O F T H E M I D L A N D S TAT E S S er vin g Ken tu c ky, M ic h iga n , O h io and Te nne sse e JOIN US IN THE FIGHT FOR AIR | 3 After several years of financial difficulty, we are happy to report that the American Lung Association of the Midland States has recorded its second consecutive year in the black. We are proud of this accomplishment and recognize this would not have been possible if not for the continuing generous support or our donors and volunteers, the hard work and sacrifices of our Midland States staff, and the excellent volunteer leadership of our Midland States Board of Directors. Despite the nation’s continued economic downturn during this past year, our donors have remained resolute in supporting the critical work of the ALA. For this, we are sincerely grateful. Perhaps the best example of our fund-raising successes within our region is our special events. The Fight for Air Stair Climb in Detroit was the eighth highest grossing stair climb in the country. Other successful stair climbs were held in Cincinnati, Cleveland and Columbus while Fight for Air Walks were held in Nashville, Knoxville, Louisville, Cleveland, Columbus and Anna (Ohio). Our Kentucky Bike Trek to Shakertown celebrated its 26th successful year, Louisville’s Kentucky Derby Eve Gala reached its 17 year anniversary, and our Cleveland golf tournament marked its 19th year. All of these enduring events are a true testament to the dedicated volunteers, skilled staff and many generous donors and participants working together in the fight against lung disease. Revenue generated from these events and from other fundraising programs have allowed us to further advance our mission this year. We direct you to pages 4-6 to see how your support is impacting the lives of lung disease patients and their families in communities throughout our 4-state region. As we look ahead to next year, we pledge to continue being good stewards of the funds you have entrusted to us and to put our resources to work through programs of education, medical research and advocacy. On behalf of the many thousands of our fellow citizens who benefit from the work of the ALA, we thank you for choosing to be a part of the Fight For Air. Harry Perlstadt, PhD, MPH Board Chair Barry Gottschalk President and Chief Executive Officer MidlandLung.org | 800-LUNG-USA 4 | JOIN US IN THE FIGHT FOR AIR LUNG DISEASE After hosting an Asthma 1-2-3 program in her school, Principal Christine Sermak of Williamston Middle School decided to have her own child checked for asthma. “I was eager to learn more about asthma and what we could do as a building to ensure the safety of our students and staff,” said Sermak. “But it also prompted me to make an appointment for my five-year-old daughter with her physician.” After being presented with the Asthma 1-2-3 education, Sermak made connections to her daughter’s health. “I thought to myself, ‘Yes, she experienced prolonged coughing at night, has dark circles underneath her eyes and a pale face, has allergies, recently complains of a headache.’ I exited the session and went right for my phone to contact her doctor.” Sermak’s daughter was diagnosed with asthma within three weeks of Williamston Middle School’s Asthma 1-2-3 training session. “I was educated enough through our training session at the middle school to feel comfortable asking questions while at the doctor’s office,” said Sermak. Lexie & Christine Sermak PROGRAM INITIATIVES PUBLIC EDUCATION OUTREACH Among the many program activities in the last year, ALAMS staff held 11 Freedom From Smoking (FFS) program facilitator trainings reaching 82 people, who are now able to conduct ALA programs in their communities. We helped over 1,300 people quit smoking with 889 people attending FFS clinics and 621 participating in FFS Online. American Lung Association programs provide tools and information to help lung patients. These include classes and support groups; My Fighting for Air Community to create a support network for patients; access to Call to Action: Lung Cancer Clinical Trials; interactive treatment decision tools; and more. Currently there are 19 active Better Breathers Clubs for patients with COPD and their families across our region. The Open Airways for Schools program helped over 400 children better manage their asthma and the Asthma 1-2-3 program trained over 2,600 school personnel on how to care for children with asthma. Asthma Educator Institutes helped prepare over 60 healthcare professionals to sit for the National Asthma Educator exam while increasing their skills and knowledge for patient interactions. And, our free Lung HelpLine provided counseling and answers to lung health questions from over 2,600 individuals in our region. ALA’s special lung health reports are: January’s annual State of Tobacco Control providing grades based on state levels of cessation coverage, smokefree air laws; tobacco prevention and control spending and the cigarette tax rate; April’s annual State of the Air reporting on local levels of ozone and particle pollution, including the health risks associated with each; And special reports on lung health disparities: Too Many Cases, Too Many Deaths: Lung Cancer in African Americans; Tobacco Use in the LGBT Community; and Missed Opportunities: Influenza and Pneumonia Vaccination in Older Adults. MidlandLung.org | 800-LUNG-USA JOIN US IN THE FIGHT FOR AIR | 5 ADVOCACY Former Cincinnati Bengal star Elbert “Ickey” Woods may be best known for the 15 touchdowns he made his rookie season or his famous touchdown celebration, the Ickey Shuffle. But Ickey has been creating a new legacy in the advocacy work he has been doing with the American Lung Association in honor of his son Jovante Woods. On August 14, 2010, at the age of 16, Jovante, an excellent student and promising football player, died suddenly from a severe asthma attack. Ickey and Jovante’s mother Chandra Woods have been inspired by the loss to educate about the dangers of air pollution in their home city of Cincinnati. Ickey has flown to Washington, D.C., to meet with legislators and take part in a press conference as part of the American Lung Association’s clean air advocacy day. The Woods have spoken to the media, reached out to community leaders, and participated in panel discussions all on how important clean air is to people with asthma, especially children. The Woods shine as examples of taking tragedy and creating hope for others. ADVOCACY INITIATIVES The American Lung Association has made great strides this year in advocacy in the areas of tobacco control, clean outdoor air and radon. We worked with partners in Tennessee to secure state funding for smoking cessation medications and counseling for Medicaid recipients. In Kentucky, we introduced a comprehensive, statewide smoke-free law in the state legislature and passed 5 local smoke-free ordinances. In addition, 5 new Kentucky school districts adopted 24/7 tobacco-free school policies, bringing the state total to 18. Kentucky also passed a radon licensure bill requiring all radon professionals to become certified to install effective radon mitigation systems. In Ohio, we assisted the Ohio State Board of Education in adopting a model tobaccofree schools policy, leading to many school districts adopting new policies. In Michigan, we successfully defeated attempts to reduce the cigarette tax and weaken the smoke-free public places law. And, in both Ohio and Michigan, we organized strong coalitions of healthcare professionals to promote clean outdoor air and defend against attacks on federal legislation designed to weaken laws against air pollution. IMPACT Elbert “Ickey” Woods & Peter Iwanowicz Clean Air Advocacy Day - Red Carriage Campaign Now smokers on Medicaid in Tennessee will have the help they need to quit for good. Kentucky, Michigan, Tennessee and Ohio’s populations will all benefit from the state and local smoke-free laws, tobacco pricing strategies and school policies, which mean fewer heart attacks and fewer asthma attacks in the short-term as well as fewer instances of cancer in the long-run. Radon awareness in the state of Kentucky has increased. Now more people will test their homes for radon, the second leading cause of lung cancer, and if they have a problem, they can now count on a qualified professional to fix it. Strong air pollution laws will lead to clean air for everyone, and reduce the number of asthma attacks, heart attacks and other diseases caused by air pollution. All of these measures to improve health translate to health care cost savings. MidlandLung.org | 800-LUNG-USA 6 | JOIN US IN THE FIGHT FOR AIR RESEARCH “Lung Cancer Vaccine Designed to Induce Immune Response” was just one of the research projects funded by the American Lung Association during 2010-2011. The work was conducted by John Eaton, PhD, at the University of Louisville and funded through the distinguished Lung Cancer Discovery Award in a partnership between the American Lung Association and the LUNGevity Foundation. Both tumors and embryos produce certain genes that are not present in normal adult organisms. Adults mount an immune-system response to some of these genes, allowing the researchers to design a a vaccine to take advantage of this immune response. The vaccine is meant to prevent cancer. Early studies have found that mice receiving this vaccination are 80-100% protected against the growth of implanted lung tumors. The vaccine also protects against the development of lung cancer induced by a carcinogen. If further vaccine studies are successful with mice, the researchers will lay the groundwork for the design of a similar vaccine for humans. PROGRAMMING Including Dr. Eaton’s work, 13 research projects were funded by the American Lung Association in the Midland States’ territory during 2010-2011. They were: Katsuhide Okunishi, MD, PhD, University of Michigan - Ann Arbor, MI Inflammation and Lung Scarring – Senior Research Training Fellowship Anne-Karina Perl, PhD, Children’s Hospital Medical Center - Cincinnati, OH COPD – Biomedical Research Grant Yui-Hsi Wang, PhD, Children’s Hospital Medical Center - Cincinnati, OH Asthma – Allergic Disease Award Nives Zimmermann, MD, Children’s Hospital Medical Center - Cincinnati, OH Asthma – Allergic Disease Award Amal Amer, MD, The Ohio State University - Columbus, OH Lung Infections – Biomedical Research Grant Anasuya Sarkar, PhD, The Ohio State University - Columbus, OH Lung Injury – Biomedical Research Grant Estelle Cormet-Boyaka, PhD, The Ohio State University - Columbus, OH COPD, Smoking & Air Pollution – Biomedical Research Grant Evelina Guirado, PhD, The Ohio State University - Columbus, OH Tuberculosis – Senior Research Training Fellowship John Mastronarde , MD, The Ohio State University - Columbus, OH Asthma Clinical Research Center Tracey Bonfield, PhD, Case Western Reserve University - Cleveland, OH Asthma – Biomedical Research Grant Vera Moiseenkova-Bell, PhD, Case Western Reserve University - Cleveland, OH Asthma – Biomedical Research Grant John Eaton, PhD Research Grant Recipient MidlandLung.org | 800-LUNG-USA Arne Rietsch, PhD, Case Western Reserve University - Cleveland, OH Diseases of Infants and Children – Biomedical Research Grant JOIN US IN THE FIGHT FOR AIR | 7 FINANCIAL REPORT Program Services 2011 $ 3,457,918 959,672 186,023 4,603,613 1,037,414 286,542 108,517 19,848 64,392 137,416 1,654,129 180,894 83,242 19,073 35,210 318,419 6,576,161 2010 $ 3,731,926 1,005,334 215,050 4,952,310 1,235,119 330,560 103,421 37,321 90,911 154,090 1,951,422 537,499 88,357 56,488 42,857 725,201 7,628,933 $ 603,110 1,287,039 1,088,193 918,996 602,813 451,501 $ 744,476 1,562,521 1,256,613 1,034,672 789,597 616,885 General and administrative Fundraising 705,646 859,915 732,864 865,671 6,517,213 58,948 7,603,299 25,634 (21,184) 137,201 295,172 199,161 45,077 655,427 714,375 276,315 (84,871) — 93,045 (98,123) 186,366 212,000 2,514,577 $ 3,228,952 2,302,577 $ 2,514,577 Contributions Public REVENUE Direct mail Special events* Promotions Total public support Bequests and memorials Workplace giving Individual gifts Corporate gifts Foundation gifts In-kind contributions Total contributions Grants** Program service fees Interest and dividends Miscellaneous Total other revenue Total revenue EXPENSES Research Tobacco control Other lung disease Asthma Environmental health Community health services Total expenses Changes in Net Assets from Operations OTHER INCOME (EXPENSES) Unrealized gain (loss) on investments Realized loss on investments Gain on sale of property and eqipment Change in split interest agreements Minimum pension liability Change In Net Assets NET ASSETS Beginning of year End of year * Net after FY11 direct expenses $439,900 and FY10 expenses $408,106 ** Includes grants from other nonprofits, government, foundations, ALA national and corporate. 13¢ PROGRAM SERVICES Fundraising 76¢ Other revenue Where Does Your Dollar Go? STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS FOR THE YEARS ENDED JUNE 30, 2011 AND 2010 Program services STATEMENT OF FINANCIAL POSITION AS OF JUNE 30, 2011 AND 2010 2011 2010 ASSETS CURRENT ASSETS Cash and cash equivalents $ 1,526,914 $ 170,847 Accounts receivable 91,443 170,585 Prepaid expenses and other assets 43,045 55,133 Current portion of note receivable 8,251 — Due from restrictions 26,362 41,404 Total Current Assets 1,696,015 437,969 240,157 1,804,584 INVESTMENTS INTEREST IN NET ASSETS HELD BY 119,846 103,893 OTHERS BENEFICIAL INTEREST IN 1,050,912 CHARITABLE FOUNDATION TRUSTS 1,216,381 — NOTE RECEIVABLE 318,999 BENEFICIAL INTEREST IN GIFT 90,282 ANNUITIES 79,225 1,166,239 PROPERTY AND EQUIPMENT, NET 1,051,289 Total Assets $ 4,721,912 $ 4,653,879 LIABILITIES AND NET ASSETS CURRENT LIABILITIES Current portion of long-term debt $ 13,518 $ 12,607 Current portion of capital lease obligation 21,519 19,264 Line of credit — 375,000 Accounts payable 108,529 284,760 Accrued expenses 112,572 142,318 Deferred revenue 147,112 138,065 Due to restrictions 26,362 41,404 Defined benefit plan liability– Midland States 379,859 424,936 Total current liabilities 809,471 1,438,354 LONG-TERM DEBT 464,007 477,524 CAPITAL LEASE OBLIGATION 70,517 92,036 GIFT ANNUITY OBLIGATIONS 148,965 131,388 Total Liabilities 1,492,960 2,139,302 Net Assets 3,228,952 2,514,577 Total Liabilities And Net Assets $ 4,721,912 $ 4,653,879 11¢ Administration Community Health Services 9.12% Environmental health 12.17% Research 12.18% Asthma 18.56% Tobacco control 25.99% Lung disease 21.98% MidlandLung.org | 800-LUNG-USA 8 | JOIN US IN THE FIGHT FOR AIR Our Donors The American Lung Association of the Midland States gratefully acknowledges the following for their outstanding leadership in supporting our mission. AT & T Act, Inc. Advanced Health Media-Novartis Albert & Olive Schlink Foundation Allergy Associates Alter Ego, Inc. Anthem Blue Cross and Blue Shield Astra Zeneca Pharmaceuticals AVI Foodsystems B4 Home Group Baxter Healthcare Corporation Baylor School BDI Bellevue Hospital Blood Assurance, Inc. Blue Cross Blue Shield Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Tennessee Community Trust Bluegrass Oxygen Bowers Automotive Group Brown Forman Corporation Byerly Ford Capital Toyota Capuzzi, Michael Law Offices Carmax Foundation Carter Farms Catholic Healthcare Partners CDW Central Baptist Hospital Chattanooga Allergy Clinic Cleveland Clinic Clinix Healthcare Columbus Cyberknife, LLC Community Foundation Middle Tennessee Commonwealth Respiratory Consultants Community Foundation of Greater Chattanooga Community Foundation for Southeast Michigan Cool Springs EyeCare Creative Educational Concepts Cutter Cares Dale L. Buchanan & Associates Dominion-East Ohio DTE Energy Foundation E-Z Breathe Ventilation Systems EMH Healthcare Envirotest Systems MidlandLung.org | 800-LUNG-USA Electric Power Board of Chattanooga Erlanger Medical Center Ernst & Young Family Allergy & Asthma of Kentucky and Southern Indiana Fastline Publications Fifth Third Bank First Tennessee Bank First Call Ambulance Service Fisher Titus Medical Center Five Star Trucking Freeman Webb Gannett Foundation Genentech General Plug & Manufacturing Goldstein, Fox, Sterne, Kessler Great American Insurance Company Hahn Loeser & Parks LLP Hamico, Inc. Harris Products Group Harrodsburg/Mercer County Tourist Commission Harry W. & Margaret Moore Foundation HCA/TriStar Healthcare Strategy Group Henry Ford Health System Hewlett Packard Honey Baked Ham Company Hub Group, Inc. Huntington Insurance IBM INSPIRIS Invacare James B. Oswald Co. Jewish Hospital & St. Mary’s Healthcare Johnson & Johnson Jones Day JSI Janitorial Services Kendle International, Inc. Kentuckiana AIR Education Keybank National Association KeyBanc Capital Markets Kindred Foundation Kindred Healthcare Lake Providence Missionary Baptist Church Lattimore, Black, Morgan & Cain, P.C. Level 3 Lexus of Chattanooga JOIN US IN THE FIGHT FOR AIR | 9 Our Donors Lincoln Electric Foundation Lookout Medical Services Louisville/Jefferson County Revenue Commission Louis & Melba Schott Foundation Louisville O2, Inc. Materion MedAssets Medical Service Co. Medical Mutual of Ohio Memorial Health Care System - Chattanooga Mercy Hospital Mid-Ohio Region, Porsche Club of America Miller & Martin Mitsubishi Electric Automotive America, Inc. Molina Healthcare of Ohio Mid-Ohio Regional Planning Commission Mustang Leadership Foundation National Auto Care Corporation Nationwide Children’s Hospital Norton Healthcare Park National Bank Perkins Cole Pfizer, Inc. PharMerica Corporation Pilot Corporation Professional Respiratory Services, LLC Professional Travel PSF, PLLC Pulmonary & Critical Care Consultants RecoverCare River City Rockcastle Regional Hospital & Respiratory Care Center Rosetta Marketing RPM Scripps Howard Foundation Siskin Hospital for Physical Rehabilitation Softmart St.Vincent Charity Medical Center State-Wide Express, Inc. Stone Services, LLC Talecris Biotherapeutics Tennessee Valley Authority Teva The Kroger Company Foundation The Lubrizol Foundation TK Carsites Tennessee Radon Program Towers Watson United Way of Greater Cincinnati The University of Tennessee at Chattanooga University of Kentucky UPS UPS Foundation US Xpress Enterprises, Inc. US Bank University of Tennessee Medical Center Vanderbilt University Medical Center Walter H. & Peg Meyer Foundation WellPoint, Inc. Wells Fargo Whitesell Law Offices Wolff Bros. Supply Young Women’s Leadership Academy Foundation Young Women’s League Yum! Brands Foundation MidlandLung.org | 800-LUNG-USA 10 | JOIN US IN THE FIGHT FOR AIR Board of Directors Harry Perlstadt, Ph.D., MPH, Chair East Lansing, Michigan Steven Coulter, MD, Chair-Elect Chattanooga, Tennessee James Hunter II, Past Chair Nashville, Tennessee Leslie Newman, JD, Secretary Henderson, Kentucky Kelly Hamilton, CPA, Treasurer Powell, Ohio Rebecca Baker, BSN, RN Brentwood, Tennessee David Balas, JD Saugatuck, Michigan Frank Battafarano Anchorage, Kentucky Amy Chuang, MD Lorain, Ohio John Cloud, JD Dayton, Ohio Joan Fowler, Pharm.D Lexington, Kentucky Blake Greenstein Westerville, Ohio Charles Kegley, Ph.D. Kent, Ohio Robert Powell, MD Louisville, KY Colette Scholten Novi, MI Mary Scoblic, RN, MN Lansing, Michigan Joe Windham Milford, OH LaVerne Yousey, MSTE Akron, Ohio MidlandLung.org | 800-LUNG-USA Offices Kentucky 4100 Churchman Avenue Louisville, KY 40215 (502) 363-2652 Michigan 25900 Greenfield Rd., Suite 610 Oak Park, MI 48237 (248) 784-2000 PO Box 966 Grand Blanc, MI 48480 (810) 931-1425 Tennessee 1466 Riverside Drive, Suite D Chattanooga, TN 37406 (423) 629-1098 One Vantage Way, Suite D220 Nashville, TN 37228 (615) 329-1151 Ohio 4050 Executive Park Drive Suite 402 Cincinnati, OH 45241 (513) 985-3990 1950 Arlingate Lane Columbus, OH 43228 (614) 279-1700 6100 Rockside Woods Blvd. Suite 260 Independence, OH 44131 (216) 524-5864 PO Box 415 Sandusky, OH 44871 (419) 663-5864 Contact us: Midland@MidlandLung.org MidlandLung.org 800-LUNG-USA O F T H E M I D L A N D S TAT E S S e r v i ng Ke nt uc ky, M i c hi gan, Ohi o and Te nne s s e e MidlandLung.org | 800-LUNG-USA 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.