2024-10-29T23:41:46-05:00 2023-12-31 541149263 YOUNT HYDE & BARBOUR PC PO BOX 2560 WINCHESTER VA 226041760 990 2023-01-01 341985248 DIVINE MERCY CARE DIVI 7039345552 4001 FAIR RIDGE DRIVE STE 305 FAIRFAX VA 22030 DR JOHN BRUCHALSKI PRESIDENT 7039345552 2024-10-28 1 0 OLIVIA A HUTTON CPA P00964688 5406623417 2024-10-28 2023 2024-10-15 13:58:12Z DR JOHN BRUCHALSKI 4001 FAIR RIDGE DRIVE STE 305 FAIRFAX VA 22030 3893835 0 X WWW.DIVINEMERCYCARE.ORG X 2000 VA TO TRANSFORM HEARTS THROUGH HEALTHCARE 6 5 32 13 0 0 1254384 1211109 2020424 2638183 443 2460 -12405 3129 3262846 3854881 0 0 0 0 2590966 2730752 0 0 128999 919908 976999 3510874 3707751 -248028 147130 1225762 1109959 790607 530839 435155 579120 X OUR MISSION IS TO CONVEY THE HEALING PRESENCE OF CHRIST THROUGH EXCELLENT MEDICAL CARE WHICH RESPECTS THE CONSCIENCES OF PATIENTS AND PROVIDERS, SERVES THE POOR, AND UPHOLDS THE SANCTITY OF LIFE AT ALL STAGES. WE LOVINGLY CARE FOR ALL PATIENTS, RICH OR POOR, INSURED OR UNINSURED, REGARDLESS OF FAITH TRADITION, ETHNICITY, NATIONAL ORIGIN OR BACKGROUND. 0 0 3432469 2653316 DIVINE MERCY CARE WORKS TO BUILD A CULTURE OF LIFE BY SUPPORTING THE PROVISION OF CHARITABLE, LIFE-AFFIRMING CARE AT TEPEYAC FAMILY CENTER LLC AND BY EDUCATING FUTURE DOCTORS AND MEDICAL PROFESSIONALS ABOUT PRO-LIFE MEDICINE. IN 2023 ABOUT 30 PERCENT OF TEPEYAC FAMILY CENTER LLC DELIVERIES WERE TO WOMEN IN NEED AND 429 WOMEN RECEIVED FINANCIAL AID. 3432469 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 9 0 1 32 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 5 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DR JOHN BRUCHALSKI 7039345552 4001 FAIR RIDGE DRIVE STE 304 FAIRFAX VA 22033 KATHRYN DOHERTY CHAIR 15.00 X X 5400 0 0 MONIQUE BAROUDI SECRETARY 1.00 X X 0 0 0 JOSEPH GOYETTE TREASURER 1.00 X X 0 0 0 FR GERALD WEYMES DIRECTOR 1.00 X 0 0 0 SEAN GARVEY DIRECTOR 1.00 X 0 0 0 JOHN BRUCHALSKI PRESIDENT, FOUNDER 40.00 X X 200000 0 35130 DANIEL FISK MD OB/GYN 40.00 X 282518 0 23167 LORNA CVETOVICH MD OB/GYN 40.00 X 147072 0 20090 MIRIAM PEREIRA MD OB/GYN 40.00 X 283106 0 9760 JENNIFER MULDOON MD OB/GYN 40.00 X 180293 0 7459 1098389 0 95606 5 0 1 0 RMR GROUP LLC PO BOX 826450 PHILADELPHIA PA 191826450 RENT 260871 COSTANZA RUTLAND 42029 FOLEY HEADWATERS STREET ALDIE VA 20105 CONSULTANT 208125 2 131000 1080109 1211109 PROFESSIONAL FEES 621110 2638183 2638183 2638183 2460 2460 2000 0 2000 2000 2000 24950 131000 38954 -14004 -14004 MISCELLANEOUS 900099 15133 15133 15133 3854881 2653316 0 -9544 205400 101350 4050 100000 2156419 2138483 14686 3250 39583 34583 1500 3500 185478 155098 30380 143872 128909 2180 12783 30892 10517 20375 9959 5459 4500 17533 17504 29 90764 60489 24359 5916 3121 7 2101 1013 216055 181041 35014 14632 12099 373 2160 572 572 61933 61383 550 228108 228108 MEDICAL EXPENSES 254282 254282 MISSION EXPENSES 21461 17710 3751 STAFF DEVELOPMENT 18571 18571 LICENSES AND PERMITS 4852 2512 2340 4264 3792 95 377 3707751 3432469 146283 128999 331724 336223 341586 158421 11995 11995 115588 233106 773 3819 773269 441785 389185 331484 34911 34911 1225762 1109959 243749 29056 65 65 546793 501718 790607 530839 X 435155 579120 435155 579120 1225762 1109959 X 147130 4388 -7553 X 0 0 0 X 940503 1287880 1024713 1254384 1211109 5718589 2603317 2626670 2533648 1766168 2638183 12167986 3543820 3914550 3558361 3020552 3849292 17886575 7300 7300 0 7300 7300 17879275 1670 518 163 443 2460 5254 1670 518 163 443 2460 5254 3814 5664 12049 4822 17133 43482 3549304 3920732 3570573 3025817 3868885 17935311 0.99690 0.99780 0.00030 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 238656 177661 60995 534613 264124 270489 331484 DEFERRED RENT 501718 501718 GALA 155950 131000 24950 3200 28698 7056 155950 131000 24950 3200 28698 7056 38954 -14004 X X X 0 0 0 0 0 0 0 0 0 DANIEL FISK MD OB/GYN 282518 0 0 0 0 0 9760 0 13407 0 305685 0 0 0 MIRIAM PEREIRA MD OB/GYN 283106 0 0 0 0 0 9760 0 0 0 292866 0 0 0 JOHN BRUCHALSKI PRESIDENT, FOUNDER 200000 0 0 0 0 0 4749 0 30381 0 235130 0 0 0 JENNIFER MULDOON MD OB/GYN 180293 0 0 0 0 0 3754 0 3705 0 187752 0 0 0 LORNA CVETOVICH MD OB/GYN 147072 0 0 0 0 0 5460 0 14630 0 167162 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A IF THE OFFICE OF ANY DIRECTOR OR DIRECTORS BECOMES VACANT, THE REMAINING DIRECTORS, THOUGH LESS THAN A QUORUM, SHALL BE AUTHORIZED TO SELECT A SUCCESSOR OR SUCCESSORS, WHO SHALL BE APPOINTED UPON THE AFFIRMATIVE VOTE OF A THREE-FOURTHS MAJORITY OF THE REMAINING DIRECTORS OF THE CORPORATION TO SERVE THE UNEXPIRED TERMS OF THE VACATED DIRECTORSHIPS. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX ACCOUNTANT. THE DRAFT VERSION OF THE FEDERAL FORM 990 IS THEN SUBMITTED TO THE AUDIT REVIEW COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS, FOR REVIEW AND REVISIONS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MEETS QUARTERLY AND DISCUSSES ANY CONFLICTS OF INTEREST AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S CHAIRMAN AND PRESIDENT IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE, WHICH INCLUDES INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION IS EVALUATED IN LIGHT OF COMPARABILITY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. COMPENSATION FOR THE ORGANIZATION'S KEY EMPLOYEES IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE, WHICH INCLUDES INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION IS EVALUATED IN LIGHT OF COMPARABILTY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -7,553. TEPEYAC FAMILY CENTER LLC 4001 FAIR RIDGE DRIVE STE 304 FAIRFAX VA 22033 201963116 OB/GYN SERVICES VA 2640508 590274 DIVINE MERCY CARE