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      <Desc>ALLIANCE MEDICAL MINISTRY PROVIDES AFFORDABLE ACCESS TO PRIMARY HEALTHCARE TO MORE THAN 2,100 WORKING BUT UNINSURED ADULTS IN WAKE COUNTY. THE AVERAGE ALLIANCE PATIENT LIVES AT 158% OF THE FEDERAL POVERTY LEVEL AND A FAMILY OF THREE SURVIVES ON 37,000 PER YEAR. MORE THAN 115,000 RESIDENTS OF WAKE COUNTY DO NOT HAVE HEALTHCARE. ALLIANCE SERVES AS A SAFETY NET PROVIDER FOR THESE INDIVIDUALS. MORE THAN HALF OF ALLIANCE PATIENTS SUFFER FROM AT LEAST ONE CHRONIC DISEASE SUCH AS DIABETES, HYPERTENSION OR OBESITY. 73% OF ALLIANCE PATIENTS REPORT FEWER TRIPS TO THE ER AND 64% REPORT FEWER HOSPITAL ADMISSIONS WHICH HAS A TREMENDOUS IMPACT ON COMMUNITY HEALTH. ALLIANCE PROVIDES HOLISTIC CARE FOR BODY, MIND AND SPIRIT AND PROVIDES PRIMARY MEDICAL CARE AND MENTAL HEALTH AND PASTORAL CARE COUNSELING TO PATIENTS. ALLIANCE EDUCATES PATIENTS ABOUT NUTRITION AND WELLNESS AND EMPLOYS A REGISTERED DIETITIAN AND A FULL TIME SOCIAL WORKER TO ASSIST PATIENTS IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO MEDICAL ACCESS. IN FY23, ALLIANCE HAD 10,790 HOLISTIC PATIENT ENCOUNTERS.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HUGH TILSON</PersonNm>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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      <GovernmentGrantsAmt>1054360</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REVENUE MEDICAL RECORDS</Desc>
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        <RelatedOrExemptFuncIncomeAmt>420</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>15979</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>16926</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-374</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
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        <RelatedOrExemptFuncIncomeAmt>1265</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1265</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <FundraisingAmt>49193</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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        <FundraisingAmt>9696</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>1975</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
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      <InformationTechnologyGrp>
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        <FundraisingAmt>189</FundraisingAmt>
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      <TravelGrp>
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        <FundraisingAmt>133</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>22305</ProgramServicesAmt>
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        <FundraisingAmt>744</FundraisingAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>107251</TotalAmt>
        <ProgramServicesAmt>107251</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLINIC EXPENSE</Desc>
        <TotalAmt>55576</TotalAmt>
        <ProgramServicesAmt>55576</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISC TAXES</Desc>
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        <ManagementAndGeneralAmt>10562</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES-OFFICE</Desc>
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        <FundraisingAmt>197861</FundraisingAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>10484</EOYAmt>
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        <EOYAmt>289401</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>24221</ReconcilationRevenueExpnssAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearAmt>2177467</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>10942</CurrentTaxYearMinus4YearsAmt>
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        <TotalAmt>62707</TotalAmt>
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        <CurrentTaxYearAmt>15926</CurrentTaxYearAmt>
        <TotalAmt>153264</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearAmt>2209372</CurrentTaxYearAmt>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
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      <EquipmentGrp>
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        <BookValueAmt>92465</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>ANNUITIES</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL ADVANCE</Desc>
        <Amt>-1000</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>2719747</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2719747</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>454876</DonatedServicesUseFcltsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS WHICH WOULD AFFECT THE EXEMPT STATUS OF THE ORGANIZATION. YEARS STILL SUBJECT TO IRS REVIEW ARE THE YEARS ENDED JUNE 30, 2023, 2022, 2021 AND 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWIN BURKETT</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>179250</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>750</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5400</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>185400</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>7021</NoncashContributionsRptF990Amt>
      </SecuritiesPubliclyTradedGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>42</ContributionCnt>
        <NoncashContributionsRptF990Amt>47020</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>1708</NoncashContributionsRptF990Amt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLIANCE MEDICAL MINISTRY PROVIDES AFFORDABLE ACCESS TO PRIMARY HEALTHCARE TO MORE THAN 2,100 WORKING BUT UNINSURED ADULTS IN WAKE COUNTY. THE AVERAGE ALLIANCE PATIENT LIVES AT 158% OF THE FEDERAL POVERTY LEVEL AND A FAMILY OF THREE SURVIVES ON 37,000 PER YEAR. MORE THAN 115,000 RESIDENTS OF WAKE COUNTY DO NOT HAVE HEALTHCARE. ALLIANCE SERVES AS A SAFETY NET PROVIDER FOR THESE INDIVIDUALS. MORE THAN HALF OF ALLIANCE PATIENTS SUFFER FROM AT LEAST ONE CHRONIC DISEASE SUCH AS DIABETES, HYPERTENSION OR OBESITY. 73% OF ALLIANCE PATIENTS REPORT FEWER TRIPS TO THE ER AND 64% REPORT FEWER HOSPITAL ADMISSIONS WHICH HAS A TREMENDOUS IMPACT ON COMMUNITY HEALTH. ALLIANCE PROVIDES HOLISTIC CARE FOR BODY, MIND AND SPIRIT AND PROVIDES PRIMARY MEDICAL CARE AND MENTAL HEALTH AND PASTORAL CARE COUNSELING TO PATIENTS. ALLIANCE EDUCATES PATIENTS ABOUT NUTRITION AND WELLNESS AND EMPLOYS A REGISTERED DIETITIAN AND A FULL TIME SOCIAL WORKER TO ASSIST PATIENTS IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO MEDICAL ACCESS. IN FY23, ALLIANCE HAD 10,790 HOLISTIC PATIENT ENCOUNTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT AT THE BOARD MEETING FOLLOWING DISTRIBUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
