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ST GIANNA MOLLA CLINIC INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST GIANNA MOLLA CLINIC INC (EIN 46-5384168)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-08-15
IRS object ID
201632289349203863
Schema version
2015v2.0
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)
Return2016-08-15T14:31:30-07:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Hjortness & Associates 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 Begin2015-07-01TaxPeriodBeginDt

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 TitlePresidentPersonTitleTxt
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEric Hjortness CPAPreparerPersonNm
PTINP00460693PTIN
Phone9207251040PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

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$141,793GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$141,768ContributionsGiftsGrantsEtcAmt
Investment Income$25InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$141,793TotalRevenueAmt
Salaries Other Comp Empl Bnft$133,929SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$6,499FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$118PrintingPublicationsPostageAmt
Other Expenses Total$28,339OtherExpensesTotalAmt
Total Expenses$168,885TotalExpensesAmt
Excess Or Deficit For Year-$27,092ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$55,712NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$28,620NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$56,520BOYAmt
EOY$28,725EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,520BOYAmt
EOY$28,725EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$808BOYAmt
EOY$105EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$55,712BOYAmt
EOY$28,620EOYAmt
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 (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmt
St. Gianna Molla Clinic, Inc. emphasizes primary care for families, with ob-gyn care and a vibrant family practice. The clinic will offer diagnosis and treatment of infertility, natural family planning training, and end-of-life care. The clinic's goal is to treat the body, mind, and soul of each patient, honoring the dignity of life from conception to natural death with complete fidelity to the Catholic Church's teaching and magisterium.$168,885
St. Gianna Molla Clinic, Inc. will fulfill its second mission by providing education to patients and the community about medicine consistent with the Catholic Faith, explaining why we believe what we beleive. St Gianna Molla Clinic, Inc will reach out to the community and beyond to provide the very best medical care while maintaining and evangelizing its Catholic identity.
FieldValueIRS element (for citing)
Total Program Service Expenses$168,885TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Dr Robin Goldsmith
President25.00$116,667
Robert Atwell
Vice President10.00$0
Cate Zeuske
Secretary5.00$0
Greg Simea
Treasurer0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
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
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
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 Minus1 Year$97,750CurrentTaxYearMinus1YearAmt
Current Tax Year$142,588CurrentTaxYearAmt
Total$240,338TotalAmt

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 Minus1 Year$97,750CurrentTaxYearMinus1YearAmt
Current Tax Year$142,588CurrentTaxYearAmt
Total$240,338TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$10,000CurrentTaxYearMinus1YearAmt
Current Tax Year$27,180CurrentTaxYearAmt
Total$37,180TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$10,000CurrentTaxYearMinus1YearAmt
Current Tax Year$27,180CurrentTaxYearAmt
Total$37,180TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$203,158PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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 Minus1 Year$97,750CurrentTaxYearMinus1YearAmt
Current Tax Year$142,588CurrentTaxYearAmt
Total$240,338TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

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 (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1002Office Expenses $6631
Other Expenses.1005Travel $237
Other Expenses.1007Conferences, Conventions, and Meetings $30
Other Expenses.1012Insurance $4585
Other Expenses.1Mileage $6214
Other Expenses.2Meetings and Conferences $4192
Other Expenses.3Dues $2995
Other Expenses.4Meals $1782
Other Expenses.5Grant Proposals $783
Other Expenses.6Gifts $321
Other Expenses.7Donations $210
Other Expenses.8Materials and Supplies $143
Other Expenses.10Automobile $110
Other Expenses.11Repairs and Maintenance $106
Total Liabilities.1Due to Others - Beginning $808 Due to Others - Ending $0
Total Liabilities.2Credit Card - Beginning $0 Credit Card - Ending $-560

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