Alliance Medical Ministry Inc
Nonprofit profile at a glance
- EIN
- 562168673
- IRS 990 coverage
- 2010–2024
- Forms available
- Form 990 2024
- Location
- Raleigh, NC, USA
- Phone
- 9192503320
- Rating
- 77
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $2,937,720
- Expenses
- $3,018,731
- Assets
- $4,094,389
- Liabilities
- $254,030
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
21 people listed
Highest reported compensation
- EDWIN BURKETT (MEDICAL DIRE): $192,780 total reported compensation
- PETE TANNENBAUM (EXECUTIVE DI): $156,696 total reported compensation
- JOSH MCCONAGHAY (NURSE PRACTI): $112,728 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Provide medical services for uninsured low income individuals.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Donor-supported. 70% of the money available for current operations came from contributions and gifts.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 78
- Transparency & Controls: 71
- Accountability: 96
- Sustainability: 35
- Growth: 80
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 84.8%; rating input score 85
- Program expense ratio: 82.3%; rating input score 82
- Fundraising efficiency: $7.63 raised per $1 spent on fundraising; rating input score 29; 29th percentile among comparable filings
Transparency & Controls
- Consistency checks: 94.4%; rating input score 94; 24th percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 94.4%; rating input score 94; 25th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -2.8%; rating input score 25; 25th percentile among comparable filings
- Total-asset coverage ratio: 1.36; rating input score 48; 48th percentile among comparable filings
- Liabilities to assets ratio: 0.06; rating input score 67; 67th percentile among comparable filings
- Officer compensation ratio: 18.9%; rating input score 13; 13th percentile among comparable filings
Growth
- Program expense growth: 6.9% per year; rating input score 100; 50th percentile among comparable filings
- Revenue growth: 2.3% per year; rating input score 100; 22nd percentile among comparable filings
- Asset growth: -0.4% per year; rating input score 0; 11th percentile among comparable filings
Details
- Where the money goes: 84.8% of revenue deployed · 82.3% of spending went to programs
- Governance: 17 of 18 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.5M in reported program spending
- Leadership: top reported pay $193K · 21 people listed · 2 of 6 pay-setting controls reported
- Consistency: 33 of 34 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes major donors and executive pay
- Filing history: 15 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 4 filed money-flow records
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Financial Efficiency: Fundraising efficiency scored 29/100.
- High — Sustainability: Operating margin scored 25/100.
- High — Growth: Asset growth scored 0/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 48/100.
- High — Sustainability: Officer compensation ratio scored 13/100.
- Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.