DIVINE MERCY CARE: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
DIVINE MERCY CARE (EIN 34-1985248)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-08-31
IRS object ID
202622439349301342
Schema version
2025v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-31T12:16:42-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541149263PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1YOUNT HYDE & BARBOUR PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2560AddressLine1Txt
CityWINCHESTERCityNm
State AbbreviationVAStateAbbreviationCd
ZIP226041760ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341985248EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DIVINE MERCY CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDIVIBusinessNameControlTxt
Phone7039345552PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14001 FAIR RIDGE DRIVE STE 305AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22030ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR JOHN BRUCHALSKIPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7039345552PhoneNum
Signature2026-08-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOLIVIA A HUTTON CPAPreparerPersonNm
PTINP00964688PTIN
Phone5406623417PhoneNum
Preparation2026-08-24PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR JOHN BRUCHALSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14001 FAIR RIDGE DRIVE STE 305AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22030ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,803,016GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DIVINEMERCYCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO TRANSFORM HEARTS THROUGH HEALTHCAREActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee34TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,009,848PYContributionsGrantsAmt
CY Contributions Grants$898,989CYContributionsGrantsAmt
PY Program Service Revenue$2,170,820PYProgramServiceRevenueAmt
CY Program Service Revenue$1,776,332CYProgramServiceRevenueAmt
PY Investment Income$858PYInvestmentIncomeAmt
CY Investment Income$370CYInvestmentIncomeAmt
PY Other Revenue-$21,651PYOtherRevenueAmt
CY Other Revenue$94,070CYOtherRevenueAmt
PY Total Revenue$3,159,875PYTotalRevenueAmt
CY Total Revenue$2,769,761CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,256,837PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,929,461CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,985CYTotalFundraisingExpenseAmt
PY Other Expenses$909,982PYOtherExpensesAmt
CY Other Expenses$966,366CYOtherExpensesAmt
PY Total Expenses$3,166,819PYTotalExpensesAmt
CY Total Expenses$2,895,827CYTotalExpensesAmt
PY Revenues Less Expenses-$6,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$126,066CYRevenuesLessExpensesAmt
Total Assets BOY$1,058,548TotalAssetsBOYAmt
Total Assets EOY$897,726TotalAssetsEOYAmt
Total Liabilities BOY$478,827TotalLiabilitiesBOYAmt
Total Liabilities EOY$436,957TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$579,721NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$460,769NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,753,125ExpenseAmt
Revenue$1,776,757RevenueAmt
DescDIVINE 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 2025, APPROXIMATELY 17 PERCENT OF TEPEYAC FAMILY CENTER LLC PATIENTS WERE WOMEN IN NEED AND 121 WOMEN RECEIVED FINANCIAL AID.Desc
Total Program Service Expenses$2,753,125TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee34EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DR JOHN BRUCHALSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7039345552PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14001 FAIR RIDGE DRIVE STE 304AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KATHRYN DOHERTY
CHAIR10.00Yes (X)Yes (X)$0$0$0
MONIQUE BAROUDI
SECRETARY10.00Yes (X)Yes (X)$0$0$0
JOSEPH GOYETTE
TREASURER3.00Yes (X)Yes (X)$0$0$0
FR GERALD WEYMES
DIRECTOR1.00Yes (X)$0$0$0
SEAN GARVEY
DIRECTOR5.00Yes (X)$0$0$0
JOHN BRUCHALSKI
PRESIDENT, FOUNDER5.00Yes (X)Yes (X)$12,000$0$38,999
DANIEL FISK MD
OB/GYN40.00$157,168$0$27,226Yes (X)
LORNA CVETOVICH MD
OB/GYN40.00$103,680$0$17,497Yes (X)
MIRIAM PEREIRA MD
OB/GYN40.00$140,000$0$9,760Yes (X)
VICTORIA SNYDER ATENCIO
NURSE-MIDWIFE40.00$140,995$0$0Yes (X)
THOMAS E BURNS III
OB/GYN40.00$189,746$0$5,648Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$743,589TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$99,130TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GREENWAY HEALTH
4301 W BOY SCOUT BLVD SUITE 800TAMPAFL33607RECORD MANAGEMENT$137,744
RMR GROUP LLC
PO BOX 826450PHILADELPHIAPA191826450RENT$118,206
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$58,170FundraisingAmt
All Other Contributions$840,819AllOtherContributionsAmt
Total Contributions$898,989TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROFESSIONAL FEESDesc
Business621110BusinessCd
Total Revenue Column$1,776,332TotalRevenueColumnAmt
Related Or Exempt Func Income$1,776,332RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,776,332TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$370TotalRevenueColumnAmt
Exclusion$370ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$126,900FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$58,170ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,255FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,645TotalRevenueColumnAmt
Exclusion$93,645ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$425TotalRevenueColumnAmt
Related Or Exempt Func Income$425RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$425OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,769,761TotalRevenueColumnAmt
Related Or Exempt Func Income$1,776,757RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$94,015ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Program Services$6,000ProgramServicesAmt
Fundraising$6,000FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,568,404TotalAmt
Program Services$1,554,624ProgramServicesAmt
Management And General$12,375ManagementAndGeneralAmt
Fundraising$1,405FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,345TotalAmt
Program Services$29,345ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$198,726TotalAmt
Program Services$159,735ProgramServicesAmt
Management And General$38,991ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$120,986TotalAmt
Program Services$118,561ProgramServicesAmt
Management And General$1,477ManagementAndGeneralAmt
Fundraising$948FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,475TotalAmt
Management And General$5,475ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,892TotalAmt
Program Services$11,802ProgramServicesAmt
Management And General$12,090ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,098TotalAmt
Program Services$1,098ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,920TotalAmt
Program Services$3,920ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$70,985TotalAmt
Program Services$54,263ProgramServicesAmt
Management And General$16,722ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,083TotalAmt
Management And General$4,903ManagementAndGeneralAmt
Fundraising$180FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$256,823TotalAmt
Program Services$221,775ProgramServicesAmt
Management And General$35,048ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,079TotalAmt
Program Services$7,141ProgramServicesAmt
Management And General$486ManagementAndGeneralAmt
Fundraising$452FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$925TotalAmt
Program Services$925ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$70TotalAmt
Program Services$70ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$61,667TotalAmt
Program Services$61,667ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$213,996TotalAmt
Program Services$213,996ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$270,643$270,643
MISSION EXPENSES$21,927$16,802$5,125
BAD DEBT$17,906$17,906
LICENSES AND PERMITS$2,833$1,908$925

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,044TotalAmt
Program Services$944ProgramServicesAmt
Management And General$100ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,895,827TotalAmt
Program Services$2,753,125ProgramServicesAmt
Management And General$133,717ManagementAndGeneralAmt
Fundraising$8,985FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$351,346BOYAmt
EOY$341,074EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$112,438BOYAmt
EOY$51,631EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$229,106BOYAmt
EOY$208,932EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,340BOYAmt
EOY$42,438EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$776,169LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$557,429LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$280,407BOYAmt
EOY$218,740EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$34,911BOYAmt
EOY$34,911EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,058,548BOYAmt
EOY$897,726EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,167BOYAmt
EOY$43,685EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$65BOYAmt
EOY$65EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$450,595BOYAmt
EOY$393,207EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$478,827BOYAmt
EOY$436,957EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$579,721BOYAmt
EOY$460,769EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$579,721BOYAmt
EOY$460,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,058,548BOYAmt
EOY$897,726EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$126,066ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,828NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,286OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,024,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,254,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,211,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,009,848CurrentTaxYearMinus1YearAmt
Current Tax Year$898,989CurrentTaxYearAmt
Total$5,399,043TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,533,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,766,168CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,638,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,170,820CurrentTaxYearMinus1YearAmt
Current Tax Year$1,776,332CurrentTaxYearAmt
Total$10,885,151TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,558,361CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,020,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,849,292CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,180,668CurrentTaxYearMinus1YearAmt
Current Tax Year$2,675,321CurrentTaxYearAmt
Total$16,284,194TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,300CurrentTaxYearMinus4YearsAmt
Total$7,300TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,300CurrentTaxYearMinus4YearsAmt
Total$7,300TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$16,276,894PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$858CurrentTaxYearMinus1YearAmt
Current Tax Year$370CurrentTaxYearAmt
Total$4,294TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$858CurrentTaxYearMinus1YearAmt
Current Tax Year$370CurrentTaxYearAmt
Total$4,294TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,049CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,822CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$971CurrentTaxYearMinus1YearAmt
Current Tax Year$425CurrentTaxYearAmt
Total$35,400TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,570,573CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,025,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,868,885CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,182,497CurrentTaxYearMinus1YearAmt
Current Tax Year$2,676,116CurrentTaxYearAmt
Total$16,323,888TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99710PublicSupportCY509Pct
Public Support PY5090.99700PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,556OtherCostOrOtherBasisAmt
Depreciation$216,932DepreciationAmt
Book Value$24,624BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$534,613OtherCostOrOtherBasisAmt
Depreciation$340,497DepreciationAmt
Book Value$194,116BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$218,740TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$393,207Amt
FieldValueIRS element (for citing)
Total Liability$393,207TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$185,070GrossReceiptsEvent1Amt
Charitable Contri Event1$58,170CharitableContriEvent1Amt
Gross Revenue Event1$126,900GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$25,580FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,675OtherDirectExpensesEvent1Amt
Gross Receipts Total$185,070GrossReceiptsTotalAmt
Charitable Contributions Tot$58,170CharitableContributionsTotAmt
Gross Revenue Total Events$126,900GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,000RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$25,580FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$1,675OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,255DirectExpenseSummaryEventsAmt
Net Income Summary$93,645NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS E BURNS III
OB/GYN$189,746$0$0$0$0$0$0$0$5,648$0$195,394$0$0$0
DANIEL FISK MD
OB/GYN$157,168$0$0$0$0$0$9,760$0$17,466$0$184,394$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AIF 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 11BTHE 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 12CTHE ORGANIZATION'S BOARD OF DIRECTORS MEETS QUARTERLY AND DISCUSSES ANY CONFLICTS OF INTEREST AT THAT TIME.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION 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 18THE 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 19THE 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 4,286.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1TEPEYAC FAMILY CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14001 FAIR RIDGE DRIVE STE 304AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22033ZIPCd
FieldValueIRS element (for citing)
EIN201963116EIN
Primary ActivitiesOB/GYN SERVICESPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$1,767,995TotalIncomeAmt
End Of Year Assets$537,481EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DIVINE MERCY CAREBusinessNameLine1Txt