2024-02-14T15:11:44-06:00 2023-03-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2022-04-01 436057338 LALMBA ASSOCIATION LALM 7202606785 PO BOX 2516 MONUMENT CO 80132 JACK POTTLE TREASURER 7202606785 2024-02-14 1 JACK POTTLE XXX-XX-XXXX 1 SARAH HINTZ P00492291 3037795710 2024-02-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENNIFER WENNINGKAMP PO BOX 2516 MONUMENT CO 80132 881451 0 X WWW.LALMBA.ORG X 1965 CO PROVIDE MEDICAL SERVICES, CARE FOR ORPHANS, AND TRAIN PEOPLE TO HELP THEMSELVES. 7 6 3 17 0 0 1025089 845417 31291 31889 2702 4145 301 0 1059383 881451 84925 58025 0 0 139640 133632 0 0 14080 799373 831723 1023938 1023380 35445 -141929 997178 860795 5171 15920 992007 844875 X EMPOWERING RURAL COMMUNITIES IN AFRICA WITH HIGH QUALITY BASIC HEALTH CARE, EFFECTIVE PUBLIC HEALTH INITIATIVES, MICROFINANCE AND SUPPORT FOR VULNERABLE CHILDREN. WE HAVE A SPECIAL LOVE FOR CHILDREN WHO WE SEE NOT AS A BURDEN, BUT AS A BRILLIANT FUTURE FOR THEIR COMMUNITIES. 1 0 420922 0 20827 LALMBA RUNS 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 QUALITY HEALTH CARE. IN KENYA, WE OPERATE THE MATOSO CLINIC, SERVING A CATCHMENT POPULATION OF ABOUT 53,000 PEOPLE, AND THE OCHUNA DISPENSARY, SERVING A CATCHMENT POPULATION OF ABOUT 20,000 PEOPLE. THIS YEAR, WE PROVIDED 31,090 OUTPATIENT TREATMENTS IN KENYA. WE TREATED PATIENTS FOR MALARIA 11,089 TIMES AND UPPER RESPITORY TRACT INFECTIONS 5,255 TIMES. WE PROVIDED A SAFE BIRTHING EXPERIENCE FOR 139 NEWBORN BABIES AND THEIR MOMS, AND HEALTHY NUTRITION FOR 28 INFANTS WITH SEVERE MALNUTRITION. 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. THIS YEAR, 2,846 PEOPLE WERE TESTED AND COUNSELED ON HIV PREVENTION. 788 PEOPLE ARE RECEIVING ANTI-RETROVIRAL THERAPY. IN ETHIOPIA, WE OPERATE THE AGARO BUSHI MEDIUM CLINIC (ABMC), SERVING A CATCHMENT POPULATION OF 20,000 PEOPLE. THIS YEAR, WE TREATED 8,133 PATIENTS. WE TREATED PATIENTS FOR INTESTINAL PARASITES 1023 TIMES AND UPPER RESPIRATORY TRACT INFECTIONS 634 TIMES. WE PROVIDED A SAFE BIRTHING EXPERIENCE FOR 79 NEWBORN BABIES AND THEIR MOMS.PUBLIC HEALTH CAREIN KENYA AND ETHIOPIA, OUR PUBLIC HEALTH (PH) 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 WEEKSAWAY FROM WORK OR SCHOOL, IMPROVING THEIR FINANCIAL AND EDUCATIONAL POTENTIAL. INTENSIVE HEALTH EDUCATION, IN PARTNERSHIP WITH THE MINISTRY OF HEALTH, TAILORED TO THE CULTURAL NEEDS, THE MOST PREVALENT HEALTH ISSUES, AND 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, 25,480 PEOPLE WERE TOUCHED BY OUR PH TEAMS THIS YEAR. PH TEAMS OR MOBILE CLINICS TRAVELED TO REMOTE COMMUNITIES TWO TIMES EACH WEEK TO PROVIDE EDUCATION, IMMUNIZATIONS, TRACHOMA PREVENTION, AND MOTHER/CHILD HEALTH CARE. EDUCATION TOPICS INCLUDED HIV/AIDS PREVENTION, TRANSMISSION AND TREATMENT, HYGIENE, MALARIA PREVENTION, CLEAN WATER, AND NUTRITION. OUR PH TEAMS CONTINUOUSLY PROVIDED CARE DURING THIS YEAR.REACHING CHILDREN AT RISKIN KENYA, LALMBA PROVIDED FOR THE BASIC NEEDS OF 951 AT-RISK CHILDREN WHO LIVE WITH GUARDIANS IN THE COMMUNITY. 850 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 137 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. OUR MICROLOAN PROGRAM IN KENYA 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 137 AT-RISK CHILDREN WHO LIVE WITH GUARDIANS IN THE COMMUNITY. ATTENDANCE IN SCHOOL IS A STRICT REQUIREMENT FOR PARTICIPATION IN THIS PROGRAM. ELDER CAREIN 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 THEYSUFFER FROM HUNGER AND NEGLECT. FOR THE PAST TEN YEARS, LALMBA HAS BEEN PROVIDING SOME MODEST ASSISTANCE TO THE ELDERLY WHO LACK FAMILY WITH RESOURCES TO ASSIST. MICRO FINANCEOUR LOAN PROGRAMS PROVIDED SMALL BUSINESS LOANS TO 41 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 BUSINESS 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. THE PEOPLE WHO MAKE LALMBA A SUCCESSIN THE UNITED STATES- WE HAVE ONE VERY DEDICATED SECRETARIAL VOLUNTEER AND ONE PART-TIME EMPLOYEE WHO WORK TO LOG OUR DONATIONS AND ENSURE THAT OUR FRIENDS ARE THANKED FOR THEIR GENEROUS FINANCIAL SUPPORT.- WE HAVE ONE VOLUNTEER MEDICAL DIRECTOR, WHO EMBRACES OUR MISSION AND IS DEDICATED TO SERVICE. SHE ADVISES 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 WERE ABLE TO PASS THE TORCH TO JENNIFER WENNINGKAMP, SO THAT SHE 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 - WE HAVE ONE VERY DEDICATED EXPATRIATE VOLUNTEER LALMBA'S PROGRAMS ARE RUN BY 100 LOCAL STAFF AND 3-7 EXPATRIATE VOLUNTEERS WHO ARE SPECIALISTS IN MEDICINE, PUBLIC HEALTH, FINANCIAL MANAGEMENT, AND PROGRAM DEVELOPMENT. IN 2022, 5 EXPATS FROM 3 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 INCLUDE MARICO OSIYO (PROJECT DIRECTOR RECENTLY RETIRED) AND JENIFER ATIENO (CHILDREN'S DIRECTOR & LALMBA KENYA DIRECTOR), AND LINDER OGUNYA (CHILDREN'S DIRECTOR) OUR LEADERS IN ETHIOPIA ARE ATINAFU GEBRE YOHANIS (LALMBA ETHIOPIA DIRECTOR), ALIZAR MUNCHE (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. 316173 0 11062 ETHIOPIA - SEE THE DESCRIPTION FOR PROGRAM 4A FOR ALL PROGRAM ACCOMPLISHMENTS ON SCHEDULE O. 152281 58025 0 U.S. - PROGRAM EXPENSES INCURRED IN THE U.S. TO SUPPORT THE PROGRAMS IN AFRICA. SEE THE DESCRIPTION FOR PROGRAM 4A FOR ALL PROGRAM ACCOMPLISHMENTS ON SCHEDULE O. 889376 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 1 0 1 ET KE 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 0 0 0 X X JENNIFER WENNINGKAMP 7202606785 PO BOX 2516 MONUMENT CO 80132 HILLARY JAMES DIRECTOR/VICE PRESIDENT (THRU 11/22) 40.00 X X 27500 0 3300 ROBERT ALBERT ANDZIK BOARD CHAIRMAN 18.00 X X 0 0 0 STEPHANIE ANN ANDZIK SECRETARY/CO-TREASURER 10.00 X X 0 0 0 JACK POTTLE TREASURER 3.00 X X 0 0 0 TERRY ROBINETTE TREASURER (THRU 7/22) 3.00 X X 0 0 0 ANDREW HOSKINS DIRECTOR 1.00 X 0 0 0 MARK HUBNER DIRECTOR 1.00 X 0 0 0 HARRY LINDMARK DIRECTOR 1.00 X 0 0 0 JENNIFER WENNINGKAMP PRESIDENT 40.00 X 29183 0 1700 JEFF JAMES PRESIDENT (THRU 11/22) 40.00 X 22917 0 2750 79600 0 7750 0 0 0 0 0 845417 845417 KENYA CLINIC 624200 19023 19023 ETHIOPIA CLINIC 624200 7980 7980 ETHIOPIA INCOME 900099 3082 3082 KENYA INCOME 900099 1804 1804 31889 3938 3938 207 0 207 207 207 881451 31889 0 4145 58025 58025 71828 32325 32320 7183 53887 24249 24250 5388 225 103 99 23 7692 3657 3301 734 14276 14276 24667 24667 752 752 23742 7349 16393 3316 1965 1351 27241 27241 3920 1503 2417 OTHER PROGRAM SERVICE E 359125 358903 222 FOREIGN COMP/BENEFIT/LI 238227 238227 SUPPLIES 62177 62177 VEHICLE EXPENSES 50891 50891 23389 22761 628 1023380 889376 119924 14080 516791 477516 285381 190983 195006 192296 997178 860795 5171 15920 5171 15920 X 992007 844875 992007 844875 997178 860795 -141929 -2313 -2890 0 X 0 0 0 X 666965 699642 906052 1025089 845417 4143165 666965 699642 906052 1025089 845417 4143165 668950 3474215 5424 10723 7204 3402 3938 30691 1569 35506 301 37376 4211232 246151 0.82500 0.84530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 3 109 PROGRAM SERVICES PRIMARY MEDICAL CARE-SEE FORM 990, PART III. 737095 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 FUNDRAISING SUB-SAHARAN AFRICA 3 109 PROGRAM REVENUE SUB-SAHARAN AFRICA 3 109 GRANTS GIVEN 58028 9 327 0 0 9 327 795123 0 795123 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, FUND EMERGENCY MEDICAL OPERATIONS AND AMBULATORY SERVICES. 43025 N/A 0 N/A N/A SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, FUND BASIC HEALTH POST AND AMBULATORY SERVICES 15000 N/A 0 N/A N/A 0 2 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION MONITORS THE USAGE OF GRANTS AND OTHER ASSITANCE THROUGH SITE VISITS, REGULAR MEETINGS, AND ACTIVITY OBSERVATION. COPIES OF INTERNATIONAL WIRE TRANSFER RECEIPTS AND STATMENTS AS WELL AS WRITTEN GRANT AGREEMENTS ARE MAINTAINED WITHIN THE ORGANIZATIONS FILE SYSTEM. ALL SELECTION CRITERIA IS ALSO DOCUMENTED WITHIN THE WRITTEN GRANT AGREEMENTS. PART I, LINE 3: EXPENDITURES ARE ACCOUNTED FOR USING THE CASH BASIS OF ACCOUNTING. PART III ACCOUNTING METHOD: FORM 990, PART III, LINE 2 THIS YEAR WE BEGAN A NEW PROGRAM WITH AN EMPHASIS ON EMPOWERMENT AND CAPACITY BUILDING. FORM 990, PART VI, SECTION A, LINE 2 STEPHANIE AND ROBERT ANDZIK HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATIONS INDPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. ONCE THE RETURN IS PREPARED, A COPY OF THE DOCUMENT IS REVIEWED AND APPROVED BY THE PRESIDENT, OFFICERS, AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS ARE ASKED TO DISCLOSE ALL CONFLICTS OF INTEREST ON A YEARLY BASIS RELATING TO THEMSELVES, OR A RELATED PARTY. IT IS AT THE DISCRETION OF THE OTHER BOARD MEMBERS TO DETERMINE IF A CONFLICT OF INTEREST IS VALID. IF A CONFLICT OF INTEREST IS DETERMINED, THE INVOLVED PARTIES ARE NOT ALLOWED TO VOTE ON DECISIONS RELATED TO THAT CONFLICT OF INTEREST. ANY DISCUSSION RELATED TO A POTENTIAL CONFLICT OF INTEREST IS DOCUMENTED IN THE BOARD MINUTES. 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. ADDITIONALLY, AN INDEPENDENT REVIEW OF COMPENSATION FOR THE NEW TOP MANAGEMENT OFFICIAL WAS DONE DURING THE HIRING PROCESS IN 2022. RECORDS ARE KEPT IN ELECTRONIC FORMAT TO SUBSTANTIATE THE DELIBERATIONS AND DECISIONS. THE PRESIDENT AND MEDICAL DIRECTOR COMPARED COMPENSATION DATA FOR KEY EMPLOYEES IN BOTH KENYA AND ETHIOPIA TO ENSURE THAT SALARIES REFLECT REGIONAL STANDARDS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 SEPARATE FINANCIAL STATEMENTS ARE PREPARED BY CLA. 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.