DIVINE MERCY CARE: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DIVINE MERCY CARE (EIN 34-1985248)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-12-18
- IRS object ID
- 201933529349300823
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-12-18T13:09:17-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 521853933 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONES MARESCA & MCQUADE PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10500 LITTLE PATUXENT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 770 | AddressLine2Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21044 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 NO 305 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22033 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WIILIAM WALDRON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7039345552 | PhoneNum |
| Signature | 2019-12-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LISA CHEIFETZ | PreparerPersonNm |
| PTIN | P01444196 | PTIN |
| Phone | 4108840220 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-12-18 | IPDt |
| IP Tm | 12:28:30 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 25472CDEC520E8445491B9581FEBCD7C9E65366B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6B9FE56E4086D3ADC6C976C35A5A228342CCA799 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WIILIAM WALDRON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4001 FAIR RIDGE DRIVE NO 305 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,065,049 | 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 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 44 | TotalEmployeeCnt |
| Total Volunteers | 136 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,103,627 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,338,032 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,008,985 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,570,956 | CYProgramServiceRevenueAmt |
| PY Investment Income | $862 | PYInvestmentIncomeAmt |
| CY Investment Income | $755 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$48,961 | PYOtherRevenueAmt |
| CY Other Revenue | $2,800 | CYOtherRevenueAmt |
| PY Total Revenue | $3,064,513 | PYTotalRevenueAmt |
| CY Total Revenue | $3,912,543 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,510 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,852,429 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,530,058 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $164,914 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,128,008 | PYOtherExpensesAmt |
| CY Other Expenses | $1,156,696 | CYOtherExpensesAmt |
| PY Total Expenses | $2,980,437 | PYTotalExpensesAmt |
| CY Total Expenses | $3,688,264 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $84,076 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $224,279 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,227,562 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,407,536 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $953,964 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $857,778 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $273,598 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $549,758 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ADVANCE PRO-LIFE HEALTHCARE THROUGH PROGRAMS THAT SERVE THOSE IN NEED, INSPIRE CAREGIVERS AND MEDICAL PROFESSIONALS, AND UNIFY THE PRO-LIFE MOVEMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,095,054 | ExpenseAmt |
| Grant | $1,510 | GrantAmt |
| Revenue | $2,570,956 | RevenueAmt |
| Desc | PROVIDNG CULTURE OF LIFE AND CHARITABLE MEDICAL CARE, THROUGH THE TEPEYAC FAMILY CENTER LLC, TO APPROXIMATLY 15,000 WOMEN, INCLUDING INDIGENT WOMEN AND THOSE IN CRISIS PREGNANCIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EDUCATING AND INSPIRING THE NEXT GENERATION OF PRO-LIFE MEDICAL PROVIDERS AND UNIFYING THE PRO-LIFE MEDICAL MOVEMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,095,054 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 44 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | 0 | 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 |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | 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 NO 305 | AddressLine1Txt |
| City | FAIRFAX | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22033 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MONIQUE BAROUDI | |||||||
| SECRETARY | 1.00 | 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 | ||
| JENNIFER WATSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SEAN GARVEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIAN HERON | |||||||
| DIRECTOR UNTIL APRIL 2018 | 0.31 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS WEST | |||||||
| DIRECTOR UNTIL APRIL 2018 | 0.31 | Yes (X) | $0 | $0 | $0 | ||
| RIGG MOHLER | |||||||
| DIRECTOR UNTIL APRIL 2018 | 0.31 | Yes (X) | $0 | $0 | $0 | ||
| JOHN T BRUCHALSKI MD | |||||||
| FOUNDER, OB/GYN | 40.00 | Yes (X) | Yes (X) | $200,941 | $0 | $16,478 | |
| WILLIAM WALDRON | |||||||
| PRESIDENT | 40.00 | Yes (X) | $153,253 | $0 | $4,598 | ||
| MARIAM PEREIRA MD | |||||||
| OB/GYN | 40.00 | $222,125 | $0 | $5,452 | Yes (X) | ||
| DANIEL FISK MD | |||||||
| OB/GYN | 40.00 | $212,702 | $0 | $13,030 | Yes (X) | ||
| LORNA CVETKOVICH MD | |||||||
| OB/GYN | 40.00 | $212,646 | $0 | $11,754 | Yes (X) | ||
| MARIE ANDERSON MD | |||||||
| OB/GYN | 40.00 | $210,709 | $0 | $18,818 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,212,376 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $70,130 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,100,515 | FundraisingAmt |
| All Other Contributions | $237,517 | AllOtherContributionsAmt |
| Noncash Contributions | $37,831 | NoncashContributionsAmt |
| Total Contributions | $1,338,032 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROFESSIONAL FEES | 621110 | $2,559,627 | $2,559,627 |
| SPEAKING FEES | 900099 | $11,329 | $11,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,570,956 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $968 | TotalRevenueColumnAmt |
| Exclusion | $968 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,800 | 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 | $2,800 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,800 | TotalRevenueColumnAmt |
| Exclusion | $2,800 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$213 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$213 | TotalRevenueColumnAmt |
| Exclusion | -$213 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $152,293 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,100,515 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $152,293 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,912,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,570,956 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,555 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510 | TotalAmt |
| Program Services | $1,510 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,270 | TotalAmt |
| Program Services | $312,632 | ProgramServicesAmt |
| Management And General | $47,020 | ManagementAndGeneralAmt |
| Fundraising | $15,618 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,847,726 | TotalAmt |
| Program Services | $1,538,134 | ProgramServicesAmt |
| Management And General | $232,431 | ManagementAndGeneralAmt |
| Fundraising | $77,161 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,946 | TotalAmt |
| Program Services | $24,684 | ProgramServicesAmt |
| Management And General | $4,469 | ManagementAndGeneralAmt |
| Fundraising | $1,793 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,814 | TotalAmt |
| Program Services | $119,167 | ProgramServicesAmt |
| Management And General | $11,312 | ManagementAndGeneralAmt |
| Fundraising | $2,335 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,302 | TotalAmt |
| Program Services | $114,902 | ProgramServicesAmt |
| Fundraising | $28,400 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,014 | TotalAmt |
| Program Services | $4,316 | ProgramServicesAmt |
| Management And General | $4,698 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,568 | TotalAmt |
| Program Services | $25,602 | ProgramServicesAmt |
| Management And General | $48,966 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,835 | TotalAmt |
| Program Services | $26,277 | ProgramServicesAmt |
| Management And General | $8,378 | ManagementAndGeneralAmt |
| Fundraising | $24,180 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,043 | TotalAmt |
| Program Services | $8,068 | ProgramServicesAmt |
| Management And General | $48 | ManagementAndGeneralAmt |
| Fundraising | $1,927 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,154 | TotalAmt |
| Program Services | $80,835 | ProgramServicesAmt |
| Management And General | $25,572 | ManagementAndGeneralAmt |
| Fundraising | $4,747 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,600 | TotalAmt |
| Program Services | $24,500 | ProgramServicesAmt |
| Management And General | $7,002 | ManagementAndGeneralAmt |
| Fundraising | $98 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,606 | TotalAmt |
| Program Services | $208,285 | ProgramServicesAmt |
| Management And General | $23,321 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,480 | TotalAmt |
| Program Services | $6,924 | ProgramServicesAmt |
| Management And General | $2,032 | ManagementAndGeneralAmt |
| Fundraising | $3,524 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,193 | TotalAmt |
| Program Services | $802 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
| Fundraising | $305 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,566 | TotalAmt |
| Program Services | $2,910 | ProgramServicesAmt |
| Management And General | $656 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,206 | TotalAmt |
| Program Services | $71,724 | ProgramServicesAmt |
| Management And General | $1,482 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,921 | TotalAmt |
| Program Services | $273,238 | ProgramServicesAmt |
| Management And General | $683 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $140,499 | $140,499 | ||
| MISSION EXPENSES | $109,822 | $101,384 | $7,365 | $1,073 |
| PROFESSIONAL DEVELOPMEN | $5,380 | $2,552 | $2,030 | $798 |
| COMMUNICATIONS | $4,012 | $2,855 | $298 | $859 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,797 | TotalAmt |
| Program Services | $3,254 | ProgramServicesAmt |
| Management And General | $447 | ManagementAndGeneralAmt |
| Fundraising | $2,096 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,688,264 | TotalAmt |
| Program Services | $3,095,054 | ProgramServicesAmt |
| Management And General | $428,296 | ManagementAndGeneralAmt |
| Fundraising | $164,914 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,501 | BOYAmt |
| EOY | $483,258 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,303 | BOYAmt |
| EOY | $120,812 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $50,667 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,639 | BOYAmt |
| EOY | $149,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,963 | BOYAmt |
| EOY | $7,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,033,167 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $474,224 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,245 | BOYAmt |
| EOY | $558,943 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,105 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,911 | BOYAmt |
| EOY | $33,975 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,227,562 | BOYAmt |
| EOY | $1,407,536 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,600 | BOYAmt |
| EOY | $172,620 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,999 | BOYAmt |
| EOY | $6,364 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $618,365 | BOYAmt |
| EOY | $678,794 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,964 | BOYAmt |
| EOY | $857,778 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,385 | BOYAmt |
| EOY | $540,019 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,213 | BOYAmt |
| EOY | $9,739 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,598 | BOYAmt |
| EOY | $549,758 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,227,562 | BOYAmt |
| EOY | $1,407,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $224,279 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $51,881 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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 | $686,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $476,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,011,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,103,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,338,032 | CurrentTaxYearAmt |
| Total | $4,616,586 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,716,535 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,476,514 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,134,539 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,008,985 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,570,956 | CurrentTaxYearAmt |
| Total | $11,907,529 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,403,262 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,953,226 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,146,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,112,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,908,988 | CurrentTaxYearAmt |
| Total | $16,524,115 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,098,921 | CurrentTaxYearAmt |
| Total | $1,098,921 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,098,921 | CurrentTaxYearAmt |
| Total | $1,098,921 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,425,194 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $336 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,768 | CurrentTaxYearAmt |
| Total | $6,198 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $336 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,768 | CurrentTaxYearAmt |
| Total | $6,198 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,486 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,991 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,663 | CurrentTaxYearMinus2YearsAmt |
| Total | $15,140 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,407,882 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,955,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,155,026 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,114,538 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,912,756 | CurrentTaxYearAmt |
| Total | $16,545,453 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93230 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2014 AMOUNT: $ 4,486. 2015 AMOUNT: $ 1,991. 2016 AMOUNT: $ 8,663. | ExplanationTxt |
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 | $73,191 | DepreciationAmt |
| Book Value | $461,422 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $324,553 | OtherCostOrOtherBasisAmt |
| Depreciation | $244,729 | DepreciationAmt |
| Book Value | $79,824 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $156,304 | DepreciationAmt |
| Book Value | $17,697 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $558,943 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $678,794 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $678,794 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GENERAL GIFTS | Event1Nm |
| Gross Receipts Event1 | $587,736 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $587,736 | CharitableContriEvent1Amt |
| Event2 | GALA 2018 BANQUET | Event2Nm |
| Gross Receipts Event2 | $365,562 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $251,298 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $114,264 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $114,263 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 7 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $299,510 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $261,481 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $38,029 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $38,030 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,252,808 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $1,100,515 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $152,293 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $152,293 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $152,293 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN T BRUCHALSKI MD | ||||||||||||||
| FOUNDER, OB/GYN | $200,941 | $0 | $0 | $0 | $0 | $0 | $6,711 | $0 | $9,767 | $0 | $217,419 | $0 | $0 | $0 |
| WILLIAM WALDRON | ||||||||||||||
| PRESIDENT | $153,253 | $0 | $0 | $0 | $0 | $0 | $4,598 | $0 | $0 | $0 | $157,851 | $0 | $0 | $0 |
| MARIAM PEREIRA MD | ||||||||||||||
| OB/GYN | $222,125 | $0 | $0 | $0 | $0 | $0 | $5,452 | $0 | $0 | $0 | $227,577 | $0 | $0 | $0 |
| DANIEL FISK MD | ||||||||||||||
| OB/GYN | $212,702 | $0 | $0 | $0 | $0 | $0 | $5,222 | $0 | $7,808 | $0 | $225,732 | $0 | $0 | $0 |
| LORNA CVETKOVICH MD | ||||||||||||||
| OB/GYN | $212,646 | $0 | $0 | $0 | $0 | $0 | $3,229 | $0 | $8,525 | $0 | $224,400 | $0 | $0 | $0 |
| MARIE ANDERSON MD | ||||||||||||||
| OB/GYN | $210,709 | $0 | $0 | $0 | $0 | $0 | $6,486 | $0 | $12,332 | $0 | $229,527 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $37,831 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING TOTAL NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | DEVINE MERCY CARE (DMC) MADE CHANGES TO ITS BYLAWS IN MAY OF 2018. THE SIGNIFICANT CHANGE MADE WAS ADDING NEW SECTIONS TO THE BYLAWS, SECTION 4.9 FOUNDER AND SECTION 4.10 MISSION INTEGRITY. SECTION 4.9 DETAILS THE TEPEYAC FAMILY CENTER FOUNDER DR. JOHN BRUCHALSKI AS A VOTING DIRECTOR OF THE DMC BOARD, AND HIS DESIGNEE, IF NEEDED IN HIS ABSENCE, AND HIS VOTING RIGHTS. SECTION 4.10 DESCRIBES THE STEPS IN THE EVENT OF THE FOUNDER'S RESIGNATION, DEATH, OR INCAPACITY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FEDERAL FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT 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 FILLING 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 COMPARABILITY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. THE LAST OFFICER AND KEY EMPLOYEES' COMPENSATION REVIEW WAS IN DEC 2018 WHEN THE BUDGET WAS APPROVED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINACIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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 | $2,564,040 | TotalIncomeAmt |
| End Of Year Assets | $1,134,976 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIVINE MERCY CARE | BusinessNameLine1Txt |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION HAS ALWAYS FILED THEIR FORM 990 BEFORE THE EXTENDED DUE DATE OF NOVEMBER 15 IN THE PAST WITHOUT FAIL. DURING 2018, THE ORGANIZATION WAS VERY BUSY WITH PROGRAMS AND NEEDED EXTRA TIME TO GATHER ACCOUNTING RECORDS TO ENSURE A COMPLETE AND ACCURATE RETURN. THE ORGANIZATION WAS NOT ABLE TO SECURE AN INDEPENDENT FIRM TO PREPARE THE FORM 990 AND PROVIDE TO THEM THE ACCOUNTING RECORDS REQUESTED BY THEM IN ORDER TO FILE BY THE DUE DATE. WE HAVE PUT PROCESSES IN PLACE TO AVOID FILING LATE IN THE FUTURE. WE RESPECTFULLY REQUEST ABATEMENT OF ANY LATE PENALTIES. | ExplanationTxt |