﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2013v3.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2014-11-15T10:42:23-06:00</ReturnTs>
    <TaxPeriodEndDt>2013-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>430765316</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1>RUBINBROWN LLP</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>ONE NORTH BRENTWOOD</AddressLine1>
        <City>SAINT LOUIS</City>
        <State>MO</State>
        <ZIPCode>63105</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>383736216</EIN>
      <BusinessName>
        <BusinessNameLine1>AFRICAN HEALTH AND HOSPITAL FOUNDATION</BusinessNameLine1>
      </BusinessName>
      <BusinessNameControlTxt>AFRI</BusinessNameControlTxt>
      <PhoneNum>3147272627</PhoneNum>
      <USAddress>
        <AddressLine1>4909 LACLEDE AVE NO 1604</AddressLine1>
        <City>ST LOUIS</City>
        <State>MO</State>
        <ZIPCode>63108</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JEFF ROSE</PersonNm>
      <PersonTitleTxt>DIRECTOR</PersonTitleTxt>
      <PhoneNum>3147272627</PhoneNum>
      <SignatureDt>2014-11-15</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOHN E BUTLER</PreparerPersonNm>
      <PTIN>P00325554</PTIN>
      <PhoneNum>3142903300</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="4">
    <IRS990EZ documentId="RetDoc1234200001" referenceDocumentId="RetDoc1051800001 RetDoc2278000001">
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <ScheduleBNotRequiredInd>X</ScheduleBNotRequiredInd>
      <WebsiteAddressTxt>WWW.AHHFOUNDATION.ORG</WebsiteAddressTxt>
      <Organization501c3Ind referenceDocumentId="RetDoc1039100001">X</Organization501c3Ind>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <GrossReceiptsAmt>8198</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <ContributionsGiftsGrantsEtcAmt>4283</ContributionsGiftsGrantsEtcAmt>
      <InvestmentIncomeAmt>113</InvestmentIncomeAmt>
      <OtherRevenueTotalAmt>3802</OtherRevenueTotalAmt>
      <TotalRevenueAmt>8198</TotalRevenueAmt>
      <GrantsAndSimilarAmountsPaidAmt>1037</GrantsAndSimilarAmountsPaidAmt>
      <OtherExpensesTotalAmt>2530</OtherExpensesTotalAmt>
      <TotalExpensesAmt>3567</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>4631</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>87017</NetAssetsOrFundBalancesBOYAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <NetAssetsOrFundBalancesEOYAmt>91648</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIInd>X</InfoInScheduleOPartIIInd>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>85267</BOYAmt>
        <EOYAmt>91648</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <OtherAssetsTotalDetail>
        <BOYAmt>1750</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalDetail>
      <Form990TotalAssetsGrp>
        <BOYAmt>87017</BOYAmt>
        <EOYAmt>91648</EOYAmt>
      </Form990TotalAssetsGrp>
      <SumOfTotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SumOfTotalLiabilitiesGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>87017</BOYAmt>
        <EOYAmt>91648</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <PrimaryExemptPurposeTxt>IMPROVE THE HEALTH OF IMPOVERISHED COMMUNITIES BY SENDING SURPLUS MEDICAL EQUIPMENT AND SUPPLIES FROM AMERICAN FACILITIES TO HEALTHCARE PROVIDERS IN EAST AFRICA (RWANDA, TANZANIA, KENYA, UGANDA AND BURUNDI). ASSURE THAT FAMILIES REQUIRING DIAGNOSIS AND TREATMENT OF INFECTIOUS DISEASES (HIV, TB, MALARIA AND TROPICAL PARASITIC ILLNESSES), CHRONIC ILLNESSES, MALIGNANCY, TRAUMA AND CHILDBIRTH HAVE ACCESS TO ADEQUATE CARE TECHNOLOGY. RAISE FAMILIES FROM THE SUFFERING AND NEEDLESS DEATH BY SUPPLYING HEALING INFRASTRUCTURE TO TREAT ILLNESSES AND INJURIES, AND TO ASSURE THAT THOUSANDS OF CHILDREN (MANY ORPHANS) HAVE ACCESS TO THE BASIC HEALING SERVICES THEY DESERVE AS HUMAN BEINGS.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>IMPROVE THE HEALTH OF IMPOVERISHED COMMUNITIES BY SENDING SURPLUS MEDICAL EQUIPMENT AND SUPPLIES FROM AMERICAN FACILITIES TO HEALTHCARE PROVIDERS IN EAST AFRICA (RWANDA, TANZANIA, KENYA, UGANDA AND BURUNDI). ASSURE THAT FAMILIES REQUIRING DIAGNOSIS AND TREATMENT OF INFECTIOUS DISEASES (HIV, TB, MALARIA AND TROPICAL PARASITIC ILLNESSES), CHRONIC ILLNESSES, MALIGNANCY, TRAUMA AND CHILDBIRTH HAVE ACCESS TO ADEQUATE CARE TECHNOLOGY. RAISE FAMILIES FROM THE SUFFERING AND NEEDLESS DEATH BY SUPPLYING HEALING INFRASTRUCTURE TO TREAT ILLNESSES AND INJURIES, AND TO ASSURE THAT THOUSANDS OF CHILDREN (MANY ORPHANS) HAVE ACCESS TO THE BASIC HEALING SERVICES THEY DESERVE AS HUMAN BEINGS.</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>0</GrantsAndAllocationsAmt>
        <ForeignGrantsInd>X</ForeignGrantsInd>
        <ProgramServiceExpensesAmt>0</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>0</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JEFFERY ROSE</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JILL DISALVO ROSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>SEAN MECHENICH</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>VICTORIA MCMONAGLE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>BARBARA BRYANT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>CRAIG ROSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>LARRY MCWHIRTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>JOHN BUTLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>BAZI KANANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <ActivitiesNotPreviouslyRptInd>0</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>0</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>0</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd>0</OrganizationDissolvedEtcInd>
      <DirectIndirectPltclExpendAmt>0</DirectIndirectPltclExpendAmt>
      <MadeLoansToFromOfficersInd>0</MadeLoansToFromOfficersInd>
      <TaxImposedUnderIRC4911Amt>0</TaxImposedUnderIRC4911Amt>
      <TaxImposedUnderIRC4912Amt>0</TaxImposedUnderIRC4912Amt>
      <TaxImposedUnderIRC4955Amt>0</TaxImposedUnderIRC4955Amt>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <TaxImposedOnOrganizationMgrAmt>0</TaxImposedOnOrganizationMgrAmt>
      <TaxReimbursedByOrganizationAmt>0</TaxReimbursedByOrganizationAmt>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1>JIM MORRISON</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>4909 LACLEDE AVENUE</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63108</ZIPCode>
        </USAddress>
        <PhoneNum>3147272627</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <DonorAdvisedFndsInd>0</DonorAdvisedFndsInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <TanningServicesProvidedInd>0</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>0</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>1</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1952481</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>168447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170010</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56171</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4583</CurrentTaxYearAmt>
        <TotalAmt>2351692</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1952481</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>168447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170010</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56171</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4583</CurrentTaxYearAmt>
        <TotalAmt>2351692</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1740605</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>611087</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>134</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>109</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>198</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>114</CurrentTaxYearAmt>
        <TotalAmt>649</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>200</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>698</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>3802</CurrentTaxYearAmt>
        <TotalAmt>4700</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>2357041</TotalSupportAmt>
      <PublicSupportCY170Pct>0.25930</PublicSupportCY170Pct>
      <TenPctFactsCrcmstncsTestCYInd>X</TenPctFactsCrcmstncsTestCYInd>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, SECTION C, LINE 17A</FormAndLineReferenceDesc>
        <ExplanationTxt>AFRICAN HEALTH AND HOSPITAL FOUNDATION (AHHF) NORMALLY RECEIVES A SUBSTANTIAL AMOUNT OF SUPPORT FROM THE GENERAL PUBLIC. AHHF HAS A DIVERSE BOARD OF DIRECTORS AND ACTIVELY SOLICITS CONTRIBUTIONS OF CASH, MEDICAL EQUIPMENT AND SUPPLIES FROM A VARIETY OF SOURCES. AHHF HAS BEEN IN EXISTENCE FOR 7 YEARS. JUST 12 DONORS HAVE MADE CONTRIBUTIONS VALUED AT $5,000 OR MORE SINCE 2009, BUT THAT GROUP INCLUDES SEVERAL LARGE SURPLUS MEDICAL EQUIPMENT DONATIONS THAT HAVE AFFECTED AHHF'S PUBLIC SUPPORT CALCULATION. ONLY A SMALL PERCENTAGE OF TOTAL DONATIONS ARE FROM DONORS RELATED TO THE FOUNDERS AND DIRECTORS OF AHHF. IN ALL YEARS, DONORS GIVING CONTRIBUTIONS OF LESS THAN $5,000 HAVE CONSTITUTED AT LEAST 10% OF TOTAL CONTRIBUTIONS. AHHF INITIALLY SOLICITED LARGE AND COMPLEX MEDICAL EQUIPMENT (SUCH AS A CT SCANNER IN 2009.) IN MORE RECENT YEARS IT HAS SOLICITED LESS COMPLEX IN-KIND CONTRIBUTIONS OF LOWER DOLLAR VALUE. ITS PUBLIC SUPPORT PERCENTAGE FOR 2010 - 2013 IS 38.17%, AND AHHF ANTICIPATES THAT IT WILL MEET THE 33-1/3% SUPPORT TEST IN FUTURE YEARS.</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleO documentId="RetDoc1051800001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: INVESTMENT INCOME. AMOUNT: 113.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: REFUND. AMOUNT: 3,802.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: BANK FEES. AMOUNT: 1. DESCRIPTION: TRAVEL. AMOUNT: 119. DESCRIPTION: INTERNATIONAL PROGRAM DEVELOPMENT. AMOUNT: 1,770. DESCRIPTION: OFFICE. AMOUNT: 640. TOTAL TO FORM 990-EZ, LINE 16: 2,530.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: UNDEPOSITED FUNDS. BEG. OF YEAR AMOUNT: 1,750. END OF YEAR AMOUNT: 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <TransferPrsnlBnftContractsDecl documentId="RetDoc2278000001">
      <DeclarationDesc>THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.</DeclarationDesc>
    </TransferPrsnlBnftContractsDecl>
  </ReturnData>
</Return>