2013-11-15T13:21:27-06:00 2012-12-31 GOSPODAREK & DREHER CPA PA 4101 LAKE BOONE TRL STE 215 RALEIGH NC 27607 990 2012-01-01 562168673 ALLIANCE MEDICAL MINISTRY INC ALLI 9192503320 101 DONALD ROSS DRIVE RALEIGH NC 27610 MARGARET P RADER 9192503320 2013-08-15 true DOUG DREHER 9195109399 2013-11-15 2012 2016-02-25 16:41:14Z MARGARET P RADER 101 DONALD ROSS DRIVE RALEIGH NC 27610 1408691 false X WWW.ALLIANCEMEDICALMINISTRY.ORG X 2000 NC TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. 15 15 23 146 0 2309866 721890 588966 567752 458 251 85720 82531 2985010 1372424 0 0 1374814 1302134 10536 0 160815 894615 554811 2279965 1856945 705045 -484521 4893761 4412456 622911 626125 4270850 3786331 X TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. false false 1497700 567752 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). PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS 1497700 true true false false false false false false false false true false false false false false true false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false true 7 0 false 23 true false false false false false false X 15 15 false false true false false false false true true false false true false false false true true false X MARGARET P RADER 9192503394 101 DONALD ROSS DRIVE RALEIGH NC 27610 SEAN HARRISON 40.00 X X 118546 0 8327 MARGARET P RADER 40.00 X X 26041 0 0 DAVID WILSON 5.00 X X 0 0 0 SUSAN T WEAVER MD 3.00 X X 0 0 0 RICK GANNOTTA 3.00 X 0 0 0 NEIL MORRIS 5.00 X 0 0 0 DANA SIMPSON JD 3.00 X X 0 0 0 JR SHEARIN 3.00 X 0 0 0 EILEEN HENDREN 3.00 X 0 0 0 MARC NEWMAN 3.00 X 0 0 0 RICK MARCOTTE 3.00 X 0 0 0 STEVEN PEEDIN 3.00 X 0 0 0 GERALD PETKAU 3.00 X X 0 0 0 BOB VAN WORMER 3.00 X 0 0 0 TAMMIE STANTON 3.00 X 0 0 0 144587 8327 1 false false false 97090 624800 19104 721890 CONTRACT FEES 621110 373036 373036 PATIENT FEES 621110 194716 194716 567752 805 805 71576 2550 69026 69026 69026 700 1254 -554 -554 -554 32463 97090 32463 MISCELLANEOUS 900099 13505 13505 13505 1372424 567198 83336 144587 118981 13099 12507 978398 829100 63646 85652 28464 24030 1946 2488 63722 53797 4355 5570 86963 73420 5943 7600 15040 15040 540 200 340 16331 10886 5445 26698 26698 104948 78710 26238 9817 8288 671 858 TEMPORARY STAFF 153171 129979 16444 6748 REPAIRS & MAINTENANCE 46094 46094 UTILITIES 43341 14447 14447 14447 MEDICAL SUPPLIES 23175 23175 115656 86593 4118 24945 1856945 1497700 198430 160815 438347 290543 72081 226000 50000 634 857 4070 16260 4624775 569979 4152629 4054796 4893761 4412456 622911 626125 622911 626125 X 4094850 3716239 176000 70092 4270850 3786331 4893761 4412456 -484521 2 X false true X true false X 2483731 2048726 1687760 2309866 721890 9251973 616226 588966 600215 1805407 2483731 2048726 2303986 2898832 1322105 11057380 11057380 7923 2694 944 458 805 12824 7923 2694 944 458 805 12824 78500 86650 81531 246681 2491654 2051420 2383430 2985940 1404441 11316885 0.97710 0.98370 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 675000 675000 3809364 471368 3337996 140411 98611 41800 4054796 1705408 304267 28717 332984 1372424 1372424 2189928 304267 28716 332983 1856945 1856945 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 SPRING SOIREE 85098 56381 28717 28717 LOVE THY NEIGHB 35041 31295 3746 3746 1 9414 9414 129553 97090 32463 32463 32463 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