Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 545,556 | 128,596 | 559,047 | 768,894 | 666,965 | 2,669,058 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 545,556 | 128,596 | 559,047 | 768,894 | 666,965 | 2,669,058 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 169,352 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 2,499,706 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 545,556 | 128,596 | 559,047 | 768,894 | 666,965 | 2,669,058 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 14,050 | 1,278 | 12,948 | 16,273 | 5,424 | 49,973 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 1,569 | 1,569 | ||||
| 11 | Total support. Add lines 7 through 10 | 2,720,600 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A | PRIMARY HEALTH CARE LALMBA RUNS STATIC HEALTH CARE FACILITIES IN RURAL KENYA AND ETHIOPIA, WHERE WE PROVIDE HIGH QUALITY CARE FOR THE POOR. WE BELIEVE THAT SUCCESSFUL DEVELOPMENT IN POOR COMMUNITIES REQUIRES A HEALTHY POPULATION WITH ACCESS TO MODERN HEALTH CARE. IN KENYA, WE OPERATE THE MATOSO CLINIC, SERVING A CATCHMENT POPULATION OF ABOUT 50,000 PEOPLE, AND THE OCHUNA DISPENSARY, SERVING A CATCHMENT POPULATION OF ABOUT 20,000 PEOPLE. IN 2018, WE TREATED 23,796 OUTPATIENTS IN KENYA. HIV HAS DONE GREAT DAMAGE TO THE FAMILY STRUCTURE IN THESE COMMUNITIES, LEAVING BEHIND ORPHANED CHILDREN AND ELDERLY PARENTS WITH NO ONE TO CARE FOR THEM IN THEIR DECLINING YEARS. WE CHANGE THIS DYNAMIC THROUGH INTENSIVE HIV COUNSELING, EDUCATION, AND TREATMENT FOR THOSE WHO TEST POSITIVE. IN 2018, 2,987 PEOPLE WERE TESTED AND COUNSELED ON HIV PREVENTION. 602 PEOPLE ARE RECEIVING ANTI-RETROVIRAL THERAPY. IN ETHIOPIA, WE OPERATE THE CHIRI HEALTH CENTER, SERVING A CATCHMENT POPULATION OF 50,000 PEOPLE, AND THE AGARA BUSHI PRIMARY CLINIC (ABPC), SERVING A CATCHMENT POPULATION OF 15,000 PEOPLE. IN 2018, WE TREATED 9,531 PATIENTS. WE HAVE A 15-BED HOSPITAL WARD WHERE WE PROVIDED 24-HOUR INTENSIVE TREATMENT TO 328 CRITCALLY ILL PATIENTS. 87 OF OUR INPATIENTS WERE SEVERELY MALNOURISHED CHILDREN, WHO REQUIRED 3-4 WEEKS OF INTESIVE CARE. THEY WOULD HAVE DIED WITHOUT IT. HIV RATES IN ETHIOPIA ARE TRADITIONALLY LOW BUT ON THE RISE. OUR TEAMS OF NURSES AND PUBLIC HEALTH EDUCATORS HAVE RECEIVED ADDITIONAL TRAINING TO ADDRESS THIS MAJOR ISSUE. IN 2018, WE TESTED AND COUNSELED 1,845 PATIENTS AT THE CHIRI HEALTH CENTER. CURRENTLY, WE HAVE 65 HIV+ PATIENTS RECEIVING ART AND CONTINUAL THERAPY. PUBLIC HEALTH CARE IN KENYA AND ETHIOPIA, OUR PUBLIC HEALTH PROGRAMS AIM TO PREVENT DISEASE BEFORE IT STARTS. HERE IS WHERE THE LONG-TERM BATTLE FOR HEALTH IS WON. A DIAGNOSIS OF MALARIA CAN MEAN WEEKS IN BED FOR A CHILD OR PARENT, FOR EXAMPLE. A PERSON WHO STAYS HEALTHY WON'T NEED THOSE WEEKS AWAY FROM WORK OR SCHOOL, IMPROVING THEIR FINANCIAL AND EDUCATIONAL POTENTIAL. INTENSIVE HEALTH EDUCATION TAILORED TO THE CULTURAL NEEDS, THE MOST PREVALENT HEALTH ISSUES, AND THE LEARNING ABILITIES OF THE PEOPLE WE SERVE IS A GOAL OF THIS PROGRAM. EARLY INTERVENTION IN THE FORM OF PRENATAL CARE, WELL-BABY CHECKS, AND IMMUNIZATIONS MAKES UP THE OTHER PART OF OUR PUBLIC HEALTH PROGRAM. IN TOTAL, 48,046 PEOPLE WERE TOUCHED BY OUR PH TEAMS IN 2018. MOBILE CLINICS TRAVELED TO REMOTE COMMUNITIES TWO TIMES EACH WEEK TO PROVIDE EDUCATION, IMMUNIZATIONS, AND MOTHER/CHILD HEALTH CARE. EDUCATION TOPICS INCLUDED HIV/AIDS PREVENTION, TRANSMISSION AND TREATMENT, HYGIENE, MALARIA PREVENTION, CLEAN WATER, AND NUTRITION. CHILDREN AT RISK IN 2018, LALMBA PROVIDED FOR THE BASIC NEEDS OF 1,062 AT-RISK CHILDREN WHO LIVE WITH GUARDIANS IN THE COMMUNITY. IN KENYA, 951 PRIMARY SCHOOL CHILDREN RECEIVED SCHOOL SUPPLIES, UNIFORMS, BOOKS, SCHOOL FEES, HEALTH CARE, AND SUPPLEMENTAL NUTRITION TO ENSURE GOOD HEALTH AND A QUALITY EDUCATION. AN ADDITIONAL 103 STUDENTS RECEIVED SCHOLARSHIPS TO ATTEND SECONDARY SCHOOL AND VOCATIONAL TRAINING. THE LARGE NUMBER OF ORPHANS REQUIRING CARE IN KENYA IS DUE TO THE AIDS EPIDEMIC WHICH CAUSED MASS DEATHS IN THEIR PARENTS' GENERATION. THREE YEARS AGO, WE INTRODUCED A NEW MICROLOAN PROGRAM IN KENYA WHICH LENDS BUSINESS STARTUP MONEY TO GUARDIANS OF OUR RCAR ORPHANS, WOMEN WHO KNOW HOW TO REACH INDEPENDENCE, BUT LACK THE MEANS TO GET STARTED. IN ETHIOPIA, LALMBA PROVIDED SCHOOL SUPPLIES AND CLOTHES, HEALTH CARE, AND NUTRITIONAL SUPPORT FOR 57 CHILDREN WHO LIVE WITH GUARDIANS IN THE COMMUNITY. ATTENDANCE IN SCHOOL IS A STRICT REQUISITE FOR PARTICIPATION IN THE PROGRAM. ELDER CARE IN THIS PART OF AFRICA THERE IS NO SUCH THING AS SOCIAL SECURITY OR RETIREMENT, NO ASSISTED LIVING COMMUNITIES FOR THE ELDERLY. FOR GENERATIONS, THE FAMILY STRUCTURE HAS PROVIDED THE SAFETY NET FOR THE ELDERLY WHEN THEY BECOME TOO OLD TO CARE FOR THEMSELVES. BUT THAT SAFETY NET HAS BEEN ERODED BY HIV/AIDS. NOT ONLY DO SCORES OF ORPHANED CHILDREN HAVE NO PARENT TO CARE FOR THEM, BUT MANY ELDERLY WIDOWS AND WIDOWERS WHO LOST THEIR CHILDREN TO AIDS ARE LEFT ALONE WITH ORPHANED GRANDCHILDREN. FOR MANY ELDERS, THIS BURDEN IS OVERWHELMING AND THEY SUFFER FROM HUNGER AND NEGLECT. FOR THE PAST SIX YEARS, LALMBA HAS BEEN PROVIDING SOME MODEST ASSISTANCE TO THE ELDERLY WHO LACK FAMILY WITH RESOURCES TO ASSIST. MICRO FINANCE OUR LOAN PROGRAMS IN 2018 PROVIDED SMALL BUSINESS LOANS TO 56 PEOPLE, ALL SINGLE WOMEN RAISING YOUNG CHILDREN. THESE LOANS ENABLE MOTHERS TO PROVIDE FOR THEIR FAMILIES. MANY LOAN RECIPIENTS HAVE BECOME SUCCESSFUL ENOUGH TO GROW THEIR BUSINESSES AND PROVIDE JOBS AND INCOME FOR OTHERS. THE GOAL IS TO EFFECT ECONOMIC CHANGE FOR THE FAMILY WHICH RIPPLES THROUGHOUT THE ENTIRE COMMUNITY. WE PARTNER WITH COMMUNITY VOLUNTEERS, ALL SUCCESSFUL BUSINESS PEOPLE, WHO HELP TRAIN ALL NEW LOAN RECIPIENTS IN SMART BUSINESS PRACTICES, HELPING THEM TO PLAN FOR GROWTH AND TO MEET THEIR REPAYMENT SCHEDULES. |
| FORM 990, PART III, LINE 4A | THE PEOPLE WHO MAKE LALMBA A SUCCESS - WE HAVE ONE VERY DEDICATED PART-TIME VOLUNTEER WHO WORKS TO LOG OUR DONATIONS AND ENSURES THAT OUR FRIENDS ARE THANKED FOR THEIR GENEROUS FINANCIAL SUPPORT. - WE HAVE TWO VOLUNTEER MEDICAL DIRECTORS, WHO EMBRACE OUR MISSION AND ARE DEDICATED TO SERVICE. THEY ADVISE ON HOW TO MEET ALL OF OUR HEALTH CARE GOALS AND VISIT PROJECTS ANNUALLY TO ENSURE WE PROVIDE THE HIGHEST CARE POSSIBLE WITH OUR LIMITED RESOURCES. - BECAUSE OF THESE VOLUNTEERS AND THEIR DEDICATION, HILLARY AND JEFF JAMES, LALMBA'S ONLY EMPLOYEES, CAN PUT MORE ENERGY INTO DIRECTING LALMBA'S VISION AND MISSION, STRATEGIC PLANNING AND CAPACITY BUILDING, RECRUITING VOLUNTEERS, AND KEEPING THE ORGANIZATION FINANCIALLY HEALTHY THROUGH ROBUST FUNDRAISING EFFORTS THAT PLAINLY TELL THE STORIES OF THE PEOPLE WE SERVE. IN AFRICA LALMBA'S PROGRAMS ARE RUN BY 102 LOCAL STAFF AND 3-6 EXPATRIATE VOLUNTEERS WHO ARE SPECIALISTS IN MEDICINE, PUBLIC HEALTH, FINANCIAL MANAGEMENT, AND PROGRAM DEVELOPMENT. IN 2018, 7 EXPATS FROM 5 DIFFERENT COUNTRIES SERVED AS EXPERT VOLUNTEERS, MENTORING OUR AFRICAN STAFF AND ENSURING THAT OUR PROGRAM GOALS ARE MET. OUR AFRICAN STAFF SERVE IN MANY PROFESSIONAL AND SUPPORT ROLES. OUR LEADERS IN KENYA ARE MARICO OSIYO (PROJECT DIRECTOR) AND JENIFER ATIENO (CHILDREN'S DIRECTOR), AND OUR LEADERS IN ETHIOPIA ARE ATINAFU GEBRE YOHANIS (GENERAL MANGER), DESALEGN NEDI (ETHIOPIAN MEDICAL DIRECTOR), AND ASELEFECH TEREFE (CHILDREN'S DIRECTOR). WE ALSO HAVE CLEANERS, DRIVERS, GUARDS, NURSES, GROUNDSKEEPERS, HEALTH OFFICERS, HOUSEMOTHERS WHO CARE FOR THE ORPHANS, AND ADMINISTRATORS. ALL OF THESE PEOPLE ARE VITAL TO OUR OPERATIONS. WE ALSO HAVE MANY AFRICAN VOLUNTEERS WHO SPEND SEVERAL HOURS EACH MONTH ON OVERSIGHT COMMITTEES, TEACHING IN THEIR VILLAGES, MONITORING AND MENTORING MICROLOAN RECIPIENTS, OR VISITING HIV PATIENTS OR THE ELDERLY IN THEIR HOMES BETWEEN CLINIC APPOINTMENTS. |
| FORM 990, PART VI, SECTION A, LINE 2 | STEPHANIE AND ROBERT ANDZIK ARE HUSBAND AND WIFE. HILLARY AND JEFF JAMES ARE HUSBAND AND WIFE. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE BOARD ACTS ON ALL BUSINESS. THERE ARE NO COMMITTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR REVIEWS THE RETURN BEFORE IT IS FILED. EACH MEMBER OF THE BOARD OF DIRECTORS ALSO RECEIVES A COPY OF THE RETURN FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE ASKED TO DISCLOSE ALL CONFLICTS OF INTEREST ON A YEARLY BASIS. BOARD MEMBERS ARE NOT ENTITLED TO VOTE ON DECISIONS TO ENTER INTO A TRANSACTION INVOLVING A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE SALARIES DURING THE ANNUAL BUDGET PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | SEPARATE FINANCIAL STATEMENTS ARE NOT PREPARED. FINANCIAL INFORMATION MAY BE FOUND ON THE COMPLETED 990, WHICH IS AVAILABLE THROUGH GUIDESTAR. THE FORM 990 IS ALSO AVAILABLE ON THE COLORADO BETTER BUSINESS BUREAU WEBSITE. |
| Software ID: | |
| Software Version: |