recurrent infection may explain why only some smokers develop COPD. Our preliminary data shows that the small airways of COPD patients frequently lack secretory immunoglobulin A (SIgA), a protein whose main role is to prevent bacteria from penetrating into the lung. Using mice engineered to lack SIgA, we will examine whether the lack of this protein results in COPD-like lung injury after exposure to bacteria, and whether restoring SIgA in the small airways will prevent these changes from taking place.

7 | Lung Health

More than 765,000 children across the Midland States region suffer from asthma. It’s the leading chronic disease among children, and causes more than 2 million emergency room visits each year. And while the sometimes fatal disease has no cure, the American Lung Association of the Midland States continues to work to help people with asthma live healthier lives.

The Open Airways for Schools program helped 188 children learn to manage their asthma by recognizing their triggers and learning about their medication. The Asthma 1-2-3 program trained over 2,000 school personnel on how to provide potentially life-saving care for children with asthma.

Each year almost half a million Americans die from tobacco-related diseases like chronic obstructive

pulmonary disease (COPD), heart disease and stroke. And smoking remains the main cause of lung cancer – the #1 cancer killer of men and women.

The American Lung Association of the Midland States continues to fight against these sobering statistics by offering Freedom From Smoking (FFS) programs in hospitals, community facilities, and online. FFS is a life-saving cessation program that gives adult smokers the knowledge, tools, and skills they need to quit smoking for good.

Among the many life-changing program activities in the last year, ALAMS staff trained 190 new facilitators for the Freedom From Smoking (FFS) program. These new instructors are now able to help save lives in their communities by leading ALA

PROGRAM INITIATIVES & PUBLIC EDUCATION OUTREACH

1-2-3

Lung Health | 8

Our free Lung HelpLine provided counseling and answered lung health questions from 3,692 individuals in our region.

1-800-LUNG-USA Email a question to HelpLineInfo@Lung.org.

Visit htt p://bit.ly/helplinechat to chat online.

TTY for hearing impaired 1-800-501-1068.

smoking cessation programs. We helped over 1,300 people quit smoking, with 1,060 people attending FFS clinics and 290 participating in FFS Online.

COPD is the third leading cause of death in the United States. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD progresses slowly, causing serious long-term disability and early death. At this time there is no cure.

The American Lung Association strives to provide a community of resources for patients with COPD. Currently there are 31 active Better Breathers Clubs to help provide support for patients and families with COPD across our region.

American Lung Association resources provide a variety of important tools and information to help lung patients live healthier lives. These include classes and support groups such as the Better Breathers Clubs for those with COPD; the on-line

Inspire platform with special areas for Lung Cancer Survivors, Living with COPD and Living with Lung Disease.; Caregiving Support Community; and much more.

The American Lung Association releases special lung health reports to help raise awareness and push for advances in lung health. These include the annual State of the Air reporting on local levels of ozone and particle pollution, including the health risks associated with each, and the annual State of Tobacco Control report, which provides grades based on state levels of cessation coverage, smokefree air laws; tobacco prevention expenditures and the cigarette tax rate.

KENTUCKY:

Smoking ends over 438,000 lives per year – and every death it causes is preventable. The American Lung Association’s Freedom From Smoking (FFS) program has helped hundreds of thousands of adult smokers take back their lives through proven skills and techniques for quitting. First introduced nationwide in 1981, FFS has since been celebrated as America’s gold standard in cessation programs.

In 2015, the state Health Department chose to implement Freedom From Smoking as the smoking cessation program of choice. The government’s recognition and endorsement of FFS have made it possible for thousands of Kentucky citizens to gain better access to the potentially lifesaving program.

The American Lung Association in Kentucky has partnered with Air Louisville, a local coalition, to expand

an innovative community asthma program that uses real-time data to create a map of asthma-triggering “hot spots” across Louisville. The ground-breaking approach to asthma management helps citizens – especially people living with asthma and COPD – understand the link between their health and air quality.

OHIO:

No child should have to struggle for air. But that’s the reality for more than 325,000 children with asthma across Ohio. Kids with asthma face countless challenges throughout their childhood, some leading to hospitalization and even death. According to the American Lung Association in Ohio, asthmatic children face enough challenges. Being able to play shouldn’t be one of them.

This year, the American Lung Association in Ohio hosted workshops for athletic coaches in Cincinnati area schools. The project, called CAARE For Student Athletes, aimed to teach coaches across the greater Cincinnati area about asthma.

The coaches, who are often not trained to handle specific medical emergencies, learned about the dangers of asthma, how to recognize symptoms and triggers, and what they can do to potentially save the lives of their asthmatic athletes in an emergency.

The American Lung Association and CAARE For Student Athletes have

helped over 400 athletic coaches earn the skills to better manage their player’s asthma.

TENNESSEE:

90% of smokers start when they are children. And the best way to prevent tobacco-related illness and death is to keep kids from starting to smoke in the first place.

The American Lung Association in Tennessee is eliminating tobacco’s hold on children through a new grant from the Tennessee Tobacco Settlement. The grant, which aims to combat the toll tobacco takes on citizens, awarded a total of $15 million over three years to counties across the state with one goal in mind: prevent child and adolescent tobacco use.

45 counties across Tennessee chose to employ the American Lung Association’s Teens Against Tobacco Use (TATU) program to accomplish this goal. TATU is a peer-to-peer education program which empowers teens to teach elementary students about the harmful effects of tobacco, peer pressure, tobacco advertising, and the positive aspects of being tobacco free.

In the first year, the American Lung Association has trained 112 adult facilitators and reached over 500 teens as peer educators.

PROGRAM HIGHLIGHTS

9 | Lung Health

Bett er Breathers Clubs (BBC) are support groups for patients with COPD (chronic obstructive pulmonary disease) or other lung diseases such as asthma, idiopathic pulmonary fi brosis [IPF], lung cancer, and their caregivers. These support groups provide lung disease patients the tools needed to live the best quality of life they can.

The American Lung Association of the Midland States supports 36 active BBCs across the region. These groups range from as small as 5 to as many as 50 members.

BBCs meet regularly and feature educational presentations on a wide range of relevant topics including breathing techniques, talking with your physician, medications and other treatment options, supplemental oxygen, and much more.

Mark Modich, a member of the Beaumont Health System BBC in Royal Oak, MI, says he gains new knowledge at the monthly meetings, and has really liked all of the topics they have covered, but especially the one on meditation. BBC member

Roosevelt Kirk agrees. He says all of the meetings have been his favorite, and he likes that they cover a variety of topics. Kirk says he takes those meetings seriously, and has seen much progress since starting about eight years ago.

These clubs do provide more than education on lung disease topics for patients and their families, however. They also promote the skills that will enable people with chronic lung disease to better manage their condition. And, perhaps most importantly, these meetings enable members to give and receive support by talking about how they manage their disease.

The groups offer members a sense of acceptance and friendship that they may not fi nd elsewhere. Some topics can be diffi cult or impossible to discuss with family members or close friends; it is often easier to discuss some issues with other patients.

Modich explained that being a part of a group and meeting other people with lung disease has been one of the most helpful parts of the BBC.

He has asthma, but fi nds that he and the other patients, no matter what the lung disease, all share similar experiences. Kirk, who has been diagnosed with COPD, also fi nds talking with others helpful. He says he’s been through the same thing they’re going through, and likes to tell them that he’s been there and has made so much progress. Kirk also like to be the “class clown” and keep everyone laughing. He says these meetings help to keep him alert and brightens his day.

Our Beaumont Health System Club in Royal Oak, MI with more than 50 active members was the largest team and highest fundraising team at our Detroit LUNG FORCE Walk. They raised $3,077 and had a total of 77 members, friends, and family members participating.MICHIGAN:

Lung Health | 10

Lung cancer is an urgent health crisis in America,

killing more people than any other cancer. The American Lung Associati on is dedicated to reducing lung cancer’s terrible toll. We launched LUNG FORCE to make lung cancer a nati onal priority. We’ve signifi cantly increased our lung cancer research funding, and are conti nually developing and improving support resources for lung cancer pati ents and their caregivers.

11 | LUNG FORCE

LUNG FORCE Walks brought together those fi ghti ng for lung health to raise funds for research, advocacy, educati on and awareness. In fi scal year 2015 we held walks in Cleveland, OH; Columbus, OH; Detroit, MI; Louisville, KY; and Nashville, TN.

In fi scal year 2015, our LUNG FORCE Expo in Lexington, KY offered education and support for lung disease patients, caregivers and healthcare providers.

LUNG FORCE | 12

TURQUOISE TAKEOVER CEDAR POINT AMUSEMENT PARK

ONE DETROIT CENTER

KENTUCKY PERFORMING ARTS CENTER

BRIDGESTONE ARENA

BIG FOUR BRIDGE - LOUISVILLE

During Nati onal Women’s Lung Health Week

– the second week in May – LUNG FORCE

TURQUOISE TAKEOVER turned the country

turquoise. Social media, newspapers, building

and landmarks all turned turquoise to get the

word out that lung cancer is the #1 cancer

killer of women.

Find out more about at LUNGFORCE.org

13 | Advocacy

KENTUCKY:

Tobacco use remains the leading cause of preventable death and disease in the United States. With this in mind, fighting for lung health continued to be a top priority for the American Lung Association in Kentucky - a state which leads the country in smoking and tobacco use.

After a year-long grassroots campaign rallied the public support of Governor Steve Beshear, a comprehensive smokefree bill was introduced in both the House and Senate. However, after passing in the House, the bill was pushed to a committee and defeated in the Senate.

Despite the defeat of statewide legislation, the American Lung Association in Kentucky is proud to report that 25 municipalities across the state have enacted comprehensive local smokefree ordinances, protecting up to 31% of the state’s population. The fight for statewide Smoke Free laws will continue into 2016 with the continued support of the Governor and grassroots activists.

In addition, the American Lung Association in Kentucky participated in a Health Impact Forum with Dr. Thomas Frieden, Director of the U.S. Centers for Disease Control and Prevention, and hosted by U.S. Congressman Hal Rogers (KY-5th District) in Morehead, Kentucky. The session looked at the heavy burden of cancer, heart disease and diabetes in the Appalachian region of Kentucky and focused on finding solutions.

MICHIGAN:

High levels of pollution can cause severe asthma attacks, heart attacks and strokes. And yet, more than 4 in 10 people in the United States live in areas with unhealthful levels of ozone. The most significant health impacts come from the air emissions from burning fossil fuels, in particular, though not exclusively, from coal-burning power plants. That’s why advocating for healthier outdoor air has remained a top priority for the American Lung Association in Michigan.

When the EPA announced the Clean Power Plan, a historic and important

step in reducing carbon pollution from power plants, staff and volunteers worked with American Lung Association of the Midland States Board and local American Lung Association Regional Leadership Council members to garner support for the updated federal pollution standards through letters to the editor, meetings with state senators, and presentations to health organizations.

Efforts resulted in over 500 public cards of support for the Clean Power Plan and will continue in order to defend and promote clean air policies across the region.

OHIO:

Climate change is one of the most serious public health challenges of our day. Scientists say that warmer temperatures can enhance the conditions for lethal air pollutants, including ozone and particle pollution, and increase the risk of unhealthy air.

To combat this problem, The American Lung Association in Ohio launched a brand new

ADVOCACY HIGHLIGHTS

Our Vision A world free of lung disease.

Advocacy | 14

initiative enlisting the help of Ohio medical experts to raise awareness of the importance of a healthy climate. “Doctors and Nurses for Climate Health”, a social media campaign, features photos of medical professionals with statements supporting clean air for themselves, friends, relatives, and patients. By highlighting the medical community’s strong support for climate policies, the American Lung Association hopes to raise awareness of the damaging health effects of ozone, pollution, and global warming.

The American Lung Association in Ohio also hosted an event for viewing and discussion of the historic White House Summit on

Climate Change and Health in Washington DC. Speakers at the White House included National American Lung Association Board Member and American Lung Association of the Midland States Board Member Dr. Sumita Khatri and National President and CEO of the American Lung Association Harold P. Wimmer. They discussed what must be done to protect those especially vulnerable to the effects of poor air quality, like children and older adults, and to prevent health-related impacts of climate change. The event at The Ohio State University featured a webcast of the Summit and discussion hosted by Dr. Richard Spinrad, the Chief Scientist from the National Oceanic and Atmospheric Administration.

In addition to increasing the tax on tobacco products and defeating all attempts to weaken the Clean Air Act, the American Lung Association in Ohio successfully helped to pass legislation raising the minimum age to purchase tobacco products to 21 in two communities. The policy, which will protect citizens in Bexley and New Arlington, is part of a nationwide movement to save the lives of young people who fall victim to the tobacco industry.

TENNESSEE:

The American Lung Association in Tennessee assisted in re-establishing a Smoke-Free Tennessee Coalition to fi ght for statewide tobacco free legislation. The coalition, which represents a variety of non-profi t organizations, health care providers, and insurance groups, will coordinate with local and state governments to create new policies protecting lung health. Working together, they hope to save lives across Tennessee by raising taxes on tobacco products and getting more citizens into smoking cessation programs.

Our vision is a world free of lung disease. To get there, we must support laws, rules and policies that IMPROVE LUNG HEALTH, reduce tobacco use and clean up polluti on in the air we breathe.

With your help, we ensure policymakers pay att enti on to issues that aff ect lung health and TAKE ACTION to pass laws and put in place programs that will save lives by improving lung health and preventi ng lung disease.

Abe & Ida Goldwin Memorial TrustActelion Pharmaceuticals US, Inc.Advance Financial 24/7Albert & Olive Schlink FoundationAllegro Realty Advisors, Ltd. The Allergy and Asthma GroupAmerican Heart Association, Great Rivers Affiliate

American Lung Association National Office

AmerigroupAmerisourceBergenAnthem Blue Cross and Blue Shield Foundation

AstraZeneca PharmaceuticalsAVAYA Averitt Express AVI Foodsystems, Inc. Baker & Hostetler LLP Baker, Donelson, Bearman, Caldwell & Berkowitz, PC

Bank of America Charitable FoundationBaptist Health LexingtonBaxter International Inc.BayerBaylor School-Chattanooga, TNBDIBlueCross BlueShield of MichiganBlueCross BlueShield of Tennessee Health Foundation

Bluegrass OxygenBoehringer IngelheimBonded Filter CompanyBravo Wellness Brenda Lawson & Associates

Brown-Forman CorporationByerly Ford-NissanCalfee, Halter and Griswold LLP The Cambridge Charitable FoundationCareSourceCaretendersCDW Center for Clinical & Translational Science & Training: Community Leaders Institute

Chambliss, Bahner & Stophel, P.C.Chattanooga Allergy ClinicChattanooga Funeral Home Crematory and Florist

Cigna-HealthSpringCisco SystemsCity of ChattanoogaClara Weiss FoundationCleveland Clinic Covenant Allergy & Asthma Care, PLLCCSL BehringCutter CaresData2 Logistics The Delek Fund For Hope of the Community Foundation of Middle Tennessee

Deloitte DominionDonna & Harry B McDonald Charitable Trust

East Brainerd AutoElliott Davis Decosimo, LLCEMC2Emke Family FundEnergy Foundation

Enterprise Holdings FoundationE-Rate CentralErlanger Health SystemErnst & Young US, LLPExpress ScriptsE-Z Breathe Fifth Third BankFirst Tennessee BankFive Star Trucking Fraternal Order of Eagles, Ladies’ Auxiliary

The Fred A Lennon Charitable TrustFreeman Webb CompanyFresh Mark Employees Civic FundFultz Maddox DickensFun Runs, LLCGalen Digestive HealthGalen Medical Group, P.C.Genentech, Inc.Hahn Loeser & Parks LLP Harris Products Group Harrodsburg/Mercer County Tourist Commission

Thw Harry W. & Margaret Moore Foundation

HealthEx CorpHenderson, Hutcherson & McCullough, PLLC

Henry Ford Health SystemHewlett Packard Hub Group, Inc. Huntington Insurance IBM Corporation InnovatixIntegration Partners

15 | Corporate & Foundation Support

The American Lung Association of the Midland States gratefully acknowledges the following for their outstanding leadership in supporting our mission.

The James B. Oswald Company Janitorial Services, Inc. Jean Armstrong TrustJMD Group, LLCJoerns RecoverCareJones Lang LaSalleKarmanos Cancer InstituteKentuckiana Pulmonary AssociatesKeyBank Capital Markets Kimberly Clark FoundationKindred HealthcareKindred Hospital ChattanoogaKindred Hospital DaytonKindred Hospital NashvilleKosair Charities Committee, INCKPMG LLP KTG,Inc.Lake Providence Missionary Baptist Church

Law Offi ces of Michael A. Capuzzi, PA The Lincoln Electric Company LUNG FORCE – American Lung Association

Materion Corporation MatureCare of Standifer Place, LLCMcCright & AssociatesMcKee Foods CorporationMedAssetsMedCallMemorial Health Care SystemsMetrohealth Mildred M. Grabda Charitable Foundation

Mustang Leadership Partners, LLCNationwide Children’s HospitalNationwide Mutual Insurance CompanyNorton HealthcareThe Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute

OpTech, LLCOwsley Brown ll Family Foundation, IncP.K. Wadsworth Heating & Cooling, Inc.Papa John’s USAPassport HealthThe Patten Group, Inc.Perkins Coie Pfi zerPharMericaPiedmont Natural GasPilot Freight Services PNC BankPorsche of ChattanoogaPremier RadiologyProfessional Travel, Inc. Public Education Foundation -Chattanooga, TN

PwCReata PharMaceuticals, Inc.River Road Asset Management,LLCRockcastle Regional Hospital and Respiratory Care Center

RPM International Inc. Schiele Family Fund of The Dayton Foundation

Select Medical CorporationSiskin Hospital for Physical Rehabilitation

Softmart St. Vincent Charity Medical Center

Stifel NicolausSunTrust BankSweetwater Valley Oil, Inc.Thomas Brothers Construction CompanyTowers Watson TriHealthTrust of Jean ArmstrongTucker Ellis, LLP TWH Architects, Inc. UBS Financial Services. Inc.UK HealthCareUnited Way of Greater CincinnatiUniversity Oncology and Hematology Associates

UPSUSPack LogisticsUTC College of Health, Education and Professional Studies

UTC Foundation, Inc. - Offi ce of the Chancellor

UTC School of EducationVanderbilt University Medical CenterVanMeter/Barnhart Family FundVerizon WirelessVolkswagen Group of America-Chattanooga Operations, LLC

Wellness IQ Wolff Brothers Supply, Inc. Wood & Marie Hannah Foundation

Corporate & Foundati on Support | 16

Chris Mapes, CEO, Lincoln Electric, Barry Gottschalk, CEO, American Lung Association of the Midland States and ALAMS Board member, Rick Trivisonno.

Thanks to Lincoln Electric for their long-standing support of the Cleveland, OH Golf Tournament.

17 | Legacy Society

Mr. & Mrs. Mel AlsobrooksMs. Audrey E. ArbuckleLee Ann Baggott, MD, FCCPJack BarronRobert BathTurney BerryDorothy S. CappsMs. Ardis CaswellJenna J. CavinDr. Mann-Mann Amy ChuangDr. Wuu-Shung ChuangJohn & Linda CloudJo Ann DiemerCarolyn EmbryMr. & Mrs. Robert J. FloroJoan B. FowlerMr. Richard GarrettHerbert N. GlassTammy GlassLa Donna GoldenMr. Barry GottschalkMiss Ryan E. GraneyJoseph GreeneMs. Rosanne HartmanJames HeppertMatthew & Cathryn HerbertMs. Eleanor JacobsonJohn JentelsonDenise Jordan

Mrs. Marilyn KruegerJudith LathamMs. S. C. LileDeborah LivelyThomas LivelyMs. Menisa MarshallDonald R. MarstonKenneth MaxwellWilliam McKayMr. Robert L. MilesMr. & Mrs. David W. MillerDavid & Vickie MiracleMr. & Mrs. John MullinsMr. & Mrs. Jason MyersMs. Leslie NewmanRaymond A. Norwood IIIIrene PadgettPoppy ParkerGloria ParsonsMrs. Margaret PercicDr. Barbara Anne PhillipsDr. & Mrs. Robert PowellMr. John ReissFrederick RoosRobin RothMr. Sal D. RukiehMs. Emalee SchavelMarjorie SchneiderLinda Silletto

Mr. Djien SoDr. Leonor Pagtakhan-SoC. A. SpicerJeff StephensBen Storer, MDLloyd TellerMs. Mindy ThompsonIrene VandiviereDon & JoAnn VogelMs. Patricia J. VolzHarvey WeitkampVanita WeyerMary WheelerDr. Joe WinsteadMrs. Jessie L. WrennMr. & Mrs. David YbarraDr. Michael Zachek

The Legacy Society recognizes supporters who have remembered the American Lung Association through their estate plans. The generosity of Legacy Society members helps us continue to fi ght for a world free of lung disease, and we are deeply grateful for each enduring commitment to our cause.

STATEMENT OF FINANCIAL POSITIONAS OF JUNE 30, 2015 AND 2014

ASSETS

Current Assets

Cash and cash equivalents

Accounts receivable

Prepaid expenses and other assets

Current portion of note receivable

2015 2014

$ 7,440,463

79,674

44,352

291,170

$ 2,598,080

137,163

47,599

9,943

Total Current Assets 7,855,659 2,792,785

Investments

Interest in net assets held by others

Beneficial int. charitable foundation trusts

Note receivable

Beneficial interest in gift annuities

Property and equipment, net

243,632

138,705

1,283,674

—

14,257

121,274

236,575

157,955

1,296,245

292,029

34,781

126,051

Total Assets $ 9,657,201 $ 4,936,421

LIABILITIES AND NET ASSETS

Current Liabilities

Accounts payable

Accrued expenses

Deferred revenue

$ 133,531

321,915

73,384

$ 201,387

135,561

219,029

Total Current Liabilities 528,830 555,977

Defined benefit plan liability

Accrued long term expenses

Gift annuity obligations

287,385

442,282

127,291

569,649

—

131,743

Total Liabilities

Net Assets

1,385,788

8,271,413

1,257,369

3,679,052

Total Liabilities And Net Assets $ 9,657,201 $ 4,936,421

STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETSFOR THE YEARS ENDED JUNE 30, 2015 AND 2014

REVENUE 2015 2014

Direct mailSpecial events*Promotions

$ 2,490,5901,440,891

71,613

$ 2,729,7161,384,192

98,733

Total public support 4,003,094 4,212,641

Bequests and memorialsWorkplace givingIndividual giftsCorporate giftsFoundation giftsIn-kind contributions

7,746,541201,627130,817

4,99923,641

238,172

1,794,553265,911135,512

7,84014,532

170,734

Total contributions 8,345,797 2,389,082

Grants**Program service feesInterest and dividendsMiscellaneous

397,824101,558

42,91151,929

360,53984,16325,46336,291

Total other revenue 594,222 506,456

Total revenue 12,943,113 7,108,179

EXPENSES

ResearchTobacco controlLung Cancer, Asthma, Other Lung DiseaseEnvironmental health and AdvocacyCommunity health services

$ 1,463,4731,183,3502,523,563

914,528547,606

$ 1,114,5381,211,6661,991,510

759,648512,736

General and administrativeFundraising

676,1061,104,328

576,503906,794

Total expenses 8,412,954 7,073,395

Changes in Net Assets from Operations 4,530,159 34,784

OTHER INCOME (EXPENSES)Unrealized gain (loss) on investmentsRealized gain (loss) on investmentsLoss on sale of property and equipmentChange in split interest agreementsMinimum pension liability

Total other income (expenses)

(13,617)(187)

(2,953)14,57764,382

25,54222

(47,942)198,292

(109,986)

62,202 65,928

Change In Net Assets 4,592,361 100,712

NET ASSETS

Beginning of year 3,679,052 3,578,340

End of year $ 8,271,413 $ 3,679,052

* Net after FY15 direct expenses of $505,733 and FY14 expenses of $532,548** Includes grants from other nonprofits, government, foundations, ALA national and corporate.

Community Health Services 8%

Environmental Health & Advocacy 14%

Research 22%

PROGRAM SERVICES

Tobacco Control 18%

Lung Cancer, Asthma, COPD & Other Lung Diseases 38%

Program Services 79%

Administration 8%

Fundraising 13%

OPERATING EXPENSES

Fiscal Year 2015 Financials | 18

2 0 1 5 | ANNUAL REPORT

OFFICES

Kentucky4100 Churchman AvenueLouisville, KY 40215502-363-2652

Michigan1475 E. 12 Mile RoadMadison Heights, MI 48071248-784-2000

PO Box 966Grand Blanc, MI 48480248-220-5210

Tennessee1466 Riverside Drive, Suite DChattanooga, TN 37406423-629-1098

One Vantage Way, Suite C-120Nashville, TN 37228615-329-1151

Ohio4050 Executive Park Drive, Suite 402Cincinnati, OH 45241513-985-3990

5900 Wilcox PlaceDublin, OH 43016614-279-1700

6100 Rockside Woods Blvd., Suite 260Independence, OH 44131216-524-5864

PO Box 415Sandusky, OH 44871419-663-5864

Midland@Lung.org

800-LUNG-USA | MidlandLung.org

The American Lung Association of the Midland States is a recognized public charity under Section 501(c)(3) of the Internal Revenue Code and is registered to do business in the states of Kentucky, Michigan, Ohio and Tennessee.

O F T H E M I D L A N D S TAT E SSer v ing Kentucky, Mich igan , Oh io and Tennessee