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      <Desc>ALLIANCE MEDICAL MINISTRY PROVIDES AFFORDABLE ACCESS TO PRIMARY HEALTHCARE TO MORE THAN 2100 WORKING ADULTS IN WAKE COUNTY. ALLIANCE SERVES THE MOST VULNERABLE MEMBERS OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHCARE FOR THOSE WHO DO NOT HAVE HEALTH INSURANCE OR ACCESS TO MEDICAID. IN FY 2025 ALLIANCE PROVIDED MORE THAN 8.35 MILLION IN MEDICAL CARE AND MEDICATIONS TO UNDERSERVED POPULATIONS. THE AVERAGE ALLIANCE PATIENT LIVES AT 158% OF THE FEDERAL POVERTY LEVEL AND SUPPORTS A FAMILY OF THREE ON 39,000 PER YEAR. MORE THAN 70,000 RESIDENTS OF WAKE COUNTY DO NOT HAVE HEALTH INSURANCE OR MEDICAID. ALLIANCE SERVES AS A SAFETY NET PROVIDER FOR THESE INDIVIDUALS WITH A FOCUS ON CHRONIC DISEASE MANAGEMENT. MORE THAN HALF OF ALLIANCE PATIENTS SUFFER FROM AT LEAST ONE CHRONIC CONDITION SUCH AS DIABETES, HYPERTENSION, OR OBESITY AND NEARLY HALF SUFFER FROM ANXIETY AND DEPRESSION. 68% OF ALLIANCE PATIENTS REPORT FEWER TRIPS TO THE ER AND 59% REPORT FEWER HOSPITAL ADMISSIONS WHICH HAS A TREMENDOUS IMPACT ON BOTH COMMUNITY HEALTH AND THE WELFARE OF THE LOCAL HOSPITAL SYSTEMS . ALLIANCE PROVIDES HOLISTIC CARE FOR BODY, MIND, AND SPIRIT AND PROVIDES PRIMARY MEDICAL CARE AND MENTAL HEALTH CARE COUNSELING TO PATIENTS. ALLIANCE EDUCATES PATIENTS ABOUT THEIR CHRONIC CONDITIONS, NUTRITION AND WELLNESS AND EMPLOYS A COMMUNITY HEALTH WORKER AND A FULL-TIME SOCIAL WORKER TO ASSIST PATIENTS IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO MEDICAL ACCESS. IN FY25, ALLIANCE HAD 11,266 HOLISTIC PATIENT ENCOUNTERS.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HUGH TILSON</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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      <GovernmentGrantsAmt>286579</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>51860</NoncashContributionsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REVENUE: PATIENT FEES</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>135450</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SITEBRIDGE: CLINICAL TRIALS</Desc>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>25</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>32140</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      </NetRentalIncomeOrLossGrp>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-4717</TotalRevenueColumnAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>48890</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>154431</TotalAmt>
        <ProgramServicesAmt>51477</ProgramServicesAmt>
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        <ProgramServicesAmt>131342</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <FundraisingAmt>407</FundraisingAmt>
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      <TravelGrp>
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        <FundraisingAmt>153</FundraisingAmt>
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      <InsuranceGrp>
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      </InsuranceGrp>
      <OtherExpensesGrp>
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        <TotalAmt>84352</TotalAmt>
        <ProgramServicesAmt>84352</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLINIC EXPENSE</Desc>
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        <ProgramServicesAmt>33658</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>22500</TotalAmt>
        <ManagementAndGeneralAmt>22500</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <Total509Grp>
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      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherSecuritiesGrp>
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      <OtherLiabilitiesOrgGrp>
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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, 2025, 2024, 2023 AND 2022.</ExplanationTxt>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>EDWIN BURKETT</PersonNm>
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        <BonusFilingOrganizationAmount>1250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5615</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>192780</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETE TANNENBAUM</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>143674</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10522</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>156696</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc7">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>5</ContributionCnt>
        <NoncashContributionsRptF990Amt>3788</NoncashContributionsRptF990Amt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>53</ContributionCnt>
        <NoncashContributionsRptF990Amt>48072</NoncashContributionsRptF990Amt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLIANCE MEDICAL MINISTRY PROVIDES AFFORDABLE ACCESS TO PRIMARY HEALTHCARE TO MORE THAN 2100 WORKING ADULTS IN WAKE COUNTY. ALLIANCE SERVES THE MOST VULNERABLE MEMBERS OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHCARE FOR THOSE WHO DO NOT HAVE HEALTH INSURANCE OR ACCESS TO MEDICAID. IN FY 2025 ALLIANCE PROVIDED MORE THAN 8.35 MILLION IN MEDICAL CARE AND MEDICATIONS TO UNDERSERVED POPULATIONS. THE AVERAGE ALLIANCE PATIENT LIVES AT 158% OF THE FEDERAL POVERTY LEVEL AND SUPPORTS A FAMILY OF THREE ON 39,000 PER YEAR. MORE THAN 70,000 RESIDENTS OF WAKE COUNTY DO NOT HAVE HEALTH INSURANCE OR MEDICAID. ALLIANCE SERVES AS A SAFETY NET PROVIDER FOR THESE INDIVIDUALS WITH A FOCUS ON CHRONIC DISEASE MANAGEMENT. MORE THAN HALF OF ALLIANCE PATIENTS SUFFER FROM AT LEAST ONE CHRONIC CONDITION SUCH AS DIABETES, HYPERTENSION, OR OBESITY AND NEARLY HALF SUFFER FROM ANXIETY AND DEPRESSION. 68% OF ALLIANCE PATIENTS REPORT FEWER TRIPS TO THE ER AND 59% REPORT FEWER HOSPITAL ADMISSIONS WHICH HAS A TREMENDOUS IMPACT ON BOTH COMMUNITY HEALTH AND THE WELFARE OF THE LOCAL HOSPITAL SYSTEMS . ALLIANCE PROVIDES HOLISTIC CARE FOR BODY, MIND, AND SPIRIT AND PROVIDES PRIMARY MEDICAL CARE AND MENTAL HEALTH CARE COUNSELING TO PATIENTS. ALLIANCE EDUCATES PATIENTS ABOUT THEIR CHRONIC CONDITIONS, NUTRITION AND WELLNESS AND EMPLOYS A COMMUNITY HEALTH WORKER AND A FULL-TIME SOCIAL WORKER TO ASSIST PATIENTS IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO MEDICAL ACCESS. IN FY25, ALLIANCE HAD 11,266 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>