2019-12-18T13:09:17-06:00 2018-12-31 521853933 JONES MARESCA & MCQUADE PA 10500 LITTLE PATUXENT PARKWAY SUITE 770 COLUMBIA MD 21044 990 2018-01-01 341985248 DIVINE MERCY CARE DIVI 7039345552 4001 FAIR RIDGE DRIVE NO 305 FAIRFAX VA 22033 WIILIAM WALDRON PRESIDENT 7039345552 2019-12-18 1 LISA CHEIFETZ P01444196 4108840220 64.88.174.3 2019-12-18 12:28:30 ES P 25472CDEC520E8445491B9581FEBCD7C9E65366B 6B9FE56E4086D3ADC6C976C35A5A228342CCA799 2018 2020-04-17 16:48:07Z WIILIAM WALDRON 4001 FAIR RIDGE DRIVE NO 305 FAIRFAX VA 22033 4065049 0 X WWW.DIVINEMERCYCARE.ORG X 2000 VA 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. 7 6 44 136 0 0 1103627 1338032 2008985 2570956 862 755 -48961 2800 3064513 3912543 0 1510 0 0 1852429 2530058 0 0 164914 1128008 1156696 2980437 3688264 84076 224279 1227562 1407536 953964 857778 273598 549758 TO ADVANCE PRO-LIFE HEALTHCARE THROUGH PROGRAMS THAT SERVE THOSE IN NEED, INSPIRE CAREGIVERS AND MEDICAL PROFESSIONALS, AND UNIFY THE PRO-LIFE MOVEMENT. 0 0 3095054 1510 2570956 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. EDUCATING AND INSPIRING THE NEXT GENERATION OF PRO-LIFE MEDICAL PROVIDERS AND UNIFYING THE PRO-LIFE MEDICAL MOVEMENT. 3095054 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 8 0 1 44 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 7 6 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 VA X THE ORGANIZATION 7039345552 4001 FAIR RIDGE DRIVE NO 305 FAIRFAX VA 22033 KATHRYN DOHERTY CHAIR 1.00 X X 0 0 0 MONIQUE BAROUDI SECRETARY 1.00 X X 0 0 0 JOSEPH GOYETTE TREASURER 1.00 X X 0 0 0 FR GERALD WEYMES DIRECTOR 1.00 X 0 0 0 JENNIFER WATSON DIRECTOR 1.00 X 0 0 0 SEAN GARVEY DIRECTOR 1.00 X 0 0 0 JULIAN HERON DIRECTOR UNTIL APRIL 2018 0.31 X 0 0 0 THOMAS WEST DIRECTOR UNTIL APRIL 2018 0.31 X 0 0 0 RIGG MOHLER DIRECTOR UNTIL APRIL 2018 0.31 X 0 0 0 JOHN T BRUCHALSKI MD FOUNDER, OB/GYN 40.00 X X 200941 0 16478 WILLIAM WALDRON PRESIDENT 40.00 X 153253 0 4598 MARIAM PEREIRA MD OB/GYN 40.00 X 222125 0 5452 DANIEL FISK MD OB/GYN 40.00 X 212702 0 13030 LORNA CVETKOVICH MD OB/GYN 40.00 X 212646 0 11754 MARIE ANDERSON MD OB/GYN 40.00 X 210709 0 18818 1212376 0 70130 6 0 1 0 0 1100515 237517 37831 1338032 PROFESSIONAL FEES 621110 2559627 2559627 SPEAKING FEES 900099 11329 11329 2570956 968 968 2800 0 2800 2800 2800 213 -213 -213 -213 152293 1100515 152293 0 3912543 2570956 0 3555 1510 1510 375270 312632 47020 15618 1847726 1538134 232431 77161 30946 24684 4469 1793 132814 119167 11312 2335 143302 114902 28400 9014 4316 4698 74568 25602 48966 58835 26277 8378 24180 10043 8068 48 1927 111154 80835 25572 4747 31600 24500 7002 98 231606 208285 23321 12480 6924 2032 3524 1193 802 86 305 3566 2910 656 73206 71724 1482 273921 273238 683 MEDICAL EXPENSES 140499 140499 MISSION EXPENSES 109822 101384 7365 1073 PROFESSIONAL DEVELOPMEN 5380 2552 2030 798 COMMUNICATIONS 4012 2855 298 859 5797 3254 447 2096 3688264 3095054 428296 164914 304501 483258 27303 120812 50667 172639 149000 87963 7776 1033167 474224 600245 558943 0 3105 34911 33975 1227562 1407536 211600 172620 123999 6364 618365 678794 953964 857778 X 263385 540019 10213 9739 273598 549758 1227562 1407536 224279 51881 0 X 0 0 0 X 686727 476712 1011488 1103627 1338032 4616586 2716535 2476514 2134539 2008985 2570956 11907529 3403262 2953226 3146027 3112612 3908988 16524115 0 1098921 1098921 1098921 1098921 15425194 134 34 336 1926 3768 6198 134 34 336 1926 3768 6198 4486 1991 8663 15140 3407882 2955251 3155026 3114538 3912756 16545453 0.93230 0.99880 0.00040 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2014 AMOUNT: $ 4,486. 2015 AMOUNT: $ 1,991. 2016 AMOUNT: $ 8,663. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 534613 73191 461422 324553 244729 79824 174001 156304 17697 558943 DEFERRED RENT 678794 678794 GENERAL GIFTS 587736 587736 GALA 2018 BANQUET 365562 251298 114264 114263 7 299510 261481 38029 38030 1252808 1100515 152293 152293 152293 0 X X X 0 0 0 0 0 0 0 0 0 JOHN T BRUCHALSKI MD FOUNDER, OB/GYN 200941 0 0 0 0 0 6711 0 9767 0 217419 0 0 0 WILLIAM WALDRON PRESIDENT 153253 0 0 0 0 0 4598 0 0 0 157851 0 0 0 MARIAM PEREIRA MD OB/GYN 222125 0 0 0 0 0 5452 0 0 0 227577 0 0 0 DANIEL FISK MD OB/GYN 212702 0 0 0 0 0 5222 0 7808 0 225732 0 0 0 LORNA CVETKOVICH MD OB/GYN 212646 0 0 0 0 0 3229 0 8525 0 224400 0 0 0 MARIE ANDERSON MD OB/GYN 210709 0 0 0 0 0 6486 0 12332 0 229527 0 0 0 X 2 37831 FMV 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING TOTAL NUMBER OF CONTRIBUTIONS. 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. TEPEYAC FAMILY CENTER LLC 4001 FAIR RIDGE DRIVE STE 304 FAIRFAX VA 22033 201963116 OB/GYN SERVICES VA 2564040 1134976 DIVINE MERCY CARE 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.