2015-04-15T16:18:43-05:00 2014-08-31 111986323 MARCUM LLP 155 SOUTH MAIN STREET SUITE 100 PROVIDENCE RI 02903 990 2013-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 JEANNE LACHANCE CFO 4017674163 2015-03-17 1 DAVID FONTAINE P00011053 4014576700 2013 2016-02-25 16:41:14Z JEANNE LACHANCE 191 SOCIAL STREET WOONSOCKET RI 02895 39468269 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. 20 20 469 28 0 0 3949631 6565781 24208144 30515865 5650 1354 2199198 1994340 30362623 39077340 0 0 0 0 20838375 23364554 0 0 172194 7793767 11079371 28632142 34443925 1730481 4633415 20114766 26209433 5602819 7064071 14511947 19145362 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 29238723 32398412 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. 29238723 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 0 1 0 0 0 1 32 0 1 469 0 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X X THE ORGANIZATION 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 LOIS MONTEIRO CHAIRPERSON 1.00 X X 0 0 0 TIMOTHY HENRY VICE-CHAIRPERSON 1.00 X X 0 0 0 DOUGLAS FAY TREASURER 1.00 X X 0 0 0 JANICE MAGUIRE SECRETARY 1.00 X X 0 0 0 LAWRENCE TRIM DIRECTOR 1.00 X 0 0 0 LINDA CANNISTRA DIRECTOR 1.00 X 0 0 0 CHERYL KING DIRECTOR 1.00 X 0 0 0 LAURENT LAMOTHE DIRECTOR 1.00 X 0 0 0 MARY EDDY DIRECTOR 1.00 X 0 0 0 MARY ELLEN FAIN DIRECTOR 1.00 X 0 0 0 DAVID VALOIS DIRECTOR 1.00 X 0 0 0 BRENDA SEAGRAVE-WHITTLE DIRECTOR 1.00 X 0 0 0 DONALD LARSEN DIRECTOR 1.00 X 0 0 0 LAURA ADAMS DIRECTOR 1.00 X 0 0 0 ALICIA TILLSON DIRECTOR 1.00 X 0 0 0 FILOMENA GUSTAFSON DIRECTOR 1.00 X 0 0 0 MARY CANIGLIA DIRECTOR 1.00 X 0 0 0 SAMANTHA LICHMAN DIRECTOR 1.00 X 0 0 0 MAUREEN MEYER DIRECTOR 1.00 X 0 0 0 JON-PAUL CAPECE DIRECTOR 1.00 X 0 0 0 CHUCK JONES PRESIDENT/CEO 40.00 X 203102 0 31198 JEANNE LACHANCE CFO 40.00 X 170000 0 19858 DAVID BOURASSA CHIEF MEDICAL OFFICER 40.00 X 242902 0 38134 ERIC PROSSEDA CORPORATE DENTIST DIRECTOR 40.00 X 283669 0 57660 BEATA NELKEN PHYSICIAN 40.00 X 179387 0 26425 STEPHEN ROTH PHYSICIAN 40.00 X 188813 0 30328 LINDA BERMAN PHYSICIAN 40.00 X 188837 0 6936 MICHAEL POSHKUS PHYSICIAN 40.00 X 169940 0 24085 SAMUAL LIMIADI FORMER CFO 40.00 X 279978 0 12632 1906628 0 247256 9 1 1 0 0 6265226 300555 6565781 PATIENT SERVICES 621110 26878833 26878833 3637032 3637032 30515865 1354 1354 427721 332127 95594 95594 95594 170595 58802 111793 111793 OTHER REVENUE 900099 1786953 1786953 1786953 39077340 32398412 0 113147 1046522 622364 424158 17614007 15837436 1650875 125696 545867 475200 69092 1575 2698678 2404453 279199 15026 1459480 1287483 162007 9990 37221 37221 59177 59177 1883941 1715614 156967 11360 51525 8309 43216 36783 21290 15251 242 466835 31124 435711 698005 220046 477959 40674 9535 27753 3386 20238 20238 672530 614286 58244 70597 32183 38414 CONSUMABLE SUPPLIES 2928647 2705026 222856 765 WOMEN, INFANT & CHILDRE 2020428 2020428 REPAIRS AND MAINTENANCE 510590 136307 371829 2454 PROVISION FOR BAD DEBT 498689 498689 1083491 598950 482841 1700 34443925 29238723 5033008 172194 750943 632655 1252559 1527583 1151639 4086082 1645741 1656003 900000 900000 351953 1558577 14897913 4023503 8798626 10874410 10246 5263305 4963877 20114766 26209433 2086944 2871224 3514750 3308000 0 882063 1125 2784 5602819 7064071 X 14511947 18984806 160556 14511947 19145362 20114766 26209433 4633415 0 X X 0 1 X 1 1 1 X 6708252 5101219 4368267 3949631 6606956 26734325 15488887 18559216 21665603 24208144 30474690 110396540 22197139 23660435 26033870 28157775 37081646 137130865 0 0 0 137130865 10991 17852 3044 5650 1354 38891 10991 17852 3044 5650 1354 38891 57780 763029 314431 2199198 1786953 5121391 22265910 24441316 26351345 30362623 38869953 142291147 0.96370 0.97220 0.00030 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3228161 3228161 6403188 2724151 3679037 2186391 1299352 887039 3080173 3080173 10874410 DEVELOPER FEE RECEIVABLE 788539 INVESTMENT IN THC LANDLORD, LLC 1821080 DUE FROM RELATED PARTY 2354158 INVESTMENT IN THC MANAGER, LLC 100 4963877 DUE TO RELATED PARTY 2784 2784 X 39468269 390929 390929 39077340 0 39077340 34834854 390929 390929 34443925 0 34443925 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER IS ALSO EXEMPT FROM RHODE ISLAND INCOME TAXES. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME AT BOTH THE STATE AND FEDERAL LEVELS. IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE CENTER EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GAAP. AS OF AUGUST 31, 2014, THE CENTER DOES NOT BELIEVE THAT THEY HAVE TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DO THEY BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF AUGUST 31, 2014, THE CENTER'S FEDERAL TAX RETURNS GENERALLY REMAIN OPEN FOR THE LAST THREE YEARS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL INCOME REPORTED NET ON FORM 990 332,127. FUNDRAISING INCOME REPORTED NET ON 990 58,802. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES REPORTED ON FORM 990 332,127. FUNDRAISING EXPENSES REPORTED ON 990 58,802. GOLF TOURNAMENT 48924 48924 21307 MOONLIGHT AT THE DUNES 69819 69819 26958 2 51852 51852 10537 170595 170595 58802 58802 111793 X X 0 0 0 0 0 0 0 0 0 CHUCK JONES PRESIDENT/CEO 182001 0 21101 0 0 0 8371 0 22827 0 234300 0 0 0 JEANNE LACHANCE CFO 170000 0 0 0 0 0 696 0 19162 0 189858 0 0 0 DAVID BOURASSA CHIEF MEDICAL OFFICER 228171 0 14731 0 0 0 15972 0 22162 0 281036 0 0 0 ERIC PROSSEDA CORPORATE DENTIST DIRECTOR 214009 0 69660 0 0 0 7599 0 50061 0 341329 0 0 0 BEATA NELKEN PHYSICIAN 162092 0 17295 0 0 0 7957 0 18468 0 205812 0 0 0 STEPHEN ROTH PHYSICIAN 183697 0 5116 0 0 0 9166 0 21162 0 219141 0 0 0 LINDA BERMAN PHYSICIAN 161476 0 27361 0 0 0 4674 0 2262 0 195773 0 0 0 MICHAEL POSHKUS PHYSICIAN 168839 0 1101 0 0 0 2923 0 21162 0 194025 0 0 0 SAMUAL LIMIADI FORMER CFO 189461 0 0 0 90517 0 9894 0 2738 0 292610 0 0 0 A THUNDERMIST HEALTH CENTER 050355097 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 0 A 2009 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PRESENTED TO GOVERNING BODY WHEN COMPLETED. 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 RISE TO CONFLICTS. THIS INFORMATION IS REQUIRED TO BE COMPLETED AND RETURNED TO THE ADMINISTRATIVE SERVICES COORDINATOR FOR FILING. FORM 990, PART VI, SECTION B, LINE 15A ORGANIZATION USES ANNUAL SURVEY DONE BY NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION C, LINE 19 MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THUNDERMIST HEALTH CENTER HAS A FINANCE COMMITTEE WHICH IS RESPONSIBLE FOR SELECTION OF THE INDEPENDENT AUDITORS AND FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS. ONCE THE STATEMENTS HAVE BEEN APPROVED BY THE COMMITTEE THEY ARE PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THC LANDLORD LLC 191 SOCIAL STREET WOONSOCKET RI 02895 274499053 OWNS BUILDING IN WEST WARWICK, RI RI RELATED 153266 6238975 0 1 0.95000 THC MANAGER LLC 191 SOCIAL STREET WOONSOCKET RI 02895 364716323 REAL ESTATE RI THUNDERMIST HEALTH CENTER INC 6567342 1.00000 0 THC DEVELOPMENT COMPANY LLC 191 SOCIAL STREET WOONSOCKET RI 02895 371655355 REAL ESTATE RI THUNDERMIST HEALTH CENTER INC 788539 1.00000 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 THC-MT LLC K 0 FAIR MARKET VALUE THC LANDLORD LLC D 900000 FAIR MARKET VALUE THC LANDLORD LLC R 2351908 FAIR MARKET VALUE THC LANDLORD LLC Q 1159 FAIR MARKET VALUE THC-MT LLC R 1130185 FAIR MARKET VALUE THC-MT LLC Q 23718 FAIR MARKET VALUE