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ST GIANNA MOLLA CLINIC INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST GIANNA MOLLA CLINIC INC (EIN 46-5384168)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-10-29
IRS object ID
202023039349200037
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-10-29T10:20:01-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391811861PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Hjortness CPAs SCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1851 Racine Street Suite BAddressLine1Txt
CityMenashaCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549522364ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465384168EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Gianna Molla Clinic IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTGIBusinessNameControlTxt
Phone9208843590PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11727 Shawano AveAddressLine1Txt
CityGreen BayCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54303ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDr Robin GoldsmithPersonNm
Person TitleFacilitatorPersonTitleTxt
Signature2020-10-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGenaro S Cardaropoli CPAPreparerPersonNm
PTINP01000233PTIN
Phone9207251040PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$166,108GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$166,060ContributionsGiftsGrantsEtcAmt
Investment Income$48InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$166,108TotalRevenueAmt
Grants And Similar Amounts Paid$10,905GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$107,650SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$40,354FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,200OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$65PrintingPublicationsPostageAmt
Other Expenses Total$36,806OtherExpensesTotalAmt
Total Expenses$196,980TotalExpensesAmt
Excess Or Deficit For Year-$30,872ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$149,418NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$1,931OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$116,615NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$152,002BOYAmt
EOY$135,246EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$2BOYAmt
EOY$2,340EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$152,004BOYAmt
EOY$137,586EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,586BOYAmt
EOY$20,971EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$149,418BOYAmt
EOY$116,615EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSt Gianna Molla Clinic, Inc. will be a teaching Catholic Clinic that serves all patients. The clinic will have dual primary missions of providing truly Catholic Medical care while educating patients and the community about the Catholic faith, especially as it pertains to medicine. St Gianna Molla Clinic, Inc. will treat the body, mind , and soul of each patient in a manner that honors the dignity of life from conception to natural end of life. St. Gianna Molla Clinic, Inc. will be completely faithful to its Catholic identity and will be true to the magisterium. Health care providers will always practice in a manner consistent with the moral teachings of the church.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSt. Gianna Molla Clinic, Inc. provides education to patients and the community about medicine consistent with the Catholic Faith, explaining why they believe what they believe. St Gianna Molla Clinic, Inc. reaches out to the community and beyond to provide the very best medical education while maintaining and evangelizing its Catholic identity.DescriptionProgramSrvcAccomTxt
Grants And Allocations$48,976GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$48,976TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Dr Robin Goldsmith
Facilitator25.00$100,000
Robert Atwell
Vice President10.00$0
Cate Zeuske
Secretary5.00$0
Dr Scott Stillwell
Treasurer1.00$0
Fr Bill Evans
Board Member1.00$0
Bishop David Ricken
Advisor1.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHjortness CPAs SCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1851 Racine StAddressLine1Txt
CityMenashaCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54952ZIPCd
FieldValueIRS element (for citing)
Phone9207251040PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$243,817CurrentTaxYearMinus1YearAmt
Current Tax Year$166,060CurrentTaxYearAmt
Total$873,356TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$243,817CurrentTaxYearMinus1YearAmt
Current Tax Year$166,060CurrentTaxYearAmt
Total$873,356TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$873,356PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$48CurrentTaxYearAmt
Total$48TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$48CurrentTaxYearAmt
Total$48TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$166,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$243,817CurrentTaxYearMinus1YearAmt
Current Tax Year$166,108CurrentTaxYearAmt
Total$873,404TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Grants and Similar Amounts Paid In Excess of $5,000.1| Donee's Name: St. Mary's Hospital | Donee's Address: 1726 Shawano Avenue Green Bay WI 54303 | Cash Amount Given: $6000
Other Expenses.1001Advertising and Promotion $3600
Other Expenses.1002Office Expenses $4060
Other Expenses.1003Information Technology $381
Other Expenses.1005Travel $3528
Other Expenses.1007Conferences, Conventions, and Meetings $3345
Other Expenses.1009Depreciation $260
Other Expenses.1012Insurance $5040
Other Expenses.1Dues $8782
Other Expenses.2Mileage $5090
Other Expenses.3Meals $2153
Other Expenses.4Computer Supplies $480
Other Expenses.6Gifts $63
Other Expenses.7Automobile $24
Other Assets.1003Machinery and Equipment - Beginning $0 Machinery and Equipment - Ending $2340
Other Assets.1- Beginning $2 - Ending $0
Total Liabilities.1- Beginning $0 - Ending $0
Total Liabilities.2Credit Card Payable - Beginning $2586 Credit Card Payable - Ending $971

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