2013-07-10T12:55:45-05:00 2012-08-31 042894325 BRAVER PC 155 SOUTH MAIN STREET SUITE 100 PROVIDENCE RI 02903 990 2011-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 JEANNE LACHANCE 4017674163 2013-07-09 1 ROBERT J CIVETTI CPA P00187230 4014212710 2011 2016-02-25 16:41:14Z JEANNE LACHANCE 191 SOCIAL STREET WOONSOCKET RI 02895 26776644 0 X WWW.THUNDERMISTHEALTH.ORG X 1969 RI TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 20 20 434 119 0 0 5101219 4368267 18559216 21665603 17852 3044 763029 314431 24441316 26351345 0 0 0 0 15963793 18534709 0 0 0 6238926 7369509 22202719 25904218 2238597 447127 18564180 19205017 6229841 6423551 12334339 12781466 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 22123581 21980034 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 22123581 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 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 0 1 43 0 1 434 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 X X THE ORGANIZATION 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 LOIS MONTEIRO 1.00 X X 0 0 0 TIMOTHY HENRY 1.00 X X 0 0 0 DOUGLAS FAY 1.00 X X 0 0 0 JANICE MAGUIRE 1.00 X X 0 0 0 LAWRENCE TRIM 1.00 X 0 0 0 LINDA CANNISTRA 1.00 X 0 0 0 THOMAS EVANS 1.00 X 0 0 0 LAURENT LAMOTHE 1.00 X 0 0 0 MARY EDDY 1.00 X 0 0 0 MARY ELLEN FAIN 1.00 X 0 0 0 JACQUES DELAPORTE 1.00 X 0 0 0 DAVID VALOIS 1.00 X 0 0 0 BRENDA SEAGRAVE-WHITTLE 1.00 X 0 0 0 DONALD LARSEN 1.00 X 0 0 0 LAURA ADAMS 1.00 X 0 0 0 ALICIA TILLSON 1.00 X 0 0 0 FILOMENA GUSTAFSON 1.00 X 0 0 0 MARY CANIGLIA 1.00 X 0 0 0 RYAN STEPHENSON 1.00 X 0 0 0 AMY LEDUC 1.00 X 0 0 0 RONDA ROBIN 1.00 X 0 0 0 LOIS CHAVEZ 1.00 X 0 0 0 ZAIDA LOPEZ 1.00 X 0 0 0 CHUCK JONES 40.00 X 147745 0 29156 SAMUAL LIMIADI 40.00 X 148357 0 25901 LINDA REILLY 40.00 X 96633 0 29517 DAVID BOURASSA 40.00 X 220490 0 39270 ERIC PROSSEDA 40.00 X 220233 0 64789 BEATA NELKEN 40.00 X 163823 0 18577 STEPHEN ROTH 40.00 X 150805 0 34128 BENILDA SEBALLOS 40.00 X 144824 0 13964 SAPNA CHOWDHRY 40.00 X 151444 0 9883 EDGAR POLLAK 40.00 X 164641 0 13017 MARIA MONTANARO 40.00 X 109525 0 8939 1718520 0 287141 22 1 1 0 0 3970867 397400 4368267 PATIENT SERVICES 621110 18466669 18466669 3198934 3198934 21665603 3044 3044 379822 425299 -45477 -45477 -45477 OTHER REVENUE 900099 227263 227263 DEVELOPER FEE INCOME 900099 132645 132645 359908 26351345 21980034 0 3044 1022091 670932 351159 13663742 11916054 1747688 419248 314436 104812 2272545 1990180 282365 1157083 996583 160500 44693 44693 65600 65600 1225909 1118707 107202 137528 87935 49593 56465 45446 11019 323018 221659 101359 451428 378210 73218 52801 22650 30151 691138 585244 105894 35233 17138 18095 CONSUMABLE SUPPLIES 2465375 2295312 170063 REPAIRS AND MAINTENANCE 383228 321294 61934 PROVISION FOR BAD DEBT 380645 380645 LABORATORY 285235 285235 771213 475921 295292 25904218 22123581 3780637 0 406250 1050499 1604229 776131 506259 715484 693752 1159842 1500000 900000 501117 565394 12661014 4334320 8183119 8326694 5169454 5710973 18564180 19205017 2189645 2574884 3928250 3721500 111946 127167 6229841 6423551 X 12334339 12580944 0 200522 12334339 12781466 18564180 19205017 447127 0 X X 0 1 1 X 1 1 X 5606615 6712747 6708252 5101219 4368267 28497100 11012439 13142934 15488887 18559216 21665603 79869079 16619054 19855681 22197139 23660435 26033870 108366179 0 0 0 108366179 31968 19418 10991 17852 3044 83273 31968 19418 10991 17852 3044 83273 54778 34507 89285 87619 57780 763029 314431 1222859 16793419 19909606 22265910 24441316 26351345 109761596 0.98730 0.98620 0.00080 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3228161 3228161 5877818 2280782 3597036 3360042 2053538 1306504 194993 194993 8326694 DEVELOPER FEE RECEIVABLE 788539 INVESTMENT IN THC LANDLORD, LLC 1821080 DUE FROM RELATED PARTY 3101254 INVESTMENT IN THC MANAGER, LLC 100 5710973 DUE TO RELATED PARTY 127167 127167 26351345 25904218 447127 447127 26776644 425299 425299 26351345 0 26351345 26329517 425299 425299 25904218 0 25904218 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 X X 0 0 0 0 0 0 0 0 0 CHUCK JONES 147745 0 0 0 0 0 4250 0 24906 0 176901 0 153646 0 SAMUAL LIMIADI 148357 0 0 0 0 0 14000 0 11901 0 174258 0 179844 0 DAVID BOURASSA 220490 0 0 0 0 0 11214 0 28056 0 259760 0 241728 0 ERIC PROSSEDA 220233 0 0 0 0 0 7841 0 56948 0 285022 0 249002 0 BEATA NELKEN 163823 0 0 0 0 0 7345 0 11232 0 182400 0 162905 0 STEPHEN ROTH 150805 0 0 0 0 0 7566 0 26562 0 184933 0 175850 0 BENILDA SEBALLOS 144824 0 0 0 0 0 4074 0 9890 0 158788 0 144482 0 SAPNA CHOWDHRY 151444 0 0 0 0 0 7511 0 2372 0 161327 0 150797 0 EDGAR POLLAK 164641 0 0 0 0 0 2983 0 10034 0 177658 0 0 0 MARIA MONTANARO 109525 0 0 0 0 0 5502 0 3437 0 118464 0 215388 0 THUNDERMIST HEALTH CENTER 050355097 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 0 206750 2009 1 0 0 1 0 0 0 0 1 0 0 0 0 0 1 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. THUNDERMIST HEALTH CENTER HAS A FINANCE COMITTEE WHICH IS RESPONSIBLE FOR FORM 990 PART XI LINE 2C 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. THUNDERMIST FOUNDATION 191 SOCIAL STREET WOONSOCKET RI 02895 205353108 TO PROMOTE AND RAISE FUNDS WHICH WILL BENEFIT THUNDERMIST HEALTH CENTER RI 501(C)(3) 509(A)(3) TYPE I N/A 0 THC LANDLORD LLC 191 SOCIAL STREET WOONSOCKET RI 02895 274499053 OWNS BUILDING IN WEST WARWICK, RI RI RELATED 150272 6447984 0 1 0.95000 THC-MT LLC 191 SOCIAL STREET WOONSOCKET RI 02895 274498874 GENERAL PARTNER OF LLC WHOLLY OWNED BY THUNDERMIST RI RELATED 2017 10129 0 1 0.00010 THC MANAGER LLC 191 SOCIAL STREET WOONSOCKET RI 02895 364716323 REAL ESTATE RI THUNDERMIST HEALTH CENTER INC 100 1.00000 THC DEVELOPMENT COMPANY LLC 191 SOCIAL STREET WOONSOCKET RI 02895 371655355 REAL ESTATE RI THUNDERMIST HEALTH CENTER INC 132645 788539 1.00000 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 THUNDERMIST FOUNDATION N 232328 FAIR MARKET VALUE THC-MT LLC J 199288 FAIR MARKET VALUE THC LANDLORD LLC D 900000 FAIR MARKET VALUE THC LANDLORD LLC Q 2551836 FAIR MARKET VALUE