2011-07-05T13:56:27-05:00 2010-08-31 Braver PC 155 South Main Street Suite 100 Providence RI 02903 990 2009-09-01 050355097 Thundermist Health Center THUN 4017674163 191 Social Street Woonsocket RI 02895 Samuel Limiadi 4017674163 2011-06-30 1 Robert J Civetti CPA 4014212710 2009 2016-02-24 21:20:13Z Samuel Limiadi 191 Social Street Woonsocket RI 02895 22590216 0 X www.thundermisthealth.org X 1969 RI TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 23 23 327 4 0 0 7154754 6708252 13142934 15488887 19418 10991 34507 57780 20351613 22265910 0 0 12721558 13766665 0 0 5286620 6098698 18008178 19865363 2343435 2400547 13514950 18072391 5819755 7976649 7695195 10095742 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 16725203 15546667 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 16725203 1 0 0 0 0 0 0 0 0 1 0 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 1 23 0 327 0 0 0 0 0 0 0 0 0 0 1 1 23 23 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 1 0 0 X X Samuel Limiadi CFO 4017674163 191 Social Street Woonsocket RI 02895 Monique Bilodeau 0.20 X 0 0 0 Thomas Evans 0.20 X 0 0 0 Timothy Henry 0.20 X 0 0 0 Jacques delaporte 0.20 X 0 0 0 Brenda Seagrave-Whittle 0.20 X 0 0 0 Leo Costantino 0.20 X 0 0 0 Lawrence p Trim 0.20 X 0 0 0 Jeff Buckley 0.20 X 0 0 0 Laurent Lamothe 0.20 X 0 0 0 Linda M Cannistra 0.20 X 0 0 0 Alexandra Rego 0.20 X 0 0 0 Ronda Robin 0.20 X 0 0 0 Mary Ellen Fain 0.20 X 0 0 0 Newton Whipple 0.20 X 0 0 0 Lois Chavez 0.20 X 0 0 0 Donald Larsen 0.20 X 0 0 0 DAVID VALOIS 0.20 X 0 0 0 RYAN STEPHENSON 0.20 X 0 0 0 LAURA ADAMS 0.20 X 0 0 0 FILOMENA GUSTAFSON 0.20 X 0 0 0 Maria Montanaro 40.00 X 187967 0 14267 Samuel Limiadi 40.00 X 137348 0 16976 Mary Eddy 0.20 X 0 0 0 Douglas Fay 0.20 X 0 0 0 Lois A Monteiro 0.20 X 0 0 0 Janice Maguire 0.20 X 0 0 0 LINDA REILLY 40.00 X 97488 0 9985 David Bourassa 40.00 X 211230 0 15379 Eric Prosseda 40.00 X 271101 0 13128 John Machata 40.00 X 176569 0 7769 Steven Roth 40.00 X 161013 0 14641 Beata Nelken 40.00 X 152974 0 5992 Robert Robbio 40.00 X 148782 0 3900 SAPNA CHOWDRY 40.00 X 142667 0 9380 EVA KLONOWSKI 40.00 X 139658 0 12486 KAJA PUERINI 40.00 X 137261 0 8160 ERNIE BALASCO 40.00 X 144653 0 2237 2108711 0 134300 21 1 1 0 0 6708252 6708252 Patient Services 621110 15005419 15005419 483468 483468 15488887 10991 10991 382086 324306 57780 57780 57780 22265910 15546667 0 10991 1482826 945614 537212 9434487 8392512 1041975 332619 249464 83155 1619412 1365856 253556 897321 769384 127937 38428 38428 48800 48800 1068819 1058179 10640 25480 6475 19005 51145 34045 17100 350088 228461 121627 306813 244800 62013 53069 18027 35042 62822 312 62510 528609 422924 105685 44616 24511 20105 Consumable supplies 2065816 1946083 119733 Repairs and Maintenance 329270 224484 104786 Telephone 293951 202016 91935 provision for bad debt 229531 229531 0 laboratory 172423 172423 0 429018 190102 238916 19865363 16725203 3140160 0 1640324 2002224 1144394 3655380 863732 1074938 1510710 736673 149016 296485 13029175 3118650 7909574 9910525 297200 396166 13514950 18072391 1424880 1723276 4210000 4134999 35417 1500000 149458 618374 5819755 7976649 X 7695195 10020742 75000 7695195 10095742 13514950 18072391 X 0 1 1 X 1 1 X 5796390 5010432 5606615 6712747 6708252 29834436 9552071 10433338 11012439 13142934 15488887 59629669 15348461 15443770 16619054 19855681 22197139 89464105 0 0 0 89464105 21265 57813 31968 19418 10991 141455 21265 57813 31968 19418 10991 141455 84298 56822 54778 34507 230405 154447 175391 87619 57780 475237 15608471 15733796 16793419 19909606 22265910 90311202 0.99060 0.98910 0.00160 0.00250 X 4618161 4618161 5727306 1705902 4021404 2259872 1412748 847124 423836 423836 9910525 Due to affiliate 84167 REFUNDABLE ADVANCES 534207 618374 22265910 19865363 2400547 0 2400547 22590216 324306 324306 22265910 0 22265910 20189669 324306 324306 19865363 0 19865363 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 X X 0 0 0 0 0 0 0 0 0 Maria Montanaro 168081 0 6000 0 13886 0 8635 0 5632 0 202234 0 182572 0 Samuel Limiadi 131410 0 0 0 5938 0 13235 0 3741 0 154324 0 148095 0 David Bourassa 195082 0 2262 0 13886 0 9832 0 5547 0 226609 0 209870 0 Eric Prosseda 230156 0 27059 0 13886 0 7863 0 5265 0 284229 0 276209 0 John Machata 156486 0 6197 0 13886 0 4264 0 3505 0 184338 0 167829 0 Steven Roth 144137 0 2991 0 13885 0 6923 0 7718 0 175654 0 163631 0 Beata Nelken 144680 0 1496 0 6798 0 4061 0 1931 0 158966 0 0 0 Robert Robbio 141984 0 0 0 6798 0 1380 0 2520 0 152682 0 0 0 SAPNA CHOWDRY 129146 0 3074 0 10447 0 4943 0 4437 0 152047 0 0 0 EVA KLONOWSKI 124001 0 1772 0 13885 0 6105 0 6381 0 152144 0 0 0 ERNIE BALASCO 142137 0 2000 0 516 0 1969 0 268 0 146890 0 175618 0 THUNDERMIST HEALTH CENTER 050355097 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 4135000 4135000 2009 1 0 0 1 0 0 0 0 1 1.00000 0.00000 1.00000 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 15a ORGANIZATION USES ANNUAL SURVEY DONE BY NATIONAL COMMITTEE OF HEALTH CENTER ASSOCIATION. Form 990, Part VI, Section C, line 19 MADE AVAILABLE UPON REQUEST. Form 990 Part XI Line 2C Thundermist Health Center has a Finance Committee which is responsible for selection of the Independent Auditors and for reviewing and approving the audited financial statements. Once the statements have been approved by the Committee they are presented to the Board of Directors for final approval. 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 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 THUNDERMIST HEALTH CENTER INC N 148397