2017-09-28T16:48:01-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2016-01-01 412086667 DODOMA TANZANIA HEALTH DEVELOPMENT INC DODO 7634326589 8085 WAYZATA BLVD NO 203 GOLDEN VALLEY MN 55426 PHIL LINDAU TREASURER 7634326589 2017-08-31 1 LARRY ADAMS P01314654 6123764500 67.137.57.251 2017-08-31 16:23:38 CD P EB257C677C23210A1BABF3CC3C8E15734A982BF5 5BFE7676D8EC5C242CDF9839AF96295FEEFA7AB1 2016 2021-01-29 14:40:06Z ERIK THURMAN 8085 WAYZATA BLVD NO 203 GOLDEN VALLEY MN 55426 1068547 0 X WWW.DTHD.ORG X 2003 MN TO ENSURE HIGH-QUALITY, COMPASSIONATE, TANZANIAN-LED HEALTH CARE FOR THE PEOPLE OF CENTRAL TANZANIA BY DEVELOPING THE CAPACITY AND SUSTAINABILITY OF DODOMA CHRISTIAN MEDICAL CENTER. 12 12 2 20 0 0 1159024 1003055 0 0 -2701 42 -7635 254 1148688 1003351 1304129 813643 0 0 158742 158480 0 0 35712 64153 49485 1527024 1021608 -378336 -18257 119443 101260 5136 5210 114307 96050 X TO ENSURE HIGH-QUALITY, COMPASSIONATE, TANZANIAN-LED HEALTH CARE FOR THE PEOPLE OF CENTRAL TANZANIA BY DEVELOPING THE CAPACITY AND SUSTAINABILITY OF DODOMA CHRISTIAN MEDICAL CENTER. 0 0 942730 813643 0 DODOMA TANZANIA HEALTH DEVELOPMENT, INC. (DTHD) (ORGANIZATION) IS A NON-PROFIT CHARITABLE ORGANIZATION ESTABLISHED ON MARCH 11, 2003 IN ORDER TO HELP FOUND AND SUPPORT DODOMA CHRISTIAN MEDICAL CENTER (DCMC) IN DODOMA, TANZANIA. OUR MISSION IS TO RAISE FINANCIAL SUPPORT TO ENABLE DCMC TO ACCOMPLISH ITS MISSION OF PROVIDING SUSTAINABLE QUALITY HEALTH CARE TO THE PEOPLE OF CENTRAL TANZANIA. DCMC IS AN INSTITUTION ESTABLISHED ON 240 ACRES OF LAND ON THE OUTSKIRTS OF DODOMA, A CITY OF 400,000, AND NEXT TO A VILLAGE OF 6,000 PEOPLE. IT IS DESIGNATED A REGIONAL HOSPITAL IN TANZANIA, WITH A COMPLETE MODERN DENTAL CENTER BELIEVED TO BE THE BEST IN THE COUNTRY, AN INPATIENT/OUTPATIENT MEDICAL CLINIC WITH 50 BEDS AND A SURGERY SUITE, AND EXPANSIVE COMMUNITY HEALTH OUTREACH EFFORTS TO THE SURROUNDING VILLAGES AND SOME REMOTE DISPENSARIES. IN 2010, CONSTRUCTION BEGAN ON A THREE-BUILDING GENERAL HOSPITAL, AND IN 2015 AND 2016 THE BUILDINGS WERE STANDING BUT UNDERGOING INTERNAL DESIGN REVISIONS TO ACCOMMODATE EMERGING NEEDS AT DCMC. A FOURTH BUILDING FOR HOSPITAL SUPPORT SERVICES HAS ALSO BEEN DESIGNED. CURRENTLY, A WEST WING EXPANSION TO THE SMALL EXISTING HOSPITAL IS IN PROCESS. ALL COMMITMENTS RELATING TO THIS CONSTRUCTION PROJECT ARE THE RESPONSIBILITY OF DCMC. 942730 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X BRIAN PETERSON CLIFTONLARSONALLEN LLP 7634326589 8085 WAYZATA BLVD 203 GOLDEN VALLEY MN 55426 ERIK THURMAN BOARD CHAIR 3.00 X X 0 0 0 CHERYL GRASMOEN VICE CHAIR 3.00 X X 0 0 0 PHIL LINDAU TREASURER 3.00 X X 0 0 0 SUSAN NIXON SECRETARY 1.00 X X 0 0 0 NANCY CAMBRONNE DIRECTOR 1.00 X 0 0 0 WILLIAM GAMBLE MD DIRECTOR 1.00 X 0 0 0 BARBARA GRIFFIN DIRECTOR 15.00 X X 0 0 0 BOB GRIFFIN DIRECTOR 15.00 X X 0 0 0 LYDIA HARTSELL MD MPH DIRECTOR 1.00 X 0 0 0 DEANNA MILLS MPH DIRECTOR 1.00 X 0 0 0 ANN RABIE RN DIRECTOR 1.00 X 0 0 0 WILLIAM STAUFFER MD MPH DIRECTOR 1.00 X 0 0 0 CHARLES YANCEY MD PHD DIRECTOR 1.00 X 0 0 0 ANNE HUSSIAN EXECUTIVE DIRECTOR 24.00 X 54000 0 0 54000 0 0 0 0 0 0 0 62822 940233 62672 1003055 30 30 59224 59212 12 12 12 6238 62822 5984 254 254 1003351 0 0 296 813643 813643 54000 43200 5400 5400 98640 71270 6051 21319 5840 2920 876 2044 23336 23336 16418 4948 4521 6949 3000 300 2700 4985 4985 282 282 IN-KIND 1464 1464 1021608 942730 43166 35712 118356 100455 555 555 250 250 5084 5084 282 0 119443 101260 5136 5210 5136 5210 X 61386 56880 52921 39170 114307 96050 119443 101260 -18257 0 X 0 1 X 1 0 X 529343 718272 671902 1159024 1009293 4087834 529343 718272 671902 1159024 1009293 4087834 1486108 2601726 411 394 792 692 30 2319 4090153 0.63610 0.69520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5084 5084 0 0 X 1024574 15239 5984 21223 1003351 0 1003351 1042831 15239 5984 21223 1021608 0 1021608 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS ONLY SUBJECT TO FEDERAL AND STATE INCOME TAXES ON NET UNRELATED BUSINESS INCOME. SINCE THE ORGANIZATION HAD NO UNRELATED TAXABLE INCOME IN 2016 AND 2015, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY PROVISION FOR FEDERAL OR STATE INCOME TAXES. THE ORGANIZATION IS A PUBLIC CHARITY AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY CONTRIBUTORS. MANAGEMENT HAS EVALUATED ITS TAX POSITION AND HAS CONCLUDED THAT THEY DO NOT RESULT IN ANYTHING THAT WOULD REQUIRE EITHER RECORDING OR DISCLOSURE IN THE FINANCIAL STATEMENTS BASED ON THE CRITERIA SET FORTH IN ASC 740 ("INCOME TAXES"). PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT 5,984. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT 5,984. 0 SUB-SAHARAN AFRICA 0 0 GRANTS TO RECIPIENTS LOCATED IN REGION N/A 813643 0 0 0 0 0 0 813643 0 813643 SUB-SAHARAN AFRICA PROGRAM SUPPORT 813643 WIRE TRANSFER N/A FMV 1 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION COLLECTS AND DISTRIBUTES FUNDS TO DODOMA CHRISTIAN MEDICAL CENTER AS PART OF ITS MISSION. THE ORGANIZATION'S BOARD MEMBERS VISIT THE THE MEDICAL CENTER QUARTERLY TO MONITOR THE PROGRESS OF THE CENTER AND TO REPORT TO DONORS. AS PART OF ITS MISSION TO PROVIDE SUSTAINABLE HEALTH CARE TO PEOPLE OF THE REGION OF CENTRAL TANZANIA, THE ORGANIZATION'S GRANTS HELP TO SUPPORT A DENTAL CLINIC, A REPRODUCTIVE HEALTH/CHILD HEALTH CENTER, A COMMUNITY HEALTH PROGRAM, AND CONSTRUCTION OF A GENERAL HOSPITAL. THE CURRENT YEAR GRANT EXPENSES WERE FOR PROGRAM SUPPORT EXPENSES AND CAPITAL IMPROVEMENTS. ALL GRANTS TO DODOMA CHRISTIAN MEDICAL CENTER ARE MADE IN ADHERENCE WITH DODOMA TANZANIA HEALTH DEVELOPMENT'S WRITTEN GRANT AND FUNDS TRANSFER POLICY. TWO MEMBERS OF THE ORGANIZATION'S BOARD ARE ALSO MEMBERS OF DODOMA CHRISTIAN MEDICAL CENTER'S BOARD OF TRUSTEES. PART I, LINE 3: THE METHOD OF ACCOUNTING USED WAS ACCRUAL. MAMA SALAMA 39135 35547 3588 2644 AFYA NI UHAI|HEALTH IS LIFE 29925 27275 2650 3340 69060 62822 6238 5984 5984 254 X 3 59744 STOCK MARKET QUOTES X EQUIPMENT 1 1464 FMV X FUNDRAISING SUPPLIES 1 99 FMV 0 1 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF PRESIDENT - BOB GRIFFIN, VICE-PRESIDENT, BARBARA GRIFFIN, BOARD CHAIR - ERIK THURMAN, VICE CHAIR - CHERYL GRASMOEN, TREASURER - PHIL LINDAU, AND SECRETARY - SUSAN NIXON. EXECUTIVE COMMITTEE - THE EXECUTIVE COMMITTEE RESEARCHES NEW EMPLOYEE HIRES (FINAL HIRE IS APPROVED BY ALL BOARD MEMBERS), ESTABLISHES SALARIES, REVIEWS THE FORM 990 AND AUDITED FINANCIALS (APPROVAL BY FULL BOARD). FORM 990, PART VI, SECTION A, LINE 2 BOBBY GRIFFIN AND BARBARA GRIFFIN - FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY THE A PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION. A DRAFT OF THE RETURN IS PROVIDED TO THE EXECUTIVE COMMITTEE THEIR REVIEW. THE RETURN IS THEN PRESENTED TO THE BOARD FOR APPROVAL OF THE FORM 990. THE BOARD OF DIRECTORS RECEIVES A FINAL COPY PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL DTHD BOARD DIRECTORS AND EMPLOYEES ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST / DISCLOSURE STATEMENT ANNUALLY. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD OR SUPERVISING EMPLOYEE. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE ESTABLISHES THE SALARY OF THE EXECUTIVE DIRECTOR AND OTHER EMPLOYEES USING DATA FROM OTHER COMPARABLE NON-PROFIT ORGANIZATIONS AND DOCUMENTS AGREEMENTS WITH WRITTEN EMPLOYMENT CONTRACTS. THIS PROCESS WAS LAST UNDERTAKEN IN 2014 FOR A. HUSSIAN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. DODOMA CHRISTIAN MEDICAL CENTER TRUST(DCMC) UNDERWENT AN EQUIVALENCY DETERMINATION PROCESS BY NGO SOURCE AND WAS DETERMINED TO BE EQUIVALENT TO A U.S. CHARITABLE ORGANIZATION. NGO SOURCE HOLDS THE EQUIVALENCY DETERMINATION CERTIFICATE IN ITS REPOSITORY.