DIVINE MERCY CARE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- DIVINE MERCY CARE (EIN 34-1985248)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-08
- IRS object ID
- 202242209349301219
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-08T11:14:09-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541149263 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YOUNT HYDE & BARBOUR PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2560 | AddressLine1Txt |
| City | WINCHESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 226041760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341985248 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIVINE MERCY CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DIVI | BusinessNameControlTxt |
| Phone | 7039345552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 FAIR RIDGE DRIVE STE 305 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22030 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHRYN DOHERTY | PersonNm |
| Person Title | BOARD CHAIR | PersonTitleTxt |
| Phone | 7039345552 | PhoneNum |
| Signature | 2022-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KATHRYN | PersonFirstNm |
| Person Last | DOHERTY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | OLIVIA A HUTTON CPA | PreparerPersonNm |
| PTIN | P00964688 | PTIN |
| Phone | 5406623417 | PhoneNum |
| Preparation | 2022-08-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHRYN DOHERTY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 FAIR RIDGE DRIVE STE 305 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22030 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,992,232 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIVINEMERCYCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO TRANSFORM HEARTS THROUGH HEALTHCARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 35 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,287,880 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,444,267 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,626,670 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,533,648 | CYProgramServiceRevenueAmt |
| PY Investment Income | $518 | PYInvestmentIncomeAmt |
| CY Investment Income | -$322 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,072 | PYOtherRevenueAmt |
| CY Other Revenue | -$8,505 | CYOtherRevenueAmt |
| PY Total Revenue | $3,912,996 | PYTotalRevenueAmt |
| CY Total Revenue | $3,969,088 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,596,626 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,463,898 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $112,584 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $868,266 | PYOtherExpensesAmt |
| CY Other Expenses | $951,062 | CYOtherExpensesAmt |
| PY Total Expenses | $3,464,892 | PYTotalExpensesAmt |
| CY Total Expenses | $3,414,960 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $448,104 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $554,128 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,828,097 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,107,445 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,006,569 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $804,522 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $821,528 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,302,923 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,141,372 | ExpenseAmt |
| Revenue | $2,540,897 | RevenueAmt |
| Desc | 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 2021 ABOUT 30 PERCENT OF TEPEYAC FAMILY CENTER LLC DELIVERIES WERE TO WOMEN IN NEED AND 545 WOMEN RECEIVED FINANCIAL AID. | Desc |
| Total Program Service Expenses | $3,141,372 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 35 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHRYN DOHERTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7039345552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 FAIR RIDGE DRIVE STE 304 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22033 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KATHRYN DOHERTY | |||||||
| CHAIR | 20.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MONIQUE BAROUDI | |||||||
| SECRETARY | 20.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOSEPH GOYETTE | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FR GERALD WEYMES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SEAN GARVEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN BRUCHALSKI | |||||||
| FOUNDER, OB/GYN | 40.00 | Yes (X) | $267,766 | $0 | $20,129 | ||
| WILLIAM WALDRON | |||||||
| PRESIDENT | 40.00 | Yes (X) | $49,719 | $0 | $0 | ||
| DANIEL FISK MD | |||||||
| OB/GYN | 40.00 | $280,895 | $0 | $19,794 | Yes (X) | ||
| LORNA CVETOVICH MD | |||||||
| OB/GYN | 40.00 | $167,130 | $0 | $17,131 | Yes (X) | ||
| MIRIAM PEREIRA MD | |||||||
| OB/GYN | 40.00 | $284,008 | $0 | $8,817 | Yes (X) | ||
| JENNIFER MULDOON MD | |||||||
| OB/GYN | 40.00 | $241,205 | $0 | $13,054 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,290,723 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $78,925 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RMR GROUP | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 826450 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191826450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | RENT | ServicesDesc |
| Compensation | $234,641 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $419,554 | FundraisingAmt |
| Government Grants | $96,450 | GovernmentGrantsAmt |
| All Other Contributions | $928,263 | AllOtherContributionsAmt |
| Total Contributions | $1,444,267 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROFESSIONAL FEES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $2,533,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,533,648 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,533,648 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163 | TotalRevenueColumnAmt |
| Exclusion | $163 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,800 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,800 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,800 | TotalRevenueColumnAmt |
| Exclusion | $4,800 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $485 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$485 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$485 | TotalRevenueColumnAmt |
| Exclusion | -$485 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,105 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $419,554 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $22,659 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,554 | TotalRevenueColumnAmt |
| Exclusion | -$20,554 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $7,249 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,249 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,249 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,969,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,540,897 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$16,076 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,486 | TotalAmt |
| Program Services | $259,350 | ProgramServicesAmt |
| Management And General | $24,860 | ManagementAndGeneralAmt |
| Fundraising | $33,276 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,873,240 | TotalAmt |
| Program Services | $1,822,191 | ProgramServicesAmt |
| Management And General | $32,943 | ManagementAndGeneralAmt |
| Fundraising | $18,106 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,612 | TotalAmt |
| Program Services | $52,010 | ProgramServicesAmt |
| Management And General | $1,368 | ManagementAndGeneralAmt |
| Fundraising | $1,234 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,873 | TotalAmt |
| Program Services | $71,292 | ProgramServicesAmt |
| Management And General | $2,489 | ManagementAndGeneralAmt |
| Fundraising | $2,092 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,687 | TotalAmt |
| Program Services | $133,223 | ProgramServicesAmt |
| Management And General | $5,197 | ManagementAndGeneralAmt |
| Fundraising | $4,267 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,016 | TotalAmt |
| Program Services | $1,016 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,445 | TotalAmt |
| Program Services | $6,582 | ProgramServicesAmt |
| Management And General | $15,863 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,729 | TotalAmt |
| Program Services | $23,449 | ProgramServicesAmt |
| Management And General | $7,680 | ManagementAndGeneralAmt |
| Fundraising | $600 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,960 | TotalAmt |
| Program Services | $9,500 | ProgramServicesAmt |
| Fundraising | $460 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,208 | TotalAmt |
| Program Services | $69,673 | ProgramServicesAmt |
| Management And General | $22,227 | ManagementAndGeneralAmt |
| Fundraising | $34,308 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,157 | TotalAmt |
| Program Services | $311 | ProgramServicesAmt |
| Management And General | $4,757 | ManagementAndGeneralAmt |
| Fundraising | $2,089 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,184 | TotalAmt |
| Program Services | $176,674 | ProgramServicesAmt |
| Management And General | $35,510 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448 | TotalAmt |
| Program Services | $8 | ProgramServicesAmt |
| Management And General | $1,043 | ManagementAndGeneralAmt |
| Fundraising | $397 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100 | TotalAmt |
| Program Services | $100 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19 | TotalAmt |
| Management And General | $19 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,048 | TotalAmt |
| Program Services | $54,891 | ProgramServicesAmt |
| Management And General | $157 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,265 | TotalAmt |
| Program Services | $249,968 | ProgramServicesAmt |
| Management And General | $3,297 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $195,204 | $195,204 | ||
| MISSION EXPENSES | $15,600 | $10,932 | $8 | $4,660 |
| SPECIAL EVENT | $7,867 | $7,867 | ||
| STAFF DEVELOPMENT | $5,929 | $3,014 | $2,915 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,883 | TotalAmt |
| Program Services | $1,984 | ProgramServicesAmt |
| Management And General | $671 | ManagementAndGeneralAmt |
| Fundraising | $3,228 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,414,960 | TotalAmt |
| Program Services | $3,141,372 | ProgramServicesAmt |
| Management And General | $161,004 | ManagementAndGeneralAmt |
| Fundraising | $112,584 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,459 | BOYAmt |
| EOY | $474,509 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,463 | BOYAmt |
| EOY | $206,059 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,983 | BOYAmt |
| EOY | $11,995 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $728,915 | BOYAmt |
| EOY | $910,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,124 | BOYAmt |
| EOY | $33,067 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $753,476 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $317,455 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,389 | BOYAmt |
| EOY | $436,021 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,764 | BOYAmt |
| EOY | $34,911 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,828,097 | BOYAmt |
| EOY | $2,107,445 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,737 | BOYAmt |
| EOY | $218,486 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,832 | BOYAmt |
| EOY | $65 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,000 | BOYAmt |
| EOY | $585,971 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,006,569 | BOYAmt |
| EOY | $804,522 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $811,789 | BOYAmt |
| EOY | $1,296,161 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,739 | BOYAmt |
| EOY | $6,762 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $821,528 | BOYAmt |
| EOY | $1,302,923 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,828,097 | BOYAmt |
| EOY | $2,107,445 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $554,128 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$65,319 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$7,414 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,103,627 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,338,032 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $940,503 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,287,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,024,713 | CurrentTaxYearAmt |
| Total | $5,694,755 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,008,985 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,570,956 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,603,317 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,626,670 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,533,648 | CurrentTaxYearAmt |
| Total | $12,343,576 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,112,612 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,908,988 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,543,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,914,550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,558,361 | CurrentTaxYearAmt |
| Total | $18,038,331 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $7,300 | CurrentTaxYearAmt |
| Total | $7,300 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $7,300 | CurrentTaxYearAmt |
| Total | $7,300 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $18,031,031 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $966 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,670 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163 | CurrentTaxYearAmt |
| Total | $4,043 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $966 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,670 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $163 | CurrentTaxYearAmt |
| Total | $4,043 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,814 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,664 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,049 | CurrentTaxYearAmt |
| Total | $25,527 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,114,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,912,754 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,549,304 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,920,732 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,570,573 | CurrentTaxYearAmt |
| Total | $18,067,901 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99850 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $534,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,751 | DepreciationAmt |
| Book Value | $346,862 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,704 | DepreciationAmt |
| Book Value | $89,159 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $436,021 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $585,971 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $585,971 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $211,789 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $209,684 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,105 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $388 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $18,739 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,532 | OtherDirectExpensesEvent1Amt |
| Event2 | WEBCAST MATCHING CHALLENGE | Event2Nm |
| Gross Receipts Event2 | $209,870 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $209,870 | CharitableContriEvent2Amt |
| Gross Receipts Total | $421,659 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $419,554 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,105 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $388 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $18,739 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,532 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $22,659 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$20,554 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL FISK MD | ||||||||||||||
| OB/GYN | $280,895 | $0 | $0 | $0 | $0 | $0 | $8,817 | $0 | $10,977 | $0 | $300,689 | $0 | $0 | $0 |
| MIRIAM PEREIRA MD | ||||||||||||||
| OB/GYN | $284,008 | $0 | $0 | $0 | $0 | $0 | $8,817 | $0 | $0 | $0 | $292,825 | $0 | $0 | $0 |
| JOHN BRUCHALSKI | ||||||||||||||
| FOUNDER, OB/GYN | $267,766 | $0 | $0 | $0 | $0 | $0 | $8,817 | $0 | $11,312 | $0 | $287,895 | $0 | $0 | $0 |
| JENNIFER MULDOON MD | ||||||||||||||
| OB/GYN | $241,205 | $0 | $0 | $0 | $0 | $0 | $7,700 | $0 | $5,354 | $0 | $254,259 | $0 | $0 | $0 |
| LORNA CVETOVICH MD | ||||||||||||||
| OB/GYN | $167,130 | $0 | $0 | $0 | $0 | $0 | $4,323 | $0 | $12,808 | $0 | $184,261 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 -7,414. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TEPEYAC FAMILY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 FAIR RIDGE DRIVE STE 304 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201963116 | EIN |
| Primary Activities | OB/GYN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $2,654,741 | TotalIncomeAmt |
| End Of Year Assets | $1,685,810 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIVINE MERCY CARE | BusinessNameLine1Txt |