2017-03-27T14:43:37-05:00 2016-08-31 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBOROUGH MA 01581 990 2015-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674100 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 JEANNE LACHANCE INTERIM CHIEF EXECUTIVE OFFICER 4017674163 2017-03-11 1 MATTHEW HUTT CPA P01070603 5083669100 2017-03-09 2015 2021-01-29 14:40:06Z X JEANNE LACHANCE 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 41085601 0 X WWW.THUNDERMISTHEALTH.ORG X 1969 RI TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. 16 16 524 110 0 0 10476929 8239763 29511947 32185687 8345 13801 180873 298676 40178094 40737927 0 0 0 0 25045112 27394248 0 0 144291 10848009 12060530 35893121 39454778 4284973 1283149 31216252 33612969 7786642 8920897 23429610 24692072 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. 0 0 33822462 32185687 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. DURING THE FISCAL YEAR, WE SERVED APPROXIMATELY 42,000 PATIENTS WITH OVER 190,000 MEDICAL AND DENTAL VISITS. WE ALSO PROVIDED 92,000 PRESCRIPTIONS ON BEHALF OF OUR PATIENTS. 33822462 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 59 0 1 524 1 0 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X THE ORGANIZATION 4017674100 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 TIMOTHY HENRY CHAIRPERSON 2.00 1.00 X X 0 0 0 MAUREEN MEYER VICE-CHAIRPERSON 2.00 1.00 X X 0 0 0 DOUG FAY TREASURER 2.00 1.00 X X 0 0 0 LINDA CANNISTRA SECRETARY 2.00 1.00 X X 0 0 0 LAURA ADAMS DIRECTOR 1.00 X 0 0 0 MARY ELLEN CANIGLIA DIRECTOR 1.00 X 0 0 0 JON-PAUL CAPECE DIRECTOR 1.00 X 0 0 0 POLLY EDDY DIRECTOR 1.00 X 0 0 0 FRANK FERRI DIRECTOR 1.00 X 0 0 0 CHERYL KING DIRECTOR 1.00 X 0 0 0 DONALD LARSEN DIRECTOR 1.00 X 0 0 0 PEGGY MARTINEZ DIRECTOR 1.00 X 0 0 0 LOIS MONTEIRO DIRECTOR 1.00 X 0 0 0 ANDREA ROLLIN DIRECTOR 1.00 X 0 0 0 LAWRENCE TRIM DIRECTOR 1.00 X 0 0 0 DAVID VALOIS DIRECTOR 1.00 X 0 0 0 CHARLES JONES PRESIDENT/CEO 39.00 1.00 X 230811 0 28144 JEANNE LACHANCE CHIEF FINANCIAL OFFICER 39.00 1.00 X 170391 0 22162 DAVID BOURASSA CHIEF MEDICAL OFFICER 40.00 X 262614 0 34508 ERIC PROSSEDA CORPORATE DENTIST DIRECTOR 40.00 X 313461 0 25308 SAPNA CHOWDHRY MEDICAL DIRECTOR 40.00 X 204493 0 11567 LINDA BERMAN PHYSICIAN 40.00 X 218879 0 5807 MICHAEL POSHKUS MEDICAL DIRECTOR 40.00 X 186808 0 22887 CHRISTOPHER KLAUS MEDICAL DIRECTOR 40.00 X 196869 0 16391 1784326 0 166774 51 0 1 0 DATAFILE TECHNOLOGIES LLC PO BOX 801504 KANSAS CITY MO 641801504 TECHNOLOGY 170575 NETCENERGY 231 ELM STREET WARWICK RI 02888 IT CONSULTATION 111123 2 160255 7486808 592700 8239763 NET PATIENT SERVICE REVENUE 621498 32185687 32185687 32185687 13801 13801 413429 295268 118161 118161 118161 43424 160255 52406 -8982 -8982 OTHER REVENUE 900099 189497 189497 189497 40737927 32185687 0 312477 751635 422542 281231 47862 21241927 18687680 2477443 76804 573767 493971 79180 616 3151579 2604476 539696 7407 1675340 1461176 204750 9414 68966 68966 58842 58842 814338 629150 185188 77298 70207 6634 457 322779 305295 17419 65 679369 619367 60002 1739285 660912 1078373 89608 85774 3664 170 848938 778460 70478 103955 44000 59955 MEDICAL AND PHARMACY SU 4292236 4292236 BAD DEBTS 779786 779786 PURCHASED AND CONTRACTE 711005 708850 1499 656 STAFF TRAINING AND RECR 447181 338018 109163 1026944 840562 185542 840 39454778 33822462 5488025 144291 1732329 1211926 4193142 6150961 739877 1550539 2680029 3069885 900000 527738 238299 304608 19768309 5024159 14490116 14744150 66857 53486 6175603 5999676 31216252 33612969 2844070 3523623 3101250 2894500 1841322 2502774 7786642 8920897 X 23134610 24446969 295000 245103 23429610 24692072 31216252 33612969 X 1283149 -20687 X X 0 1 X 1 1 1 X 4368267 3949631 6565781 10354237 8079508 33317424 21665603 24208144 30515865 29511947 32185687 138087246 26033870 28157775 37081646 39866184 40265195 171404670 0 0 0 171404670 3044 5650 1354 8345 13801 32194 3044 5650 1354 8345 13801 32194 314431 2199198 1786953 78180 189497 4568259 26351345 30362623 38869953 39952709 40468493 176005123 0.97390 0.96760 0.00020 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: MISCELLANEOUS: 2011 AMOUNT: $ 314,431. 2012 AMOUNT: $ 2,199,198. 2013 AMOUNT: $ 1,786,953. 2014 AMOUNT: $ 78,180. 2015 AMOUNT: $ 189,497. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 854717 854717 14093708 2204408 11889300 686108 585699 100409 3881386 2234052 1647334 252390 252390 14744150 DEVELOPER FEE RECEIVABLE 788539 INVESTMENT IN THC LANDLORD, LLC 1821080 DUE FROM RELATED PARTY 2986135 INVESTMENT IN THC MT, LLC 100 RESTRICTED CASH 152448 INVESTMENT IN LLC 251374 5999676 X PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATING FINANCIAL STATEMENTS AT AUGUST 31, 2016. GOLF TOURNAMENT 58640 44840 13800 2780 6015 250 12687 MOONLIGHT AT THE DUNES 72763 59445 13318 2641 14766 3300 1567 2 72276 55970 16306 150 0 230 0 200 7820 203679 160255 43424 2930 2641 230 20781 3750 22074 52406 -8982 X X X 0 0 0 0 0 0 0 0 0 CHARLES JONES PRESIDENT/CEO 216003 0 14808 0 0 0 10800 0 17344 0 258955 0 0 0 JEANNE LACHANCE CHIEF FINANCIAL OFFICER 160618 0 9773 0 0 0 4818 0 17344 0 192553 0 0 0 DAVID BOURASSA CHIEF MEDICAL OFFICER 245196 0 17418 0 0 0 17164 0 17344 0 297122 0 0 0 ERIC PROSSEDA CORPORATE DENTIST DIRECTOR 232832 0 80629 0 0 0 7964 0 17344 0 338769 0 0 0 SAPNA CHOWDHRY MEDICAL DIRECTOR 202457 0 2036 0 0 0 9984 0 1583 0 216060 0 0 0 LINDA BERMAN PHYSICIAN 189839 0 29040 0 0 0 5358 0 449 0 224686 0 0 0 MICHAEL POSHKUS MEDICAL DIRECTOR 184763 0 2045 0 0 0 5543 0 17344 0 209695 0 0 0 CHRISTOPHER KLAUS MEDICAL DIRECTOR 193572 0 3297 0 0 0 1713 0 14678 0 213260 0 0 0 A RHODE ISLAND EDUCATIONAL AND BUILDING ASSOCIATION 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 0 A 1240500 4135000 4135000 2009 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PRESENTED TO THE GOVERNING BODY FOR APPROVAL BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS THE ORGANIZATION REQUIRES ALL BOARD MEMBERS, CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND SENIOR VICE PRESIDENTS TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICT. THIS INFORMATION IS REQUIRED TO BE COMPLETED AND RETURNED TO THE ADMINISTRATIVE SERVICES COORDINATOR FOR FILING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES THE ANNUAL SURVEY COMPLETED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO DETERMINE THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR KEY EMPLOYEES AND TOP MANAGEMENT OFFICIALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: SHARE OF LOSS IN INVESTMENT IN LLC -20,687. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE SELECTION OF THE INDEPENDENT AUDITORS, OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT, AND APPROVAL OF THE FINANCIAL STATEMENTS. ONCE APPROVED, THE FINANCIAL STATEMENTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS POLICY HAS NOT CHANGED FROM THE PRIOR YEAR. THC MANAGER LLC 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 364716323 REAL ESTATE RI 43007 45815 THUNDERMIST HEALTH CENTER THC DEVELOPMENT COMPANY LLC 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 371655355 REAL ESTATE RI 786414 THUNDERMIST HEALTH CENTER THE LANDLORD LLC 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 274499053 OWNS A BUILDING IN WEST WARWICK, RI RI THC MANAGER LLC RELATED 157122 6133702 0 1 0.95000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 THC-LANDLORD LLC Q 372262 FAIR MARKET VALUE