EXECUTIVE DIRECTOR

2012-08-14T09:47:59-05:00 2011-12-31 GOSPODAREK & DREHER CPA PA 4101 LAKE BOONE TRL STE 215 RALEIGH NC 27607 990 2011-01-01 562168673 ALLIANCE MEDICAL MINISTRY INC ALLI 9192503320 101 DONALD ROSS DRIVE RALEIGH NC 27610 SEAN HARRISON EXECUTIVE DIRECTOR 9192503320 2012-08-13 true DAVE GOSPODAREK 9195109399 2012-08-09 2011 2016-02-24 21:20:13Z SEAN R HARRISON 101 DONALD ROSS DRIVE RALEIGH NC 27610 2988170 false X WWW.ALLIANCEMEDICALMINISTRY.ORG X 2000 NC TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. 14 14 21 146 0 1687760 2309866 588113 588966 944 458 90059 85720 2366876 2985010 0 0 1278592 1374814 49923 10536 102271 929858 894615 2258373 2279965 108503 705045 5081034 4893761 1515224 622911 3565810 4270850 TO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES. false false 2034603 588966 PROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS 2034603 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 true false false false false false false false false true false false false false false false false false false true 8 0 false 21 true false false false false false false X 14 14 false false false false false false false true true false false true false false false true true false NC X SEAN R HARRISON 9192503394 101 DONALD ROSS DRIVE RALEIGH NC 27610 SEAN HARRISON EXECUTIVE DI 40.00 X X 150000 0 8808 DAVID WILSON BOARD CHAIR 5.00 X X 0 0 0 SUSAN T WEAVER MD DIRECTOR 3.00 X 0 0 0 RICK GANNOTTA DIRECTOR 3.00 X 0 0 0 NEIL MORRIS TREASURER 5.00 X 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 ROBERT HERRINGTON DIRECTOR 3.00 X 0 0 0 MARC NEWMAN DIRECTOR 3.00 X 0 0 0 JAMIE WINSTON 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 DIRECTOR 3.00 X 0 0 0 BOB VAN WORMER DIRECTOR 3.00 X 0 0 0 150000 8808 1 false true false 440536 1869330 280468 2309866 CONTRACT FEES 621110 373499 373499 PATIENT FEES 621110 215467 215467 588966 458 458 83415 1230 82185 82185 82185 440536 1930 -1930 MISCELLANEOUS 900099 5465 5465 5465 2985010 588966 88108 150000 139500 4500 6000 1044720 971590 31342 41788 31150 28970 935 1245 58802 54686 1764 2352 90142 83833 2704 3605 12345 12345 10536 10536 56945 56945 14411 4804 4803 4804 27826 27826 104370 78277 26093 17785 16541 533 711 TEMPORARY STAFF 220464 220464 LAB COSTS 204526 204526 UTILITIES 45694 45694 REPAIRS & MAINTENANCE 44349 14783 14783 14783 145900 113990 15463 16447 2279965 2034603 143091 102271 603625 438347 134395 72081 82001 226000 634 5388 4070 4617751 465122 4255625 4152629 5081034 4893761 35224 622911 1480000 1515224 622911 X 3565810 4094850 176000 3565810 4270850 5081034 4893761 705045 -5 X false true true X false X 2396326 2483731 2048726 1687760 2309866 10926409 616226 588966 1205192 2396326 2483731 2048726 2303986 2898832 12131601 12131601 24066 7923 2694 944 458 36085 24066 7923 2694 944 458 36085 78500 86650 165150 2420392 2491654 2051420 2383430 2985940 12332836 0.98370 0.98800 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 675000 675000 3809364 375092 3434272 133387 90030 43357 4152629 2985010 2279965 705045 -3 -3 705042 2985010 2985010 2985010 2279968 3 3 2279965 2279965 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 BOOK / TAX DEPRECIATION DIFFERENCE -3 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D BOOK / TAX DEPRECIATION DIFFERENCE 3 BAND TOGETHER 440536 440536 1930 440536 440536 1930 1930 -1930 X false false false false false false false false false SEAN HARRISON 150000 4308 4500 158808 X 28 16708 X 25 263760 false false false 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.