ALLIANCE MEDICAL MINISTRY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ALLIANCE MEDICAL MINISTRY INC (EIN 56-2168673)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201303199349307450
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T13:21:27-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOSPODAREK & DREHER CPA PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4101 LAKE BOONE TRL STE 215	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27607	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	562168673	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALLIANCE MEDICAL MINISTRY INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALLI	NameControl
Phone	9192503320	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 DONALD ROSS DRIVE	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27610	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARGARET P RADER	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	9192503320	Phone
Date Signed	2013-08-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DOUG DREHER	Name
Phone	9195109399	Phone
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGARET P RADER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	101 DONALD ROSS DRIVE	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27610	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1408691	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ALLIANCEMEDICALMINISTRY.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	23	TotalNbrEmployees
Total Nbr Volunteers	146	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2309866	ContributionsGrantsPriorYear
Contributions Grants Current Year	721890	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	588966	ProgramServiceRevenuePriorYear
Program Service Revenue CY	567752	ProgramServiceRevenueCY
Investment Income Prior Year	458	InvestmentIncomePriorYear
Investment Income Current Year	251	InvestmentIncomeCurrentYear
Other Revenue Prior Year	85720	OtherRevenuePriorYear
Other Revenue Current Year	82531	OtherRevenueCurrentYear
Total Revenue Prior Year	2985010	TotalRevenuePriorYear
Total Revenue Current Year	1372424	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1374814	SalariesEtcPriorYear
Salaries Etc Current Year	1302134	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	10536	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	160815	TotalFundrsngExpCurrentYear
Other Expense Prior Year	894615	OtherExpensePriorYear
Other Expenses Current Year	554811	OtherExpensesCurrentYear
Total Expenses Prior Year	2279965	TotalExpensesPriorYear
Total Expenses Current Year	1856945	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	705045	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-484521	RevenuesLessExpensesCY
Total Assets BOY	4893761	TotalAssetsBOY
Total Assets EOY	4412456	TotalAssetsEOY
Total Liabilities BOY	622911	TotalLiabilitiesBOY
Total Liabilities EOY	626125	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4270850	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3786331	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1497700	Expense
Revenue	567752	Revenue
Description	PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS. A TOTAL OF 304,267 WAS DONATED TO THE ORGANIZATION IN THE FORM OF PROFESSIONAL SERVICES (121,498)AND LAB WORK FROM REX HOSPITAL (182,769).	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Description	PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1497700	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	23	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARGARET P RADER	NamePerson
Telephone Number	9192503394	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	101 DONALD ROSS DRIVE	AddressLine1
City	RALEIGH	City
State	NC	State
ZIP Code	27610	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
SEAN HARRISON
EXECUTIVE DI	40.00	X	X	118546	0	8327
MARGARET P RADER
EXECUTIVE DI	40.00	X	X	26041	0	0
DAVID WILSON
BOARD CHAIR	5.00	X	X	0	0	0
SUSAN T WEAVER MD
CHAIR-ELECT	3.00	X	X	0	0	0
RICK GANNOTTA
DIRECTOR	3.00	X		0	0	0
NEIL MORRIS
DIRECTOR	5.00	X		0	0	0
DANA SIMPSON JD
SECRETARY	3.00	X	X	0	0	0
JR SHEARIN
DIRECTOR	3.00	X		0	0	0
EILEEN HENDREN
DIRECTOR	3.00	X		0	0	0
MARC NEWMAN
DIRECTOR	3.00	X		0	0	0
RICK MARCOTTE
DIRECTOR	3.00	X		0	0	0
STEVEN PEEDIN
DIRECTOR	3.00	X		0	0	0
GERALD PETKAU
TREASURER	3.00	X	X	0	0	0
BOB VAN WORMER
DIRECTOR	3.00	X		0	0	0
TAMMIE STANTON
DIRECTOR	3.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	144587	TotalReportableCompFromOrg
Total Other Compensation	8327	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Fundraising Events	97090	FundraisingEvents
All Other Contributions	624800	AllOtherContributions
Noncash Contributions	19104	NoncashContributions
Total Contributions	721890	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACT FEES	621110	373036	373036
PATIENT FEES	621110	194716	194716

Field	Value	IRS element (for citing)
Total Program Service Revenue	567752	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	805	TotalRevenueColumn
Exclusion	$805	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	71576	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2550	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	69026	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	69026	TotalRevenueColumn
Exclusion	$69,026	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	700	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	1254	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-554	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-554	TotalRevenueColumn
Related Or Exempt Function Income	-554	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	32463	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	97090	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	32463	FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Business Code	900099	BusinessCode
Total Revenue Column	13505	TotalRevenueColumn
Exclusion	$13,505	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	13505	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1372424	TotalRevenueColumn
Related Or Exempt Function Income	567198	RelatedOrExemptFunctionIncome
Exclusion	$83,336	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	144587	Total
Program Services	118981	ProgramServices
Management And General	13099	ManagementAndGeneral
Fundraising	12507	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	978398	Total
Program Services	829100	ProgramServices
Management And General	63646	ManagementAndGeneral
Fundraising	85652	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	28464	Total
Program Services	24030	ProgramServices
Management And General	1946	ManagementAndGeneral
Fundraising	2488	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	63722	Total
Program Services	53797	ProgramServices
Management And General	4355	ManagementAndGeneral
Fundraising	5570	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	86963	Total
Program Services	73420	ProgramServices
Management And General	5943	ManagementAndGeneral
Fundraising	7600	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15040	Total
Management And General	15040	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	540	Total
Program Services	200	ProgramServices
Management And General	340	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16331	Total
Program Services	10886	ProgramServices
Management And General	5445	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	26698	Total
Management And General	26698	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	104948	Total
Program Services	78710	ProgramServices
Management And General	26238	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9817	Total
Program Services	8288	ProgramServices
Management And General	671	ManagementAndGeneral
Fundraising	858	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
TEMPORARY STAFF	153171	129979	16444	6748
REPAIRS & MAINTENANCE	46094	46094
UTILITIES	43341	14447	14447	14447
MEDICAL SUPPLIES	23175	23175

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	115656	Total
Program Services	86593	ProgramServices
Management And General	4118	ManagementAndGeneral
Fundraising	24945	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1856945	Total
Program Services	1497700	ProgramServices
Management And General	198430	ManagementAndGeneral
Fundraising	160815	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	438347	BOY
EOY	290543	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	72081	BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	226000	BOY
EOY	50000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	634	BOY
EOY	857	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4070	BOY
EOY	16260	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4624775	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	569979	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4152629	BOY
EOY	4054796	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4893761	BOY
EOY	4412456	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	622911	BOY
EOY	626125	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	622911	BOY
EOY	626125	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4094850	BOY
EOY	3716239	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	176000	BOY
EOY	70092	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4270850	BOY
EOY	3786331	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4893761	BOY
EOY	4412456	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-484521	ReconcilationRevenueExpenses
Reconcilation Other Changes	2	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2483731	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2048726	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1687760	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2309866	CurrentTaxYearMinus1Year
Current Tax Year	721890	CurrentTaxYear
Total	9251973	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	616226	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	588966	CurrentTaxYearMinus1Year
Current Tax Year	600215	CurrentTaxYear
Total	1805407	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2483731	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2048726	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2303986	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2898832	CurrentTaxYearMinus1Year
Current Tax Year	1322105	CurrentTaxYear
Total	11057380	Total

Field	Value	IRS element (for citing)
Public Support Total509	11057380	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7923	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	944	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	458	CurrentTaxYearMinus1Year
Current Tax Year	805	CurrentTaxYear
Total	12824	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7923	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2694	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	944	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	458	CurrentTaxYearMinus1Year
Current Tax Year	805	CurrentTaxYear
Total	12824	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	78500	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	86650	CurrentTaxYearMinus1Year
Current Tax Year	81531	CurrentTaxYear
Total	246681	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2491654	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2051420	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2383430	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2985940	CurrentTaxYearMinus1Year
Current Tax Year	1404441	CurrentTaxYear
Total	11316885	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97710	PublicSupportPercentage509
Prior Year Support Percentage	0.98370	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	675000	OtherCostOrOtherBasis
Book Value	675000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3809364	OtherCostOrOtherBasis
Depreciation	471368	Depreciation
Book Value	3337996	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	140411	OtherCostOrOtherBasis
Depreciation	98611	Depreciation
Book Value	41800	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4054796	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	1705408	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	304267	DonatedSrvcAndUseOfFacilities
Other Revenues	28717	OtherRevenues
Revenue Not Rptd F990	332984	RevenueNotRptdF990
Revenue Subtotal	1372424	RevenueSubtotal
Total Revenue Per Form990	1372424	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2189928	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	304267	DonatedServicesUseOfFacilities
Other Expenses Included	28716	OtherExpensesIncluded
Expenses Not Rptd F990	332983	ExpensesNotRptdF990
Expenses Subtotal	1856945	ExpensesSubtotal
Total Expenses Per Form990	1856945	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	DIRECT FUNDRAISING EXPENSES 28,717
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	DIRECT FUNDRAISING EXPENSES 28,716

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SPRING SOIREE	NameOfEvent1
Gross Receipts Event1	85098	GrossReceiptsEvent1
Charitable Contributions Event1	56381	CharitableContributionsEvent1
Gross Revenue Event1	28717	GrossRevenueEvent1
Other Direct Expenses Event1	28717	OtherDirectExpensesEvent1
Name Of Event2	LOVE THY NEIGHB	NameOfEvent2
Gross Receipts Event2	35041	GrossReceiptsEvent2
Charitable Contributions Event2	31295	CharitableContributionsEvent2
Gross Revenue Event2	3746	GrossRevenueEvent2
Other Direct Expenses Event2	3746	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	9414	GrossReceiptsOtherEvents
Charitable Contrib Other Events	9414	CharitableContribOtherEvents
Gross Receipts Total	129553	GrossReceiptsTotal
Charitable Contributions Total	97090	CharitableContributionsTotal
Gross Revenue Total Events	32463	GrossRevenueTotalEvents
Other Direct Expenses Total Events	32463	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	32463	DirectExpenseSummaryEvents

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	THE ORGANIZATION'S BYLAWS WERE AMENDED TO INCREASE THE NUMBER OF BOARD OF DIRECTORS FROM 15 TO 20.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE 990 WILL BE DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT AT THE BOARD MEETING FOLLOWING DISTRIBUTION.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FOR INSPECTION. ALSO THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL REPORT SENT IN A NEWSLETTER TO SUPPORTERS(ALSO AVAILABLE UPON REQUEST). THE NEWSLETTER WITH THE ANNUAL REPORT MAY BE DOWNLOADED FROM THE ORGANIZATION'S WEBSITE.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	DIRECT FUNDRAISING EXPENSES 28,717 DIRECT FUNDRAISING EXPENSES -28,716
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	ROUNDING ADJUSTMENT 1