2012-04-17T10:22:01-05:00 2011-08-31 BRAVER PC 155 SOUTH MAIN STREET SUITE 100 PROVIDENCE RI 02903 990 2010-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 SAMUEL LIMIADI 4017674163 2012-04-16 1 ROBERT J CIVETTI CPA 4014212710 2010 2016-02-24 21:20:13Z SAMUEL LIMIADI 191 SOCIAL STREET WOONSOCKET RI 02895 24887560 0 X WWW.THUNDERMISTHEALTH.ORG X 1969 RI TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 25 25 344 39 0 0 6708252 5101219 15488887 18559216 10991 17852 57780 763029 22265910 24441316 0 0 0 0 13766665 15963793 0 0 0 6098698 6238926 19865363 22202719 2400547 2238597 18072391 18564180 7976649 6229841 10095742 12334339 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 0 0 19008381 19322245 TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 19008381 1 0 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 42 0 1 344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 25 25 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X SAMUEL LIMIADI CFO 4017674163 191 SOCIAL STREET WOONSOCKET RI 02895 MARY EDDY 0.20 X X 0 0 0 LOIS MONTEIRO 0.20 X X 0 0 0 DOUGLAS FAY 0.20 X X 0 0 0 JANICE MAGUIRE 0.20 X X 0 0 0 MONIQUE BILODEAU 0.20 X 0 0 0 LINDA M CANNISTRA 0.20 X 0 0 0 THOMAS EVANS 0.20 X 0 0 0 ALEXANDRA REGO 0.20 X 0 0 0 TIMOTHY HENRY 0.20 X 0 0 0 RONDA ROBIN 0.20 X 0 0 0 JACQUES DELAPORTE 0.20 X 0 0 0 MARY ELLEN FAIN 0.20 X 0 0 0 BRENDA SEAGRAVE-WHITTLE 0.20 X 0 0 0 NEWTON WHIPPLE 0.20 X 0 0 0 LEO COSTANTINO 0.20 X 0 0 0 LOIS CHAVEZ 0.20 X 0 0 0 LAWRENCE P TRIM 0.20 X 0 0 0 DONALD LARSEN 0.20 X 0 0 0 LAURA ADAMS 0.20 X 0 0 0 RYAN STEPHENSON 0.20 X 0 0 0 FILOMENA GUSTAFSON 0.20 X 0 0 0 LAURENT LAMOTHE 0.20 X 0 0 0 JEFF BUCKLEY 0.20 X 0 0 0 DAVID VALOIS 0.20 X 0 0 0 MARIA MONTANARO 40.00 X 203210 0 12178 CHARLES JONES 40.00 X 127177 0 26469 SAMUEL LIMIADI 40.00 X 154405 0 25439 LINDA REILLY 40.00 X 97600 0 28653 DAVID BOURASSA 40.00 X 206900 0 34828 JOHN MACHATA 40.00 X 153234 0 14729 ERIC PROSSEDA 40.00 X 216327 0 32675 BEATA NELKEN 40.00 X 144947 0 17958 STEVEN ROTH 40.00 X 142261 0 33589 ROBERT ROBBIO 40.00 X 134220 0 14607 BENILDA SEBALLOS 40.00 X 130671 0 13811 SAPNA CHOWDHRY 40.00 X 128212 0 22585 1839164 0 277521 16 0 1 0 0 5101219 5101219 PATIENT SERVICES 621110 15625912 15625912 2933304 2933304 18559216 17852 17852 353221 446244 -93023 -93023 -93023 DEVELOPER FEE INCOME 900099 655894 655894 OTHER REVENUE 900099 200158 200158 856052 24441316 19322245 0 17852 1333824 543219 790605 11276664 10312764 963900 381245 285934 95311 1949592 1727902 221690 1022468 883306 139162 26859 26859 49200 49200 915141 878949 36192 50285 20523 29762 62500 45557 16943 394659 274955 119704 393099 286465 106634 65645 29834 35811 562353 467298 95055 83236 62095 21141 CONSUMABLE SUPPLIES 2022328 1903212 119116 PROVISION FOR BAD DEBT 385144 385144 REPAIRS AND MAINTENANCE 333471 284499 48972 TELEPHONE 224398 148893 75505 STAFF TRAINING AND RECR 219510 185768 33742 451098 282064 169034 22202719 19008381 3194338 0 2002224 406250 3655380 1604229 1074938 506259 736673 693752 1500000 296485 501117 11805617 3622498 9910525 8183119 396166 5169454 18072391 18564180 1723276 2189645 4134999 3928250 1500000 618374 111946 7976649 6229841 X 10020742 12334339 75000 0 10095742 12334339 18072391 18564180 2238597 0 X X 0 1 1 X 1 1 X 5010432 5606615 6712747 6708252 5101219 29139265 10433338 11012439 13142934 15488887 18559216 68636814 15443770 16619054 19855681 22197139 23660435 97776079 0 0 0 97776079 57813 31968 19418 10991 17852 138042 57813 31968 19418 10991 17852 138042 56822 54778 34507 146107 175391 87619 57780 763029 1083819 15733796 16793419 19909606 22265910 24441316 99144047 0.98620 0.99060 0.00140 0.00160 X 3228161 3228161 5718270 1982344 3735926 2859186 1640154 1219032 0 8183119 DEPOSITS 25175 DEVELOPER FEE RECEIVABLE 655894 INVESTMENT IN THC LANDLORD, LLC 1821080 DUE FROM RELATED PARTY 2667205 INVESTMENT IN THC MANAGER, LLC 100 5169454 DUE TO RELATED PARTY 111946 111946 24441316 22202719 2238597 0 2238597 24887560 446244 446244 24441316 0 24441316 22648963 446244 446244 22202719 0 22202719 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 X X 0 0 0 0 0 0 0 0 0 MARIA MONTANARO 203210 0 0 0 0 0 8777 0 3401 0 215388 0 202234 0 CHARLES JONES 127177 0 0 0 0 0 3726 0 22743 0 153646 0 0 0 SAMUEL LIMIADI 154405 0 0 0 0 0 13966 0 11473 0 179844 0 154324 0 DAVID BOURASSA 206900 0 0 0 0 0 10363 0 24465 0 241728 0 226609 0 JOHN MACHATA 153234 0 0 0 0 0 3471 0 11258 0 167963 0 184338 0 ERIC PROSSEDA 216327 0 0 0 0 0 8179 0 24496 0 249002 0 284229 0 BEATA NELKEN 144947 0 0 0 0 0 7250 0 10708 0 162905 0 158966 0 STEVEN ROTH 142261 0 0 0 0 0 7432 0 26157 0 175850 0 175654 0 SAPNA CHOWDHRY 128212 0 0 0 0 0 7131 0 15454 0 150797 0 152047 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 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 COMMITTEE 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 0 1 0.95000 THC-MT LLC 191 SOCIAL STREET WOONSOCKET RI 02895 274498874 GENERAL PARTNER OF LLC WHOLLY OWNED BY THUNDERMIST RI RELATED 0 1 0.00010 THC MANAGER LLC 191 SOCIAL STREET WOONSOCKET RI 02895 364716323 REAL ESTATE RI S 1.00000 THC DEVELOPMENT COMPANY LLC 191 SOCIAL STREET WOONSOCKET RI 02895 371655355 REAL ESTATE RI THUNDERMIST HEALTH CENTER INC 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 THUNDERMIST FOUNDATION C 386873 FAIR MARKET VALUE THUNDERMIST FOUNDATION N 148478 FAIR MARKET VALUE THC-MT LLC J 41964 FAIR MARKET VALUE THC LANDLORD LLC D 1500000 FAIR MARKET VALUE THC LANDLORD LLC Q 2369797 FAIR MARKET VALUE