Charity Review

  • Issued: July 2013
  • Expires: June 2018

American Lung Association

Accredited Charity

Meets Standards


55 West Wacker Drive, Suite 1150
Chicago, IL 60601
Accredited Charity


55 West Wacker Drive, Suite 1150
Chicago, IL 60601
Accredited Charity

Accredited Charity

Meets Standards

Standards For Charity Accountability


  1. Board Oversight

    Standard 1 (Oversight of Operations and Staff)

    Organizations shall have a board of directors that provides adequate oversight of the charity's operations and its staff. Indication of adequate oversight includes, but is not limited to, regularly scheduled appraisals of the CEO's performance, evidence of disbursement controls such as board approval of the budget, fund raising practices, establishment of a conflict of interest policy, and establishment of accounting procedures sufficient to safeguard charity finances.

    The organization meets this standard.

  2. Board Size

    Standard 2 (Number of Board Members)

    Soliciting organizations shall have a board of directors with a minimum of five voting members.

    The organization meets this standard.

  3. Board Meetings

    Standard 3 (Frequency and Attendance of Board Meetings)

    An organization shall have a minimum of three evenly spaced meetings per year of the full governing body with a majority in attendance, with face-to-face participation. A conference call of the full board can substitute for one of the three meetings of the governing body. For all meetings, alternative modes of participation are acceptable for those with physical disabilities.

    The organization meets this standard.

  4. Board Compensation

    Standard 4 (Compensated Board Members)

    Not more than one or 10% (whichever is greater) directly or indirectly compensated person(s) serving as voting member(s) of the board. Compensated members shall not serve as the board's chair or treasurer.

    The organization meets this standard.

  5. Conflict of Interest

    Standard 5 (Conflict of Interest)

    No transaction(s) in which any board or staff members have material conflicting interests with the charity resulting from any relationship or business affiliation. Factors that will be considered when concluding whether or not a related party transaction constitutes a conflict of interest and if such a conflict is material, include, but are not limited to: any arm's length procedures established by the charity; the size of the transaction relative to like expenses of the charity; whether the interested party participated in the board vote on the transaction; if competitive bids were sought and whether the transaction is one-time, recurring or ongoing.

    The organization meets this standard.

Measuring Effectiveness

  1. Effectiveness Policy

    Standard 6 (Board Policy on Effectiveness)

    Have a board policy of assessing, no less than every two years, the organization's performance and effectiveness and of determining future actions required to achieve its mission.

    The organization meets this standard.

  2. Effectiveness Report

    Standard 7 (Board Approval of Written Report on Effectiveness)

    Submit to the organization's governing body, for its approval, a written report that outlines the results of the aforementioned performance and effectiveness assessment and recommendations for future actions.

    The organization meets this standard.


  1. Program Expenses

    Standard 8 (Program Service Expense Ratio)

    Spend at least 65% of its total expenses on program activities.

    The organization meets this standard.

  2. Fundraising Expenses

    Standard 9 (Fund Raising Expense Ratio)

    Spending should be no more than 35% of related contributions on fund raising. Related contributions include donations, legacies, and other gifts received as a result of fund raising efforts.

    The organization meets this standard.

  3. Accumulating Funds

    Standard 10 (Ending Net Assets)

    Avoid accumulating funds that could be used for current program activities. To meet this standard, the charity's unrestricted net assets available for use should not be more than three times the size of the past year's expenses or three times the size of the current year's budget, whichever is higher.

    The organization meets this standard.

  4. Audit Report

    Standard 11 (Financial Statements)

    Make available to all, on request, complete annual financial statements prepared in accordance with generally accepted accounting principles. When total annual gross income exceeds $500,000, these statements should be audited in accordance with generally accepted auditing standards. For charities whose annual gross income is less than $500,000, a review by a certified public accountant is sufficient to meet this standard. For charities whose annual gross income is less than $250,000, an internally produced, complete financial statement is sufficient to meet this standard.

    The organization meets this standard.

  5. Detailed Expense Breakdown

    Standard 12 (Detailed Functional Breakdown of Expenses)

    Include in the financial statements a breakdown of expenses (e.g., salaries, travel, postage, etc.) that shows what portion of these expenses was allocated to program, fund raising, and administrative activities. If the charity has more than one major program category, the schedule should provide a breakdown for each category.

    The organization meets this standard.

  6. Accurate Expense Reporting

    Standard 13 (Accuracy of Expenses in Financial Statements)

    Accurately report the charity's expenses, including any joint cost allocations, in its financial statements. For example, audited or unaudited statements which inaccurately claim zero fund raising expenses or otherwise understate the amount a charity spends on fund raising, and/or overstate the amount it spends on programs will not meet this standard.

    The organization meets this standard.

  7. Budget Plan

    Standard 14 (Budget)

    Have a board-approved annual budget for its current fiscal year, outlining projected expenses for major program activities, fund raising, and administration.

    The organization meets this standard.

Fundraising & Info

  1. Truthful Materials

    Standard 15 (Misleading Appeals)

    Have solicitations and informational materials, distributed by any means, that are accurate, truthful and not misleading, both in whole and in part. Appeals that omit a clear description of program(s) for which contributions are sought will not meet this standard. A charity should also be able to substantiate that the timing and nature of its expenditures are in accordance with what is stated, expressed, or implied in the charity's solicitations.

    The organization meets this standard.

  2. Annual Report

    Standard 16 (Annual Report)

    Have an annual report available to all, on request, that includes: (a) the organization's mission statement, (b) a summary of the past year's program service accomplishments, (c) a roster of the officers and members of the board of directors, (d) financial information that includes (i) total income in the past fiscal year, (ii) expenses in the same program, fund raising and administrative categories as in the financial statements, and (iii) ending net assets.

    The organization meets this standard.

  3. Website Disclosures

    Standard 17 (Web Site Disclosures)

    Include on any charity websites that solicit contributions, the same information that is recommended for annual reports, as well as the mailing address of the charity and electronic access to its most recent IRS Form 990.

    The organization meets this standard.

  4. Donor Privacy

    Standard 18 (Privacy for Written Appeals & Internet Privacy)

    Address privacy concerns of donors by (a) providing in written appeals, at least annually, a means (e.g., such as a check off box) for both new and continuing donors to inform the charity if they do not want their name and address shared outside the organization, (b) providing a clear, prominent and easily accessible privacy policy on any of its websites that tells visitors (i) what information, if any, is being collected about them by the charity and how this information will be used, (ii) how to contact the charity to review personal information collected and request corrections, (iii) how to inform the charity (e.g., a check off box) that the visitor does not wish his/her personal information to be shared outside the organization, and (iv) what security measures the charity has in place to protect personal information.

    The organization meets this standard.

  5. Cause Marketing Disclosures

    Standard 19 (Cause Related Marketing)

    Clearly disclose how the charity benefits from the sale of products or services (i.e., cause-related marketing) that state or imply that a charity will benefit from a consumer sale or transaction. Such promotions should disclose, at the point of solicitation: (a) the actual or anticipated portion of the purchase price that will benefit the charity (e.g., 5 cents will be contributed to abc charity for every xyz company product sold), (b) the duration of the campaign (e.g., the month of October), (c) any maximum or guaranteed minimum contribution amount (e.g., up to a maximum of $200,000).

    The organization meets this standard.

  6. Complaints

    Standard 20 (Complaints)

    Respond promptly to and act on complaints brought to its attention by the BBB Wise Giving Alliance and/or local Better Business Bureaus about fund raising practices, privacy policy violations and/or other issues.

    The organization meets this standard.


American Lung Association meets the 20 Standards for Charity Accountability.


  • Year, State Incorporated

    1918, ME

  • Stated Purpose

    to save lives by improving lung health and preventing lung disease, with the ultimate vision of a world free of lung disease.


ALA supports lung health through research, advocacy and health education. The organization reports that it funds research into the causes, prevention, and cures of lung diseases, including lung cancer, asthma, COPD and influenza. ALA also advocates at the national and local level to protect lung health, including fighting for healthy air, smokefree environments, tobacco regulation, smoking prevention, smoking cessation programs, lung health programs and medical research . ALA also develops and makes available health education programs and resources that help people with lung disease better understand and manage their condition. Specific diseases addressed include asthma, chronic obstructive pulmonary disease, lung cancer, tuberculosis, influenza, and pneumonia. The organization also produces and makes available smoking prevention programs and programs to help smokers quit. ALA provides services to its Chartered Lung Associations such as producing health education program materials that can be deployed at the local level and conducts training and development programs for volunteer and staff leaders nationwide. ALA also provides the public with epidemiological data and statistics and promotes awareness of its lifesaving mission through public service campaigns and media relations.

For the year ended June 30, 2012, American Lung Association's program expenses were:

Public health education $26,128,524
Field fundraising $9,551,567
Field program development $3,845,390
Field management advisory $2,188,709
Research $6,930,326
Advocacy $9,803,233
Total Program Expenses: $58,447,749

Governance & Staff

  • Chief Executive

    Adrienne Glasgow, Executive Vice President and Chief Operating Officer

  • Compensation*


  • Chair of the Board

    Ross P. Lanzafame

  • Chair's Profession / Business Affiliation


  • Board Size


  • Paid Staff Size


*2011 compensation includes annual salary and, if applicable, benefit plans, expense accounts, and other allowances.


Method(s) Used:

Direct mail, telemarketing, grant proposals, Internet appeals, door to door, planned giving, and cause-related marketing.

Fundraising costs were 12% of related contributions. (Related contributions, which totaled $21,010,884, are donations received as a result of fundraising activities.)

ALA incurred joint costs of $20,505,698 for informational materials and activities that included fundraising materials. Of those costs $19,498,057 was allocated to program expenses, $954,085 was allocated to fundraising expenses, and .

Tax Status

This organization is tax-exempt under section 501(c)(3) of the Internal Revenue Code. It is eligible to receive contributions deductible as charitable donations for federal income tax purposes.


The following information is based on American Lung Association's audited financial statements for the year ended June 30, 2012.

Source of Funds
Contributions from Chartered Associations for program reimbursement $23,301,773
In-kind contributions $13,429,006
Program service contracts $8,941,024
Contributions from chartered associations $7,548,676
Contributions from individuals, corporations and foundations $4,809,138
Beneficial interest in trusts $1,776,399
Bequests $1,626,527
Royalties $1,176,315
Federal grants $1,146,213
Other income $592,634
Interest and dividends $415,928
Realized gains on investments $110,362
Change in value of trusts and split-interest agreements ($1,479)
Pension and postretirement plan liability adjustment ($1,562,473)
Total Income $63,310,043
  • Programs: 92%
  • Fundraising: 4%
  • Administrative: 4%
Total Income $63,310,043
Program expenses $58,447,749
Fundraising expenses $2,622,906
Administrative expenses $2,218,219
Other expenses $0
Total expenses: $63,288,874
Income in Excess of Expenses $21,169
Beginning Net Assets $10,315,573
Other Changes In Net Assets $0
Ending Net Assets $10,336,742
Total Liabilities $20,712,298
Total Assets $31,049,040

Note: For the year ended June 30, 2012, ALA reported in-kind income of $13,429,006 for donated media advertising.

An organization may change its practices at any time without notice. A copy of this report has been shared with the organization prior to publication. It is not intended to recommend or deprecate, and is furnished solely to assist you in exercising your own judgment. If the report is about a charity and states the charity meets or does not meet the Standards for Charity Accountability, it reflects the results of an evaluation of information and materials provided voluntarily by the charity. The name Better Business Bureau is a registered service mark of the Council of Better Business Bureaus, Inc.

This report is not to be used for fundraising or promotional purposes.