2018-11-15T13:48:31-06:00 2017-12-31 541149263 YOUNT HYDE & BARBOUR PC PO BOX 2560 WINCHESTER VA 226041760 990 2017-01-01 341985248 DIVINE MERCY CARE DIVI 7039345552 4001 FAIR RIDGE DRIVE STE 305 FAIRFAX VA 22030 WILLIAM WALDRON EXECUTIVE DIRECTOR 7039345552 2018-11-14 1 OLIVIA A HUTTON CPA P00964688 5406623417 2018-11-14 64.4.100.170 2018-11-14 17:07:58 ES P 2BD9941C2218514039E2696DAFBBB0AADD46666A 2BD9941C2218514039E2696DAFBBB0AADD46666A 2017 2019-02-21 02:37:17Z WILLIAM WALDRON 4001 FAIR RIDGE DRIVE STE 305 FAIRFAX VA 22030 3140297 0 X WWW.DIVINEMERCYCARE.ORG X 2000 VA TO TRANSFORM HEARTS THROUGH HEALTHCARE 4 4 34 130 0 0 1011488 1103627 2134539 2008985 336 862 7745 -48961 3154108 3064513 0 0 0 0 2135658 1852429 0 0 151612 878044 1128008 3013702 2980437 140406 84076 638271 1227562 450894 953964 187377 273598 X OUR MISSION IS TO CONVEY THE HEALING PRESENCE OF CHRIST THROUGH EXCELLENT MEDICAL CARE WHICH RESPECTS THE CONSCIENCES OF PATIENTS AND PROVIDERS, SERVES THE POOR, AND UPHOLDS THE SANCTITY OF LIFE AT ALL STAGES. WE LOVINGLY CARE FOR ALL PATIENTS, RICH OR POOR, INSURED OR UNINSURED, REGARDLESS OF FAITH TRADITION, ETHNICITY, NATIONAL ORIGIN OR BACKGROUND. 0 0 2589688 2002070 PROVIDING CULTURE OF LIFE AND CHARITABLE MEDICAL CARE, THROUGH THE TEPEYAC FAMILY CENTER LLC, TO APPROXIMATELY 15,000 WOMEN, INCLUDING INDIGENT WOMEN AND THOSE IN CRISIS PREGNANCIES. 6915 EDUCATE AND INSPIRE THE NEXT GENERATION OF PRO-LIFE MEDICAL PROVIDERS AND UNIFY THE PRO-LIFE MEDICAL MOVEMENT. 2589688 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 9 0 1 34 1 0 0 0 0 0 1 1 0 0 0 X 4 4 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM WALDRON 7039345552 4001 FAIR RIDGE DRIVE STE 304 FAIRFAX VA 22033 THOMAS C WEST MEMBER 1.00 X 0 0 0 RIGG MOHLER TREASURER 1.00 X X 0 0 0 PETE GOYETTE MEMBER 1.00 X 0 0 0 JULIAN HERON MEMBER 1.00 X 0 0 0 WILLIAM WALDRON EXECUTIVE DIRECTOR 40.00 X 150000 0 4125 MARIE ANDERSON MD OB/GYN 40.00 X 122047 0 15754 DANIEL FISK MD OB/GYN 40.00 X 117074 0 11743 LORNA CVETKOVICH MD OB/GYN 40.00 X 122962 0 11803 MIRIAM PEREIRA MD OB/GYN 40.00 X 121129 0 5697 JOHN BRUCHALSKI OB/GYN 40.00 X 106430 0 15192 739642 0 64314 6 0 1 0 0 199183 904444 1103627 PROFESSIONAL FEES 621110 2002070 2002070 SPEAKING EVENTS 900099 6915 6915 2008985 726 726 136 0 136 136 136 25623 199183 75784 -50161 -50161 RENTAL OF SPACE 900099 1200 1200 1200 3064513 2008985 0 -48099 528760 393760 75000 60000 1049423 970796 58359 20268 26241 21703 2833 1705 125671 113718 7462 4491 122334 106461 9909 5964 13402 225 13177 57574 31399 26175 58486 47394 1653 9439 24897 24544 353 76608 44654 8787 23167 26342 22048 4141 153 277967 268811 9156 4923 1371 605 2947 8032 7753 279 59613 58475 1138 244002 241111 2891 MEDICAL EXPENSES 164895 164895 TELEPHONE & COMMUNICATI 36625 30820 5805 BANK SERVICE CHARGE 25525 15479 211 9835 MISSION EXPENSES 21248 18471 1226 1551 27869 5800 10330 11739 2980437 2589688 239137 151612 150089 304501 62412 27303 258919 172639 45569 87963 855295 255050 48779 600245 36092 0 36411 34911 638271 1227562 318951 211600 0 123999 131943 618365 450894 953964 X 159081 263385 28296 10213 187377 273598 638271 1227562 84076 2145 0 X 0 1 X 1 0 X 598713 686727 476712 1011488 1103627 3877267 2886802 2716535 2476514 2134539 2008985 12223375 3485515 3403262 2953226 3146027 3112612 16100642 0 0 0 16100642 284 134 34 336 726 1514 284 134 34 336 726 1514 2182 4486 1991 8663 1200 18522 3487981 3407882 2955251 3155026 3114538 16120678 0.99880 0.99870 0.00010 0.01000 X 534613 35004 499609 320682 220046 100636 600245 DEFERRED RENT 618365 618365 3140297 75784 75784 3064513 0 3064513 3056222 75785 75785 2980437 0 2980437 PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT COSTS OF FUNDRAISING EVENTS PRESENTED NET ON 990, GROSS ON STATEMENTS 75,784. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT COSTS OF FUNDRAISING EVENTS PRESENTED NET ON 990, GROSS ON STATEMENTS 75,784. ROUNDING 1. GALA 25623 25623 28344 47440 25623 25623 28344 47440 75784 -50161 X X X 0 0 0 0 0 0 0 0 0 WILLIAM WALDRON EXECUTIVE DIRECTOR 150000 0 0 0 0 0 4125 0 0 0 154125 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A IF THE OFFICE OF ANY DIRECTOR OR DIRECTORS BECOMES VACANT, THE REMAINING DIRECTORS, THOUGH LESS THAN A QUORUM, SHALL BE AUTHORIZED TO SELECT A SUCCESSOR OR SUCCESSORS, WHO SHALL BE APPOINTED UPON THE AFFIRMATIVE VOTE OF A THREE-FOURTHS MAJORITY OF THE REMAINING DIRECTORS OF THE CORPORATION TO SERVE THE UNEXPIRED TERMS OF THE VACATED DIRECTORSHIPS. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT TAX ACCOUNTANT. THE DRAFT VERSION OF THE FEDERAL FORM 990 IS THEN SUBMITTED TO THE AUDIT REVIEW COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS, FOR REVIEW AND REVISIONS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS MEETS QUARTERLY AND DISCUSSES ANY CONFLICTS OF INTEREST AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S CHAIRMAN AND PRESIDENT IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE, WHICH INCLUDES INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION IS EVALUATED IN LIGHT OF COMPARABILITY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. COMPENSATION FOR THE ORGANIZATION'S KEY EMPLOYEES IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE, WHICH INCLUDES INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. COMPENSATION IS EVALUATED IN LIGHT OF COMPARABILTY DATA FOR NORTHERN VIRGINIA. THE DELIBERATIONS AND DECISIONS OF THE INDEPENDENT COMMITTEE ARE DOCUMENTED IN THE ORGANIZATION'S MINUTES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. TEPEYAC FAMILY CENTER LLC 4001 FAIR RIDGE DRIVE STE 304 FAIRFAX VA 22033 201963116 OB/GYN SERVICES VA 2003890 1003991 DIVINE MERCY CARE