THUNDERMIST HEALTH CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THUNDERMIST HEALTH CENTER (EIN 05-0355097)
- Tax period
- 2012-09-01 to 2013-08-31
- Filed
- 2014-07-15
- IRS object ID
- 201421969349300012
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-15T16:04:37-05:00 | Timestamp |
| Tax Period End Date | 2013-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111986323 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 SOUTH MAIN STREET SUITE 100 | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050355097 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THUNDERMIST HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | THUN | NameControl |
| Phone | 4017674163 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 SOCIAL STREET | AddressLine1 |
| City | WOONSOCKET | City |
| State | RI | State |
| ZIP Code | 02895 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEANNE LACHANCE | Name |
| Title | CFO | Title |
| Phone | 4017674163 | Phone |
| Date Signed | 2014-07-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT CIVETTI | Name |
| PTIN | P00187230 | PTIN |
| Phone | 4014576700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEANNE LACHANCE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 SOCIAL STREET | AddressLine1 |
| City | WOONSOCKET | City |
| State | RI | State |
| ZIP Code | 02895 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 30819442 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.THUNDERMISTHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 23 | NbrIndependentVotingMembers |
| Total Nbr Employees | 434 | TotalNbrEmployees |
| Total Nbr Volunteers | 119 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4368267 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3949631 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21665603 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24208144 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3044 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5650 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 314431 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2199198 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 26351345 | TotalRevenuePriorYear |
| Total Revenue Current Year | 30362623 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18534709 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20838375 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7369509 | OtherExpensePriorYear |
| Other Expenses Current Year | 7793767 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25904218 | TotalExpensesPriorYear |
| Total Expenses Current Year | 28632142 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 447127 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1730481 | RevenuesLessExpensesCY |
| Total Assets BOY | 19205017 | TotalAssetsBOY |
| Total Assets EOY | 20114766 | TotalAssetsEOY |
| Total Liabilities BOY | 6423551 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5602819 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12781466 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14511947 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 24501658 | Expense |
| Revenue | 26344795 | Revenue |
| Description | TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | Description |
| Total Program Service Expense | 24501658 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 43 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 434 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 23 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4017674163 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 SOCIAL STREET | AddressLine1 |
| City | WOONSOCKET | City |
| State | RI | State |
| ZIP Code | 02895 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| 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 | |||
| POLLY EDDY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARY ELLEN FAIN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JACQUES DELAPORTE | ||||||||
| 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 | |||
| AMY LEDUC | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| NEIL MORRIS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JOHN POPE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TASIA HENDERSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHUCK JONES | ||||||||
| CEO / PRESIDENT | 40.00 | X | 170000 | 0 | 32393 | |||
| SAMUAL LIMIADI | ||||||||
| CHIEF FINANCIAL OFFICE | 40.00 | X | 156206 | 0 | 14629 | |||
| LINDA REILLY | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 107463 | 0 | 8711 | |||
| DAVID BOURASSA | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 229540 | 0 | 35992 | X | |||
| ERIC PROSSEDA | ||||||||
| CORPORATE DENTIST DIRECTOR | 40.00 | 238691 | 0 | 57645 | X | |||
| BEATA NELKEN | ||||||||
| MEDICAL DIRECTOR | 40.00 | 143519 | 0 | 27327 | X | |||
| STEPHEN ROTH | ||||||||
| MEDICAL DIRECTOR-SC | 40.00 | 180352 | 0 | 30006 | X | |||
| BENILDA SEBALLOS | ||||||||
| FAMILY MEDICINE MD | 40.00 | 150847 | 0 | 4254 | X | |||
| SAPNA CHOWDHRY | ||||||||
| INTERNIST MD | 40.00 | 162604 | 0 | 8639 | X | |||
| EDGAR POLLAK | ||||||||
| PHYSICIAN | 40.00 | 167176 | 0 | 14359 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1706398 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 233955 | TotalOtherCompensation |
| Number Individuals GT100 K | 30 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 3734631 | GovernmentGrants |
| All Other Contributions | 215000 | AllOtherContributions |
| Total Contributions | 3949631 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 20727415 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20727415 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3480729 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3480729 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24208144 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5650 | TotalRevenueColumn |
| Exclusion | $5,650 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 359366 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 427148 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -67782 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -67782 | TotalRevenueColumn |
| Related Or Exempt Function Income | -67782 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 92218 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 29671 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 62547 | TotalRevenueColumn |
| Exclusion | $62,547 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER REVENUE | 900099 | 2268601 | 2268601 |
| LOSS ON DISSOLUTION OF THUNDERMIS | 900099 | -64168 | -64168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2204433 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30362623 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26344795 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $68,197 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1060081 | Total |
| Program Services | 678045 | ProgramServices |
| Management And General | 382036 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15453368 | Total |
| Program Services | 13374657 | ProgramServices |
| Management And General | 2078711 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489316 | Total |
| Program Services | 366987 | ProgramServices |
| Management And General | 122329 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2531334 | Total |
| Program Services | 2223893 | ProgramServices |
| Management And General | 307441 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1304276 | Total |
| Program Services | 1112179 | ProgramServices |
| Management And General | 192097 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40269 | Total |
| Management And General | 40269 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61500 | Total |
| Management And General | 61500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569576 | Total |
| Program Services | 1494413 | ProgramServices |
| Management And General | 75163 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107895 | Total |
| Program Services | 68775 | ProgramServices |
| Management And General | 39120 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43482 | Total |
| Program Services | 32574 | ProgramServices |
| Management And General | 10908 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332866 | Total |
| Program Services | 240164 | ProgramServices |
| Management And General | 92702 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 574024 | Total |
| Program Services | 501146 | ProgramServices |
| Management And General | 72878 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65591 | Total |
| Program Services | 26450 | ProgramServices |
| Management And General | 39141 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 655800 | Total |
| Program Services | 587877 | ProgramServices |
| Management And General | 67923 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75481 | Total |
| Program Services | 43017 | ProgramServices |
| Management And General | 32464 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSUMABLE SUPPLIES | 2665288 | 2544055 | 121233 |
| REPAIRS AND MAINTENANCE | 411814 | 341017 | 70797 |
| LABORATORY | 275508 | 275508 | |
| STAFF TRAINING AND RECR | 244948 | 161636 | 83312 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 669725 | Total |
| Program Services | 429265 | ProgramServices |
| Management And General | 240460 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28632142 | Total |
| Program Services | 24501658 | ProgramServices |
| Management And General | 4130484 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1050499 | BOY |
| EOY | 750943 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 776131 | BOY |
| EOY | 1252559 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 715484 | BOY |
| EOY | 1151639 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1159842 | BOY |
| EOY | 1645741 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 900000 | BOY |
| EOY | 900000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565394 | BOY |
| EOY | 351953 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13809025 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5010399 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8326694 | BOY |
| EOY | 8798626 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5710973 | BOY |
| EOY | 5263305 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19205017 | BOY |
| EOY | 20114766 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2574884 | BOY |
| EOY | 2086944 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3721500 | BOY |
| EOY | 3514750 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127167 | BOY |
| EOY | 1125 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6423551 | BOY |
| EOY | 5602819 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12580944 | BOY |
| EOY | 14511947 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200522 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12781466 | BOY |
| EOY | 14511947 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19205017 | BOY |
| EOY | 20114766 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1730481 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6712747 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6708252 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5101219 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4368267 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3949631 | CurrentTaxYear |
| Total | 26840116 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13142934 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15488887 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18559216 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21665603 | CurrentTaxYearMinus1Year |
| Current Tax Year | 24208144 | CurrentTaxYear |
| Total | 93064784 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19855681 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22197139 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23660435 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26033870 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28157775 | CurrentTaxYear |
| Total | 119904900 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 119904900 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19418 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10991 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17852 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3044 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5650 | CurrentTaxYear |
| Total | 56955 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19418 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10991 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17852 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3044 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5650 | CurrentTaxYear |
| Total | 56955 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34507 | CurrentTaxYearMinus4Years |
| Total | 34507 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 57780 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 763029 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 314431 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2199198 | CurrentTaxYear |
| Total | 3334438 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19909606 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22265910 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24441316 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26351345 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30362623 | CurrentTaxYear |
| Total | 123330800 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97220 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98730 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00080 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3228161 | OtherCostOrOtherBasis |
| Book Value | 3228161 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6550559 | OtherCostOrOtherBasis |
| Depreciation | 2553447 | Depreciation |
| Book Value | 3997112 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3606723 | OtherCostOrOtherBasis |
| Depreciation | 2456952 | Depreciation |
| Book Value | 1149771 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 423582 | OtherCostOrOtherBasis |
| Book Value | 423582 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8798626 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEVELOPER FEE RECEIVABLE | 788539 |
| INVESTMENT IN THC LANDLORD, LLC | 1821080 |
| DUE FROM RELATED PARTY | 2653586 |
| INVESTMENT IN THC MANAGER, LLC | 100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5263305 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO RELATED PARTY | Description |
| Amount | $1,125 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1125 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 30819442 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 456819 | OtherRevenues |
| Revenue Not Rptd F990 | 456819 | RevenueNotRptdF990 |
| Revenue Subtotal | 30362623 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 30362623 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 29088961 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 456819 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 456819 | ExpensesNotRptdF990 |
| Expenses Subtotal | 28632142 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 28632142 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE CENTER AND FOUNDATION ARE EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER AND FOUNDATION 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 AND FOUNDATION QUALIFY 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 AND FOUNDATION EVALUATE ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GAAP. AS OF AUGUST 31, 2013, THE CENTER AND FOUNDATION DO 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 AND FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF AUGUST 31, 2013, THE CENTER'S AND FOUNDATION'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 FUNDRAISING INCOME REPORTED NET ON 990 | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL INCOME REPORTED NET ON FORM 990 FUNDRAISING INCOME REPORTED NET ON 990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 27872 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 27872 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 11371 | OtherDirectExpensesEvent1 |
| Name Of Event2 | MOONLIGHT AT THE DUNES | NameOfEvent2 |
| Gross Receipts Event2 | 55578 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 55578 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 15996 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 8768 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 8768 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 2304 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 92218 | GrossReceiptsTotal |
| Gross Revenue Total Events | 92218 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 29671 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29671 | DirectExpenseSummaryEvents |
| Net Income Summary | 62547 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHUCK JONES | ||||||||||||||
| CEO / PRESIDENT | 170000 | 0 | 0 | 0 | 0 | 0 | 7047 | 0 | 25346 | 0 | 202393 | 0 | 0 | 0 |
| SAMUAL LIMIADI | ||||||||||||||
| CHIEF FINANCIAL OFFICE | 156206 | 0 | 0 | 0 | 0 | 0 | 6191 | 0 | 8438 | 0 | 170835 | 0 | 0 | 0 |
| DAVID BOURASSA | ||||||||||||||
| CHIEF MEDICAL OFFICER | 229540 | 0 | 0 | 0 | 0 | 0 | 15715 | 0 | 20277 | 0 | 265532 | 0 | 0 | 0 |
| ERIC PROSSEDA | ||||||||||||||
| CORPORATE DENTIST DIRECTOR | 238691 | 0 | 0 | 0 | 0 | 0 | 7249 | 0 | 50396 | 0 | 296336 | 0 | 0 | 0 |
| BEATA NELKEN | ||||||||||||||
| MEDICAL DIRECTOR | 143519 | 0 | 0 | 0 | 0 | 0 | 7781 | 0 | 19546 | 0 | 170846 | 0 | 0 | 0 |
| STEPHEN ROTH | ||||||||||||||
| MEDICAL DIRECTOR-SC | 180352 | 0 | 0 | 0 | 0 | 0 | 8750 | 0 | 21256 | 0 | 210358 | 0 | 0 | 0 |
| BENILDA SEBALLOS | ||||||||||||||
| FAMILY MEDICINE MD | 150847 | 0 | 0 | 0 | 0 | 0 | 3376 | 0 | 878 | 0 | 155101 | 0 | 0 | 0 |
| SAPNA CHOWDHRY | ||||||||||||||
| INTERNIST MD | 162604 | 0 | 0 | 0 | 0 | 0 | 8190 | 0 | 449 | 0 | 171243 | 0 | 0 | 0 |
| EDGAR POLLAK | ||||||||||||||
| PHYSICIAN | 167176 | 0 | 0 | 0 | 0 | 0 | 4560 | 0 | 9799 | 0 | 181535 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THUNDERMIST HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 050355097 | IssuerEIN |
| Date Issued | 2010-08-02 | DateIssued |
| Issue Price | 4135000 | IssuePrice |
| Description Of Purpose | TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 1 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 AUDITOPRS 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THUNDERMIST FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 SOCIAL STREET | AddressLine1 |
| City | WOONSOCKET | City |
| State | RI | State |
| ZIP Code | 02895 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205353108 | EIN |
| Primary Activities | TO PROMOTE AND RAISE FUNDS WHICH WILL BENEFIT THUNDERMIST HEALTH CENTER | PrimaryActivities |
| Legal Domicile State | RI | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 509(A)(3) TYPE I | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THC LANDLORD LLC | ||||||||||||
| 191 SOCIAL STREET | WOONSOCKET | RI | 02895 | 274499053 | OWNS BUILDING IN WEST WARWICK, RI | RI | RELATED | 151772 | 6973995 | 0 | 1 | 0.95000 |
| THC-MT LLC | ||||||||||||
| 191 SOCIAL STREET | WOONSOCKET | RI | 02895 | 274498874 | GENERAL PARTNER OF LLC WHOLLY OWNED BY THUNDERMIST | RI | RELATED | 31 | 196 | 0 | 1 | 0.00010 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| THC MANAGER LLC | ||||||||||
| 191 SOCIAL STREET | WOONSOCKET | RI | 02895 | 364716323 | REAL ESTATE | RI | THUNDERMIST HEALTH CENTER INC | -64720 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| THUNDERMIST FOUNDATION | ||
| O | 49983 | FAIR MARKET VALUE |
| THC-MT LLC | ||
| K | 186067 | FAIR MARKET VALUE |
| THC LANDLORD LLC | ||
| D | 900000 | FAIR MARKET VALUE |
| THC LANDLORD LLC | ||
| R | 2651836 | FAIR MARKET VALUE |