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THUNDERMIST HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THUNDERMIST HEALTH CENTER (EIN 05-0355097)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-05
IRS object ID
201131869349300328
Schema version
2009v1.7
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)
Timestamp2011-07-05T13:56:27-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-09-01TaxPeriodBeginDate

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)
NameSamuel LimiadiName
TitleCFOTitle
Phone4017674163Phone
Date Signed2011-06-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert J Civetti CPAName
Phone4014212710Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSamuel LimiadiNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1191 Social StreetAddressLine1
CityWoonsocketCity
StateRIState
ZIP Code02895ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22590216GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees327TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7154754ContributionsGrantsPriorYear
Contributions Grants Current Year6708252ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13142934ProgramServiceRevenuePriorYear
Program Service Revenue CY15488887ProgramServiceRevenueCY
Investment Income Prior Year19418InvestmentIncomePriorYear
Investment Income Current Year10991InvestmentIncomeCurrentYear
Other Revenue Prior Year34507OtherRevenuePriorYear
Other Revenue Current Year57780OtherRevenueCurrentYear
Total Revenue Prior Year20351613TotalRevenuePriorYear
Total Revenue Current Year22265910TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12721558SalariesEtcPriorYear
Salaries Etc Current Year13766665SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5286620OtherExpensePriorYear
Other Expenses Current Year6098698OtherExpensesCurrentYear
Total Expenses Prior Year18008178TotalExpensesPriorYear
Total Expenses Current Year19865363TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2343435RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2400547RevenuesLessExpensesCY
Total Assets BOY13514950TotalAssetsBOY
Total Assets EOY18072391TotalAssetsEOY
Total Liabilities BOY5819755TotalLiabilitiesBOY
Total Liabilities EOY7976649TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7695195NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10095742NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16725203Expense
Revenue15546667Revenue
DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.Description
Total Program Service Expense16725203TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees327NumberOfEmployees
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
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
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 Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
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 Line1Samuel Limiadi CFOBusinessNameLine1
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 (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Monique Bilodeau
Director0.20X000
Thomas Evans
Director0.20X000
Timothy Henry
Director0.20X000
Jacques delaporte
Director0.20X000
Brenda Seagrave-Whittle
Director0.20X000
Leo Costantino
Director0.20X000
Lawrence p Trim
Director0.20X000
Jeff Buckley
Director0.20X000
Laurent Lamothe
Director0.20X000
Linda M Cannistra
Director0.20X000
Alexandra Rego
Director0.20X000
Ronda Robin
Director0.20X000
Mary Ellen Fain
Director0.20X000
Newton Whipple
Director0.20X000
Lois Chavez
Director0.20X000
Donald Larsen
Director0.20X000
DAVID VALOIS
Director0.20X000
RYAN STEPHENSON
DIrector0.20X000
LAURA ADAMS
DIRector0.20X000
FILOMENA GUSTAFSON
DIrector0.20X000
Maria Montanaro
CEO40.00187967014267X
Samuel Limiadi
CFO40.00137348016976X
Mary Eddy
Chairperson0.20000X
Douglas Fay
Treasurer0.20000X
Lois A Monteiro
Vice chairperson0.20000X
Janice Maguire
Secretary0.20000X
LINDA REILLY
EXECUTIVE DIRECTOR40.009748809985X
David Bourassa
CMO40.00211230015379X
Eric Prosseda
Dentist- Director SC40.00271101013128X
John Machata
Med Director WW40.0017656907769X
Steven Roth
Physician40.00161013014641X
Beata Nelken
PEDIATRICIAN MD40.0015297405992X
Robert Robbio
INTERNIST MD40.0014878203900X
SAPNA CHOWDRY
INTERNIST MD40.0014266709380X
EVA KLONOWSKI
FAMILY PRACTITIONER MD40.00139658012486X
KAJA PUERINI
DENTIST40.0013726108160X
ERNIE BALASCO
CIO40.0014465302237X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2108711TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation134300TotalOtherCompensation
Number Individuals GT100 K21NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants6708252GovernmentGrants
Total Contributions6708252TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Business Code621110BusinessCode
Total Revenue Column15005419TotalRevenueColumn
Related Or Exempt Function Income15005419RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column483468TotalRevenueColumn
Related Or Exempt Function Income483468RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15488887TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10991TotalRevenueColumn
Exclusion$10,991ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real382086Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real324306Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real57780Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column57780TotalRevenueColumn
Related Or Exempt Function Income57780RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22265910TotalRevenueColumn
Related Or Exempt Function Income15546667RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,991ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1482826Total
Program Services945614ProgramServices
Management And General537212ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9434487Total
Program Services8392512ProgramServices
Management And General1041975ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total332619Total
Program Services249464ProgramServices
Management And General83155ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1619412Total
Program Services1365856ProgramServices
Management And General253556ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total897321Total
Program Services769384ProgramServices
Management And General127937ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38428Total
Management And General38428ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48800Total
Management And General48800ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1068819Total
Program Services1058179ProgramServices
Management And General10640ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25480Total
Program Services6475ProgramServices
Management And General19005ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51145Total
Program Services34045ProgramServices
Management And General17100ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total350088Total
Program Services228461ProgramServices
Management And General121627ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total306813Total
Program Services244800ProgramServices
Management And General62013ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total53069Total
Program Services18027ProgramServices
Management And General35042ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total62822Total
Program Services312ProgramServices
Management And General62510ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total528609Total
Program Services422924ProgramServices
Management And General105685ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total44616Total
Program Services24511ProgramServices
Management And General20105ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Consumable supplies20658161946083119733
Repairs and Maintenance329270224484104786
Telephone29395120201691935
provision for bad debt2295312295310
laboratory1724231724230

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total429018Total
Program Services190102ProgramServices
Management And General238916ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19865363Total
Program Services16725203ProgramServices
Management And General3140160ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1640324BOY
EOY2002224EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1144394BOY
EOY3655380EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY863732BOY
EOY1074938EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1510710BOY
EOY736673EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY149016BOY
EOY296485EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13029175LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3118650LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7909574BOY
EOY9910525EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY297200BOY
EOY396166EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13514950BOY
EOY18072391EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1424880BOY
EOY1723276EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4210000BOY
EOY4134999EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY35417BOY
EOY1500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY149458BOY
EOY618374EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5819755BOY
EOY7976649EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7695195BOY
EOY10020742EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY75000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7695195BOY
EOY10095742EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13514950BOY
EOY18072391EOY
FieldValueIRS element (for citing)
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 Years5796390CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5010432CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5606615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6712747CurrentTaxYearMinus1Year
Current Tax Year6708252CurrentTaxYear
Total29834436Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9552071CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10433338CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11012439CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13142934CurrentTaxYearMinus1Year
Current Tax Year15488887CurrentTaxYear
Total59629669Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15348461CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15443770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16619054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19855681CurrentTaxYearMinus1Year
Current Tax Year22197139CurrentTaxYear
Total89464105Total

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 Total50989464105PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19418CurrentTaxYearMinus1Year
Current Tax Year10991CurrentTaxYear
Total141455Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31968CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19418CurrentTaxYearMinus1Year
Current Tax Year10991CurrentTaxYear
Total141455Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54778CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34507CurrentTaxYearMinus1Year
Total230405Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years154447CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years175391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87619CurrentTaxYearMinus2Years
Current Tax Year57780CurrentTaxYear
Total475237Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15608471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15733796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16793419CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19909606CurrentTaxYearMinus1Year
Current Tax Year22265910CurrentTaxYear
Total90311202Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99060PublicSupportPercentage509
Prior Year Support Percentage0.98910PriorYearSupportPercentage
Investment Income Percentage0.00160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00250PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4618161OtherCostOrOtherBasis
Book Value4618161BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5727306OtherCostOrOtherBasis
Depreciation1705902Depreciation
Book Value4021404BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2259872OtherCostOrOtherBasis
Depreciation1412748Depreciation
Book Value847124BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis423836OtherCostOrOtherBasis
Book Value423836BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9910525TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to affiliate$84,167
REFUNDABLE ADVANCES$534,207
FieldValueIRS element (for citing)
Total Of Amounts618374TotalOfAmounts
Total Revenue22265910TotalRevenue
Total Expenses19865363TotalExpenses
Excess Or Deficit For Year2400547ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS2400547ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22590216TotRevenueEtcAuditedFinclStmt
Other Revenues324306OtherRevenues
Revenue Not Rptd F990324306RevenueNotRptdF990
Revenue Subtotal22265910RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022265910TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20189669TotExpensesEtcAuditedFinclStmt
Other Expenses Included324306OtherExpensesIncluded
Expenses Not Rptd F990324306ExpensesNotRptdF990
Expenses Subtotal19865363ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019865363TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:THE AUDITED FINANCIAL STATEMENTS HAD A GENERAL DISCLOSURE REGARDING UNCERTAIN TAX POSITIONS AND THE TERM FOR WHICH TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS. AS OF AUGUST 31, 2010 THE MANAGEMENT OF THUNDERMIST WAS NOT AWARE OF ANY UNCERTAIN TAX ISSUES AFFECTING THE CENTER.
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 (11 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
Maria Montanaro
168081060000138860863505632020223401825720
Samuel Limiadi
131410000593801323503741015432401480950
David Bourassa
195082022620138860983205547022660902098700
Eric Prosseda
2301560270590138860786305265028422902762090
John Machata
156486061970138860426403505018433801678290
Steven Roth
144137029910138850692307718017565401636310
Beata Nelken
144680014960679804061019310158966000
Robert Robbio
141984000679801380025200152682000
SAPNA CHOWDRY
1291460307401044704943044370152047000
EVA KLONOWSKI
1240010177201388506105063810152144000
ERNIE BALASCO
142137020000516019690268014689001756180

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds4135000TotalProceeds
Capital Expenditures4135000CapitalExpenditures
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
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others1.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use1.00000TotalPrivateBusinessUse
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 (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11FORM 990 IS PRESENTED TO GOVERNING BODY WHEN COMPLETED.
Form 990, Part VI, Section B, line 15aORGANIZATION USES ANNUAL SURVEY DONE BY NATIONAL COMMITTEE OF HEALTH CENTER ASSOCIATION.
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 Committee 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
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
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 Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1THUNDERMIST HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved148397AmountInvolved