THUNDERMIST HEALTH CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THUNDERMIST HEALTH CENTER (EIN 05-0355097)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-04-17
IRS object ID
201201089349300225
Schema version
2010v3.4
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)
Timestamp2012-04-17T10:22:01-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

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 Date2010-09-01TaxPeriodBeginDate

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 Signed2012-04-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT J CIVETTI CPAName
Phone4014212710Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts24887560GrossReceipts
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 Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees344TotalNbrEmployees
Total Nbr Volunteers39TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6708252ContributionsGrantsPriorYear
Contributions Grants Current Year5101219ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15488887ProgramServiceRevenuePriorYear
Program Service Revenue CY18559216ProgramServiceRevenueCY
Investment Income Prior Year10991InvestmentIncomePriorYear
Investment Income Current Year17852InvestmentIncomeCurrentYear
Other Revenue Prior Year57780OtherRevenuePriorYear
Other Revenue Current Year763029OtherRevenueCurrentYear
Total Revenue Prior Year22265910TotalRevenuePriorYear
Total Revenue Current Year24441316TotalRevenueCurrentYear
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 Year13766665SalariesEtcPriorYear
Salaries Etc Current Year15963793SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6098698OtherExpensePriorYear
Other Expenses Current Year6238926OtherExpensesCurrentYear
Total Expenses Prior Year19865363TotalExpensesPriorYear
Total Expenses Current Year22202719TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2400547RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2238597RevenuesLessExpensesCY
Total Assets BOY18072391TotalAssetsBOY
Total Assets EOY18564180TotalAssetsEOY
Total Liabilities BOY7976649TotalLiabilitiesBOY
Total Liabilities EOY6229841TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10095742NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12334339NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19008381Expense
Revenue19322245Revenue
DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.Description
Total Program Service Expense19008381TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees344NumberOfEmployees
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 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
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 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 (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARY EDDY
CHAIRPERSON0.20XX000
LOIS MONTEIRO
VICE CHAIRPERSON0.20XX000
DOUGLAS FAY
TREASURER0.20XX000
JANICE MAGUIRE
SECRETARY0.20XX000
MONIQUE BILODEAU
DIRECTOR0.20X000
LINDA M CANNISTRA
DIRECTOR0.20X000
THOMAS EVANS
DIRECTOR0.20X000
ALEXANDRA REGO
DIRECTOR0.20X000
TIMOTHY HENRY
DIRECTOR0.20X000
RONDA ROBIN
DIRECTOR0.20X000
JACQUES DELAPORTE
DIRECTOR0.20X000
MARY ELLEN FAIN
DIRECTOR0.20X000
BRENDA SEAGRAVE-WHITTLE
DIRECTOR0.20X000
NEWTON WHIPPLE
DIRECTOR0.20X000
LEO COSTANTINO
DIRECTOR0.20X000
LOIS CHAVEZ
DIRECTOR0.20X000
LAWRENCE P TRIM
DIRECTOR0.20X000
DONALD LARSEN
DIRECTOR0.20X000
LAURA ADAMS
DIRECTOR0.20X000
RYAN STEPHENSON
DIRECTOR0.20X000
FILOMENA GUSTAFSON
DIRECTOR0.20X000
LAURENT LAMOTHE
DIRECTOR0.20X000
JEFF BUCKLEY
DIRECTOR0.20X000
DAVID VALOIS
DIRECTOR0.20X000
MARIA MONTANARO
CEO / PRESIDENT40.00X203210012178
CHARLES JONES
INTERIM CEO40.00X127177026469
SAMUEL LIMIADI
CHIEF FINANCIAL OFFICER40.00X154405025439
LINDA REILLY
EXECUTIVE DIRECTOR40.00X97600028653
DAVID BOURASSA
CHIEF MEDICAL OFFICER40.00206900034828X
JOHN MACHATA
MEDICAL DIRECTOR-WW40.00153234014729X
ERIC PROSSEDA
CORPORATE DENTIST DIRECTOR40.00216327032675X
BEATA NELKEN
PEDIATRICIAN MD40.00144947017958X
STEVEN ROTH
MEDICAL DIRECTOR-SC40.00142261033589X
ROBERT ROBBIO
INTERNIST MD40.00134220014607X
BENILDA SEBALLOS
FAMILY MEDICINE MD40.00130671013811X
SAPNA CHOWDHRY
INTERNIST MD40.00128212022585X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1839164TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation277521TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants5101219GovernmentGrants
Total Contributions5101219TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621110BusinessCode
Total Revenue Column15625912TotalRevenueColumn
Related Or Exempt Function Income15625912RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2933304TotalRevenueColumn
Related Or Exempt Function Income2933304RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18559216TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17852TotalRevenueColumn
Exclusion$17,852ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real353221Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real446244Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-93023Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-93023TotalRevenueColumn
Related Or Exempt Function Income-93023RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DEVELOPER FEE INCOME900099655894655894
OTHER REVENUE900099200158200158
FieldValueIRS element (for citing)
Total Other Revenue856052TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24441316TotalRevenueColumn
Related Or Exempt Function Income19322245RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$17,852ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1333824Total
Program Services543219ProgramServices
Management And General790605ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11276664Total
Program Services10312764ProgramServices
Management And General963900ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total381245Total
Program Services285934ProgramServices
Management And General95311ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1949592Total
Program Services1727902ProgramServices
Management And General221690ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1022468Total
Program Services883306ProgramServices
Management And General139162ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26859Total
Management And General26859ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49200Total
Management And General49200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total915141Total
Program Services878949ProgramServices
Management And General36192ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total50285Total
Program Services20523ProgramServices
Management And General29762ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62500Total
Program Services45557ProgramServices
Management And General16943ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total394659Total
Program Services274955ProgramServices
Management And General119704ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total393099Total
Program Services286465ProgramServices
Management And General106634ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total65645Total
Program Services29834ProgramServices
Management And General35811ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total562353Total
Program Services467298ProgramServices
Management And General95055ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total83236Total
Program Services62095ProgramServices
Management And General21141ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONSUMABLE SUPPLIES20223281903212119116
PROVISION FOR BAD DEBT385144385144
REPAIRS AND MAINTENANCE33347128449948972
TELEPHONE22439814889375505
STAFF TRAINING AND RECR21951018576833742

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total451098Total
Program Services282064ProgramServices
Management And General169034ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22202719Total
Program Services19008381ProgramServices
Management And General3194338ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2002224BOY
EOY406250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3655380BOY
EOY1604229EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1074938BOY
EOY506259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY736673BOY
EOY693752EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY1500000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY296485BOY
EOY501117EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11805617LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3622498LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9910525BOY
EOY8183119EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY396166BOY
EOY5169454EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18072391BOY
EOY18564180EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1723276BOY
EOY2189645EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4134999BOY
EOY3928250EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1500000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY618374BOY
EOY111946EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7976649BOY
EOY6229841EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10020742BOY
EOY12334339EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY75000BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10095742BOY
EOY12334339EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18072391BOY
EOY18564180EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2238597ReconcilationRevenueExpenses
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 Years5010432CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5606615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6712747CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6708252CurrentTaxYearMinus1Year
Current Tax Year5101219CurrentTaxYear
Total29139265Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10433338CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11012439CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13142934CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15488887CurrentTaxYearMinus1Year
Current Tax Year18559216CurrentTaxYear
Total68636814Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15443770CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16619054CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19855681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22197139CurrentTaxYearMinus1Year
Current Tax Year23660435CurrentTaxYear
Total97776079Total

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 Total50997776079PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10991CurrentTaxYearMinus1Year
Current Tax Year17852CurrentTaxYear
Total138042Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10991CurrentTaxYearMinus1Year
Current Tax Year17852CurrentTaxYear
Total138042Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54778CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34507CurrentTaxYearMinus2Years
Total146107Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years175391CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87619CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year57780CurrentTaxYearMinus1Year
Current Tax Year763029CurrentTaxYear
Total1083819Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15733796CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16793419CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19909606CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22265910CurrentTaxYearMinus1Year
Current Tax Year24441316CurrentTaxYear
Total99144047Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98620PublicSupportPercentage509
Prior Year Support Percentage0.99060PriorYearSupportPercentage
Investment Income Percentage0.00140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis5718270OtherCostOrOtherBasis
Depreciation1982344Depreciation
Book Value3735926BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2859186OtherCostOrOtherBasis
Depreciation1640154Depreciation
Book Value1219032BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8183119TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS25175
DEVELOPER FEE RECEIVABLE655894
INVESTMENT IN THC LANDLORD, LLC1821080
DUE FROM RELATED PARTY2667205
INVESTMENT IN THC MANAGER, LLC100
FieldValueIRS element (for citing)
Total Book Value Other Assets5169454TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTYDescription
Amount$111,946Amount
FieldValueIRS element (for citing)
Total Of Amounts111946TotalOfAmounts
Total Revenue24441316TotalRevenue
Total Expenses22202719TotalExpenses
Excess Or Deficit For Year2238597ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS2238597ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24887560TotRevenueEtcAuditedFinclStmt
Other Revenues446244OtherRevenues
Revenue Not Rptd F990446244RevenueNotRptdF990
Revenue Subtotal24441316RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99024441316TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22648963TotExpensesEtcAuditedFinclStmt
Other Expenses Included446244OtherExpensesIncluded
Expenses Not Rptd F990446244ExpensesNotRptdF990
Expenses Subtotal22202719ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022202719TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011 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 (9 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
20321000000877703401021538802022340
CHARLES JONES
1271770000037260227430153646000
SAMUEL LIMIADI
1544050000013966011473017984401543240
DAVID BOURASSA
2069000000010363024465024172802266090
JOHN MACHATA
153234000003471011258016796301843380
ERIC PROSSEDA
216327000008179024496024900202842290
BEATA NELKEN
144947000007250010708016290501589660
STEVEN ROTH
142261000007432026157017585001756540
SAPNA CHOWDHRY
128212000007131015454015079701520470

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
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PRESENTED TO GOVERNING BODY WHEN COMPLETED.
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 12C
ORGANIZATION USES ANNUAL SURVEY DONE BY NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS.FORM 990, PART VI, SECTION B, LINE 15A
MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THUNDERMIST HEALTH CENTER HAS A FINANCE COMMITTEE WHICH IS RESPONSIBLE FORSELECTION 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.FORM 990 PART XI LINE 2C

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 TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
THC LANDLORD LLC
191 SOCIAL STREETWOONSOCKETRI02895274499053OWNS BUILDING IN WEST WARWICK, RIRIRELATED010.95000
THC-MT LLC
191 SOCIAL STREETWOONSOCKETRI02895274498874GENERAL PARTNER OF LLC WHOLLY OWNED BY THUNDERMISTRIRELATED010.00010

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
THC MANAGER LLC
191 SOCIAL STREETWOONSOCKETRI02895364716323REAL ESTATERIS1.00000
THC DEVELOPMENT COMPANY LLC
191 SOCIAL STREETWOONSOCKETRI02895371655355REAL ESTATERITHUNDERMIST HEALTH CENTER INC
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THUNDERMIST FOUNDATION
C386873FAIR MARKET VALUE
THUNDERMIST FOUNDATION
N148478FAIR MARKET VALUE
THC-MT LLC
J41964FAIR MARKET VALUE
THC LANDLORD LLC
D1500000FAIR MARKET VALUE
THC LANDLORD LLC
Q2369797FAIR MARKET VALUE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.