American Institute for Respiratory Equity

What it reported doing in 2024

First accomplishmentthe breath (bridging resources to encourage asthma treatment and health) program served a total of 169 clients in 8 counties in the saint louis region in 2024. 83% of kids in the program increased their score on the national asthma control test while on the program. 100% of children who were previously frequent hospital patients reported fewer emergency room visits in their first three weeks on the program. Upon diagnosis though our "diagnosis kits." diagnosis kits - over 1700 children were given backpacks full of medical and educational resources. Referred to as "new diagnosis kits". These are an attempt to expedite control. 3440 pieces of medical equopment were distributed. 18,200 pieces of educational materials were distributed, along with 8600 supportive materials.the rescue (resources for every school confronting unexpected emergencies) program provided asthma emergency equipment to 6,405 schools throughout both Missouri and Illinois and trained school nurses on how to use them. Through this partnership, 78% of the children who were treated with this equipment while at school were able to return to class instead of being sent home or to the emergency room, resulting in increased learning for children, savings for parents, and increased state reimbursements (ada) for schools. Aafa-stl also provided 20,900 metered doies albuterol inhalers, 174,222 pieces of equipment and education for 1396 school nurses staff and general public through various virtual and in-person events, most prominently with our trainings for the rescue program. 487 avoided ems and ed visits led to over $4.8mm in healthcare cost savings. Similarly, 2,461 de-escalated respiratory events led to savings of nearly $2.3mm to medicaid, 1.632 students supported directly and 5,571 mitigated absentee hours.

Financial Efficiency

• Mission deployment rate: 99.8%; rating input score 100
• Program expense ratio: 81.1%; rating input score 81
• Fundraising efficiency: $29.7 raised per $1 spent on fundraising; rating input score 69; 69th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 20th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 8 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -23%; rating input score 6; 6th percentile among comparable filings
• Total-asset coverage ratio: 0.42; rating input score 14; 14th percentile among comparable filings
• Liabilities to assets ratio: 1.05; rating input score 4; 4th percentile among comparable filings
• Officer compensation ratio: 5.3%; rating input score 51; 51st percentile among comparable filings

Growth

• Program expense growth: 22.6% per year; rating input score 100; 88th percentile among comparable filings
• Revenue growth: 19.6% per year; rating input score 100; 88th percentile among comparable filings
• Asset growth: 21.1% per year; rating input score 100; 85th percentile among comparable filings