2014-07-15T16:04:37-05:00 2013-08-31 111986323 MARCUM LLP 155 SOUTH MAIN STREET SUITE 100 PROVIDENCE RI 02903 990 2012-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 JEANNE LACHANCE 4017674163 2014-07-07 1 ROBERT CIVETTI P00187230 4014576700 2012 2015-11-30 17:44:51Z JEANNE LACHANCE 191 SOCIAL STREET WOONSOCKET RI 02895 30819442 0 X WWW.THUNDERMISTHEALTH.ORG X 1969 RI TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 23 23 434 119 0 0 4368267 3949631 21665603 24208144 3044 5650 314431 2199198 26351345 30362623 0 0 0 0 18534709 20838375 0 0 0 7369509 7793767 25904218 28632142 447127 1730481 19205017 20114766 6423551 5602819 12781466 14511947 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 24501658 26344795 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 24501658 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 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 43 0 1 434 0 0 0 0 0 0 0 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI 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 CHERYL KING 1.00 X 0 0 0 LAURENT LAMOTHE 1.00 X 0 0 0 POLLY 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 SAMANTHA LICHMAN 1.00 X 0 0 0 AMY LEDUC 1.00 X 0 0 0 NEIL MORRIS 1.00 X 0 0 0 JOHN POPE 1.00 X 0 0 0 TASIA HENDERSON 1.00 X 0 0 0 CHUCK JONES 40.00 X 170000 0 32393 SAMUAL LIMIADI 40.00 X 156206 0 14629 LINDA REILLY 40.00 X 107463 0 8711 DAVID BOURASSA 40.00 X 229540 0 35992 ERIC PROSSEDA 40.00 X 238691 0 57645 BEATA NELKEN 40.00 X 143519 0 27327 STEPHEN ROTH 40.00 X 180352 0 30006 BENILDA SEBALLOS 40.00 X 150847 0 4254 SAPNA CHOWDHRY 40.00 X 162604 0 8639 EDGAR POLLAK 40.00 X 167176 0 14359 1706398 0 233955 30 0 1 0 0 3734631 215000 3949631 PATIENT SERVICES 621110 20727415 20727415 3480729 3480729 24208144 5650 5650 359366 427148 -67782 -67782 -67782 92218 29671 62547 62547 OTHER REVENUE 900099 2268601 2268601 LOSS ON DISSOLUTION OF THUNDERMIS 900099 -64168 -64168 2204433 30362623 26344795 0 68197 1060081 678045 382036 15453368 13374657 2078711 489316 366987 122329 2531334 2223893 307441 1304276 1112179 192097 40269 40269 61500 61500 1569576 1494413 75163 107895 68775 39120 43482 32574 10908 332866 240164 92702 574024 501146 72878 65591 26450 39141 655800 587877 67923 75481 43017 32464 CONSUMABLE SUPPLIES 2665288 2544055 121233 REPAIRS AND MAINTENANCE 411814 341017 70797 LABORATORY 275508 275508 STAFF TRAINING AND RECR 244948 161636 83312 669725 429265 240460 28632142 24501658 4130484 0 1050499 750943 776131 1252559 715484 1151639 1159842 1645741 900000 900000 565394 351953 13809025 5010399 8326694 8798626 5710973 5263305 19205017 20114766 2574884 2086944 3721500 3514750 127167 1125 6423551 5602819 X 12580944 14511947 200522 0 12781466 14511947 19205017 20114766 1730481 0 X X 0 1 X 1 1 1 X 6712747 6708252 5101219 4368267 3949631 26840116 13142934 15488887 18559216 21665603 24208144 93064784 19855681 22197139 23660435 26033870 28157775 119904900 0 0 0 119904900 19418 10991 17852 3044 5650 56955 19418 10991 17852 3044 5650 56955 34507 34507 57780 763029 314431 2199198 3334438 19909606 22265910 24441316 26351345 30362623 123330800 0.97220 0.98730 0.00050 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3228161 3228161 6550559 2553447 3997112 3606723 2456952 1149771 423582 423582 8798626 DEVELOPER FEE RECEIVABLE 788539 INVESTMENT IN THC LANDLORD, LLC 1821080 DUE FROM RELATED PARTY 2653586 INVESTMENT IN THC MANAGER, LLC 100 5263305 DUE TO RELATED PARTY 1125 1125 X 30819442 456819 456819 30362623 0 30362623 29088961 456819 456819 28632142 0 28632142 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 GOLF TOURNAMENT 27872 27872 11371 MOONLIGHT AT THE DUNES 55578 55578 15996 1 8768 8768 2304 92218 92218 29671 29671 62547 X X 0 0 0 0 0 0 0 0 0 CHUCK JONES 170000 0 0 0 0 0 7047 0 25346 0 202393 0 0 0 SAMUAL LIMIADI 156206 0 0 0 0 0 6191 0 8438 0 170835 0 0 0 DAVID BOURASSA 229540 0 0 0 0 0 15715 0 20277 0 265532 0 0 0 ERIC PROSSEDA 238691 0 0 0 0 0 7249 0 50396 0 296336 0 0 0 BEATA NELKEN 143519 0 0 0 0 0 7781 0 19546 0 170846 0 0 0 STEPHEN ROTH 180352 0 0 0 0 0 8750 0 21256 0 210358 0 0 0 BENILDA SEBALLOS 150847 0 0 0 0 0 3376 0 878 0 155101 0 0 0 SAPNA CHOWDHRY 162604 0 0 0 0 0 8190 0 449 0 171243 0 0 0 EDGAR POLLAK 167176 0 0 0 0 0 4560 0 9799 0 181535 0 0 0 A THUNDERMIST HEALTH CENTER 050355097 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 0 A 2009 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 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. 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 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 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 0 0 1 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 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