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THUNDERMIST HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THUNDERMIST HEALTH CENTER (EIN 05-0355097)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-10
IRS object ID
201321919349300227
Schema version
2011v1.5
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)
Timestamp2013-07-10T12:55:45-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042894325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BRAVER PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 SOUTH MAIN STREET SUITE 100AddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050355097EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THUNDERMIST HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTHUNNameControl
Phone4017674163Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1191 SOCIAL STREETAddressLine1
CityWOONSOCKETCity
StateRIState
ZIP Code02895ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANNE LACHANCEName
TitleCFOTitle
Phone4017674163Phone
Date Signed2013-07-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT J CIVETTI CPAName
PTINP00187230PTIN
Phone4014212710Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEANNE LACHANCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1191 SOCIAL STREETAddressLine1
CityWOONSOCKETCity
StateRIState
ZIP Code02895ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26776644GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THUNDERMISTHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees434TotalNbrEmployees
Total Nbr Volunteers119TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5101219ContributionsGrantsPriorYear
Contributions Grants Current Year4368267ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18559216ProgramServiceRevenuePriorYear
Program Service Revenue CY21665603ProgramServiceRevenueCY
Investment Income Prior Year17852InvestmentIncomePriorYear
Investment Income Current Year3044InvestmentIncomeCurrentYear
Other Revenue Prior Year763029OtherRevenuePriorYear
Other Revenue Current Year314431OtherRevenueCurrentYear
Total Revenue Prior Year24441316TotalRevenuePriorYear
Total Revenue Current Year26351345TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15963793SalariesEtcPriorYear
Salaries Etc Current Year18534709SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6238926OtherExpensePriorYear
Other Expenses Current Year7369509OtherExpensesCurrentYear
Total Expenses Prior Year22202719TotalExpensesPriorYear
Total Expenses Current Year25904218TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2238597RevenuesLessExpensesPriorYear
Revenues Less Expenses CY447127RevenuesLessExpensesCY
Total Assets BOY18564180TotalAssetsBOY
Total Assets EOY19205017TotalAssetsEOY
Total Liabilities BOY6229841TotalLiabilitiesBOY
Total Liabilities EOY6423551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12334339NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12781466NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22123581Expense
Revenue21980034Revenue
DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.Description
Total Program Service Expense22123581TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees434NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017674163TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1191 SOCIAL STREETAddressLine1
CityWOONSOCKETCity
StateRIState
ZIP Code02895ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LOIS MONTEIRO
CHAIRPERSON - 7/9/12 & VICE CHAIRPERSON - 7/11/111.00XX000
TIMOTHY HENRY
VICE-CHAIRPERSON - 7/9/12 & DIRECTOR - 7/11/111.00XX000
DOUGLAS FAY
TREASURER1.00XX000
JANICE MAGUIRE
SECRETARY1.00XX000
LAWRENCE TRIM
DIRECTOR1.00X000
LINDA CANNISTRA
DIRECTOR1.00X000
THOMAS EVANS
DIRECTOR1.00X000
LAURENT LAMOTHE
DIRECTOR1.00X000
MARY EDDY
CHAIRPERSON - 7/11/11 & DIRECTOR 7/9/121.00X000
MARY ELLEN FAIN
DIRECTOR1.00X000
JACQUES DELAPORTE
DIRECTOR1.00X000
DAVID VALOIS
DIRECTOR1.00X000
BRENDA SEAGRAVE-WHITTLE
DIRECTOR1.00X000
DONALD LARSEN
DIRECTOR1.00X000
LAURA ADAMS
DIRECTOR1.00X000
ALICIA TILLSON
DIRECTOR1.00X000
FILOMENA GUSTAFSON
DIRECTOR1.00X000
MARY CANIGLIA
DIRECTOR1.00X000
RYAN STEPHENSON
DIRECTOR1.00X000
AMY LEDUC
DIRECTOR1.00X000
RONDA ROBIN
DIRECTOR1.00X000
LOIS CHAVEZ
DIRECTOR1.00X000
ZAIDA LOPEZ
DIRECTOR1.00X000
CHUCK JONES
CEO / PRESIDENT40.00X147745029156
SAMUAL LIMIADI
CHIEF FINANCIAL OFFICE40.00X148357025901
LINDA REILLY
EXECUTIVE DIRECTOR40.00X96633029517
DAVID BOURASSA
CHIEF MEDICAL OFFICER40.00220490039270X
ERIC PROSSEDA
CORPORATE DENTIST DIRECTOR40.00220233064789X
BEATA NELKEN
MEDICAL DIRECTOR40.00163823018577X
STEPHEN ROTH
MEDICAL DIRECTOR-SC40.00150805034128X
BENILDA SEBALLOS
FAMILY MEDICINE MD40.00144824013964X
SAPNA CHOWDHRY
INTERNIST MD40.0015144409883X
EDGAR POLLAK
PHYSICIAN40.00164641013017X
MARIA MONTANARO
FORMER CEO / PRESIDENT40.0010952508939X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1718520TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation287141TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants3970867GovernmentGrants
All Other Contributions397400AllOtherContributions
Total Contributions4368267TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column18466669TotalRevenueColumn
Related Or Exempt Function Income18466669RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3198934TotalRevenueColumn
Related Or Exempt Function Income3198934RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue21665603TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3044TotalRevenueColumn
Exclusion$3,044ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real379822Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real425299Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-45477Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-45477TotalRevenueColumn
Related Or Exempt Function Income-45477RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE900099227263227263
DEVELOPER FEE INCOME900099132645132645
FieldValueIRS element (for citing)
Total Other Revenue359908TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26351345TotalRevenueColumn
Related Or Exempt Function Income21980034RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,044ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1022091Total
Program Services670932ProgramServices
Management And General351159ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13663742Total
Program Services11916054ProgramServices
Management And General1747688ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total419248Total
Program Services314436ProgramServices
Management And General104812ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2272545Total
Program Services1990180ProgramServices
Management And General282365ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1157083Total
Program Services996583ProgramServices
Management And General160500ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44693Total
Management And General44693ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65600Total
Management And General65600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1225909Total
Program Services1118707ProgramServices
Management And General107202ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total137528Total
Program Services87935ProgramServices
Management And General49593ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56465Total
Program Services45446ProgramServices
Management And General11019ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total323018Total
Program Services221659ProgramServices
Management And General101359ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total451428Total
Program Services378210ProgramServices
Management And General73218ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total52801Total
Program Services22650ProgramServices
Management And General30151ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total691138Total
Program Services585244ProgramServices
Management And General105894ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total35233Total
Program Services17138ProgramServices
Management And General18095ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONSUMABLE SUPPLIES24653752295312170063
REPAIRS AND MAINTENANCE38322832129461934
PROVISION FOR BAD DEBT380645380645
LABORATORY285235285235

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total771213Total
Program Services475921ProgramServices
Management And General295292ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25904218Total
Program Services22123581ProgramServices
Management And General3780637ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY406250BOY
EOY1050499EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1604229BOY
EOY776131EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY506259BOY
EOY715484EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY693752BOY
EOY1159842EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1500000BOY
EOY900000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY501117BOY
EOY565394EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12661014LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4334320LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8183119BOY
EOY8326694EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5169454BOY
EOY5710973EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18564180BOY
EOY19205017EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2189645BOY
EOY2574884EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3928250BOY
EOY3721500EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY111946BOY
EOY127167EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6229841BOY
EOY6423551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12334339BOY
EOY12580944EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY200522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12334339BOY
EOY12781466EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18564180BOY
EOY19205017EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses447127ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5606615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6712747CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6708252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5101219CurrentTaxYearMinus1Year
Current Tax Year4368267CurrentTaxYear
Total28497100Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11012439CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13142934CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15488887CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18559216CurrentTaxYearMinus1Year
Current Tax Year21665603CurrentTaxYear
Total79869079Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16619054CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19855681CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22197139CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23660435CurrentTaxYearMinus1Year
Current Tax Year26033870CurrentTaxYear
Total108366179Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509108366179PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31968CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17852CurrentTaxYearMinus1Year
Current Tax Year3044CurrentTaxYear
Total83273Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31968CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17852CurrentTaxYearMinus1Year
Current Tax Year3044CurrentTaxYear
Total83273Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54778CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34507CurrentTaxYearMinus3Years
Total89285Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years87619CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years57780CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year763029CurrentTaxYearMinus1Year
Current Tax Year314431CurrentTaxYear
Total1222859Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16793419CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19909606CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22265910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24441316CurrentTaxYearMinus1Year
Current Tax Year26351345CurrentTaxYear
Total109761596Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98730PublicSupportPercentage509
Prior Year Support Percentage0.98620PriorYearSupportPercentage
Investment Income Percentage0.00080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3228161OtherCostOrOtherBasis
Book Value3228161BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5877818OtherCostOrOtherBasis
Depreciation2280782Depreciation
Book Value3597036BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3360042OtherCostOrOtherBasis
Depreciation2053538Depreciation
Book Value1306504BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis194993OtherCostOrOtherBasis
Book Value194993BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8326694TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEVELOPER FEE RECEIVABLE788539
INVESTMENT IN THC LANDLORD, LLC1821080
DUE FROM RELATED PARTY3101254
INVESTMENT IN THC MANAGER, LLC100
FieldValueIRS element (for citing)
Total Book Value Other Assets5710973TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$127,167Amount
FieldValueIRS element (for citing)
Total Of Amounts127167TotalOfAmounts
Total Revenue26351345TotalRevenue
Total Expenses25904218TotalExpenses
Excess Or Deficit For Year447127ExcessOrDeficitForYear
Excess Or Deficit Per FS447127ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt26776644TotRevenueEtcAuditedFinclStmt
Other Revenues425299OtherRevenues
Revenue Not Rptd F990425299RevenueNotRptdF990
Revenue Subtotal26351345RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026351345TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26329517TotExpensesEtcAuditedFinclStmt
Other Expenses Included425299OtherExpensesIncluded
Expenses Not Rptd F990425299ExpensesNotRptdF990
Expenses Subtotal25904218ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025904218TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2012, 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 CENTERS AND FOUNDATIONS INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. AS OF AUGUST 31, 2012, THE CENTERS AND FOUNDATIONS FEDERAL TAX RETURNS GENERALLY REMAIN OPEN FOR THE LAST THREE YEARS.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL INCOME REPORTED NET ON FORM 990
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL INCOME REPORTED NET ON FORM 990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHUCK JONES
147745000004250024906017690101536460
SAMUAL LIMIADI
1483570000014000011901017425801798440
DAVID BOURASSA
2204900000011214028056025976002417280
ERIC PROSSEDA
220233000007841056948028502202490020
BEATA NELKEN
163823000007345011232018240001629050
STEPHEN ROTH
150805000007566026562018493301758500
BENILDA SEBALLOS
14482400000407409890015878801444820
SAPNA CHOWDHRY
15144400000751102372016132701507970
EDGAR POLLAK
1646410000029830100340177658000
MARIA MONTANARO
10952500000550203437011846402153880

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THUNDERMIST HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN050355097IssuerEIN
Date Issued2010-08-02DateIssued
Issue Price4135000IssuePrice
Description Of PurposeTO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATEDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired206750AmountRetired
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PRESENTED TO GOVERNING BODY WHEN COMPLETED.
FORM 990, PART VI, SECTION B, LINE 12CON 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 15AORGANIZATION USES ANNUAL SURVEY DONE BY NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS.
FORM 990, PART VI, SECTION C, LINE 19MADE AVAILABLE UPON REQUEST.
FORM 990 PART XI LINE 2CSELECTION 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.THUNDERMIST HEALTH CENTER HAS A FINANCE COMITTEE WHICH IS RESPONSIBLE FOR

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THUNDERMIST FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1191 SOCIAL STREETAddressLine1
CityWOONSOCKETCity
StateRIState
ZIP Code02895ZIPCode
FieldValueIRS element (for citing)
EIN205353108EIN
Primary ActivitiesTO PROMOTE AND RAISE FUNDS WHICH WILL BENEFIT THUNDERMIST HEALTH CENTERPrimaryActivities
Legal Domicile StateRILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3) TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
THC LANDLORD LLC
191 SOCIAL STREETWOONSOCKETRI02895274499053OWNS BUILDING IN WEST WARWICK, RIRIRELATED1502726447984010.95000
THC-MT LLC
191 SOCIAL STREETWOONSOCKETRI02895274498874GENERAL PARTNER OF LLC WHOLLY OWNED BY THUNDERMISTRIRELATED201710129010.00010

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncome
THC MANAGER LLC
191 SOCIAL STREETWOONSOCKETRI02895364716323REAL ESTATERITHUNDERMIST HEALTH CENTER INC1001.00000
THC DEVELOPMENT COMPANY LLC
191 SOCIAL STREETWOONSOCKETRI02895371655355REAL ESTATERITHUNDERMIST HEALTH CENTER INC7885391.00000132645
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THUNDERMIST FOUNDATION
N232328FAIR MARKET VALUE
THC-MT LLC
J199288FAIR MARKET VALUE
THC LANDLORD LLC
D900000FAIR MARKET VALUE
THC LANDLORD LLC
Q2551836FAIR MARKET VALUE