2020-04-17T14:11:14-05:00 2019-08-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2018-09-01 050355097 THUNDERMIST HEALTH CENTER THUN 4017674163 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 JEANNE LACHANCE CHIEF EXECUTIVE OFFICER 4017674163 2020-04-10 1 COURTNEY MCFARLAND CPA P01645518 5083669100 2020-04-09 40.70.31.102 2020-04-10 15:08:06 ED P E5E10DB362A14A01DB0DA430DA7AA5B243C0C50A 67FD54DCEB6CBC14265FA3262D2D1D14C69EA041 2018 2020-09-22 18:59:49Z JEANNE LACHANCE 171 SERVICE AVENUE BUILDING 2 WARWICK RI 02886 67836992 0 X WWW.THUNDERMISTHEALTH.ORG X 1969 RI TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. 15 15 664 144 0 0 9628124 10458919 45408722 56568105 14941 52331 160738 405069 55212525 67484424 0 0 0 0 36694130 43198850 0 0 317871 17925576 22875897 54619706 66074747 592819 1409677 40260583 45285339 13421117 16706329 26839466 28579010 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. 0 0 58168491 56568105 TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL HEALTH CARE, REMOVING BARRIERS TO THAT CARE AND PROMOTING HEALTHY LIFESTYLES. DURING THE FISCAL YEAR, WE SERVED APPROXIMATELY 50,000 PATIENTS WITH OVER 250,000 MEDICAL AND DENTAL VISITS. WE ALSO PROVIDED 212,000 PRESCRIPTIONS ON BEHALF OF OUR PATIENTS. 58168491 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 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 1 0 0 0 0 1 57 0 1 664 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X MICHAEL JAMES RYAN 4017674100 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 TIMOTHY HENRY DIRECTOR 1.00 X 0 0 0 DAVID VALOIS CHAIRPERSON 2.00 X X 0 0 0 DOUGLAS FAY TREASURER 2.00 X X 0 0 0 LINDA CANNISTRA SECRETARY 2.00 X X 0 0 0 LAURA ADAMS DIRECTOR (UNTIL 2/2019) 1.00 X 0 0 0 KATE BREWSTER DIRECTOR 1.00 X 0 0 0 MARY ELLEN CANIGLIA DIRECTOR 1.00 X 0 0 0 ERIN COONEY DIRECTOR 1.00 X 0 0 0 MARY EDDY DIRECTOR 1.00 X 0 0 0 SANDRA ENOS DIRECTOR 1.00 X 0 0 0 FRANK FERRI VICE-CHAIRPERSON 2.00 X X 0 0 0 CHERYL KING DIRECTOR 1.00 X 0 0 0 DONALD LARSEN DIRECTOR 1.00 X 0 0 0 PEGGY MARTINEZ DIRECTOR (UNTIL 4/2019) 1.00 X 0 0 0 ANDREA ROLLIN DIRECTOR 1.00 X 0 0 0 LAWRENCE TRIM DIRECTOR 1.00 X 0 0 0 STEPHANIE MANDEVILLE DIRECTOR (AS OF 12/2018) 1.00 X 0 0 0 JEANNE LACHANCE PRESIDENT/CEO 40.00 X 247074 0 23457 MICHAEL JAMES RYAN CHIEF FINANCIAL OFFICER 40.00 X 159420 0 4908 DAVID M BOURASSA CHIEF MEDICAL OFFICER 40.00 X 282858 0 42472 ERIC J PROSSEDA CORPORATE DENTIST DIRECTOR 40.00 X 296184 0 41720 LINDA BERMAN PHYSICIAN 40.00 X 240285 0 10543 JENNIFER BUCKLEY KENT RESIDENCY FACULTY 40.00 X 234017 0 10761 SAPNA CHOWDRY MEDICAL DIRECTOR 40.00 X 240922 0 14672 JESSICA JOHNSON ASSOCIATE MEDICAL DIRECTOR 40.00 X 236991 0 14985 1937751 0 163518 58 0 1 0 HARVARD PARTNERS LLP 75 ARLINGTON STREET SUITE 500 BOSTON MA 02116 IT CONSULTING 233455 THRIVE OPERATIONS LLC 25 FORBES BLVD SUITE 3 FOXBORO MA 02035 IT SERVICES 213598 SERVICE AVE REALTY LLC PO BOX 2516 FALL RIVER MA 02722 RENTAL SERVICES 110285 3 83333 568979 7969070 1837537 18950 10458919 NET PATIENT SERVICE REVENUE 621498 56568105 56568105 56568105 52331 52331 126028 284271 -158243 -158243 -158243 0 568979 68297 -68297 -68297 REALIZED GAIN ON INVESTMENT IN LL 900099 353596 353596 OTHER REVENUE 900099 278013 278013 631609 67484424 56568105 0 457400 787270 443696 293561 50013 33534975 29910042 3430241 194692 971316 848823 121071 1422 5481169 4692856 770273 18040 2424120 2187838 218147 18135 46581 46581 118427 118427 877501 528449 348130 922 108040 98325 4291 5424 779933 724440 31768 23725 1192564 1134161 58403 2470076 1014280 1455796 116727 111805 1667 3255 1598879 1443691 155188 162948 87440 75508 MEDICAL SUPPLIES AND PH 11198042 11198042 BAD DEBTS 1381008 1381008 PURCHASED AND CONTRACTE 1216608 1125213 91395 STAFF TRAINING AND RECR 694143 434306 259471 366 914420 804076 108467 1877 66074747 58168491 7588385 317871 1362587 1752470 6731185 5070374 667190 823197 2890049 3944074 264495 400971 42389061 9577741 27732253 32811320 612824 482933 40260583 45285339 4499250 4359706 2481000 2274250 6091831 10072373 349036 0 13421117 16706329 X 26592897 27990440 246569 588570 26839466 28579010 40260583 45285339 X 1409677 329867 X X 0 1 X 1 1 1 X 10354237 8079508 9479841 9628124 10458918 48000628 29511947 32185687 38014625 45408722 56568105 201689086 39866184 40265195 47494466 55036846 67027023 249689714 0 0 0 249689714 8345 13801 13787 14941 52331 103205 8345 13801 13787 14941 52331 103205 78180 189497 174612 323915 73698 839902 39952709 40468493 47682865 55375702 67153052 250632821 0.99620 0.98830 0.00040 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: MISCELLANEOUS: 2014 AMOUNT: $ 78,180 2015 AMOUNT: $ 189,497 2016 AMOUNT: $ 174,612 2017 AMOUNT: $ 323,915 2018 AMOUNT: $ 73,698 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 15000 66059747 66074747 1000000 250000 0 0 1000000 1000000 1500000 15000 15000 250000 250000 375000 1650572 1650572 32762227 5013936 27748291 1530930 791186 739744 5971018 3772619 2198399 474314 474314 32811320 X PART X, LINE 2: THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT AUGUST 31, 2019. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTION. MOONLIGHT AT THE DUNES 85922 85922 3225 18432 3300 6150 GOLF TOURNAMENT 62298 62298 5800 14400 7680 400 1972 3 420759 420759 249 450 6239 568979 568979 9025 14400 26361 4150 14361 68297 -68297 X X X 0 0 0 0 0 0 0 0 0 JEANNE LACHANCE PRESIDENT/CEO 247074 0 0 0 0 0 9399 0 14058 0 270531 0 0 0 MICHAEL JAMES RYAN CHIEF FINANCIAL OFFICER 159420 0 0 0 0 0 4908 0 0 0 164328 0 0 0 DAVID M BOURASSA CHIEF MEDICAL OFFICER 282858 0 0 0 0 0 28424 0 14048 0 325330 0 0 0 ERIC J PROSSEDA CORPORATE DENTIST DIRECTOR 296184 0 0 0 0 0 27672 0 14048 0 337904 0 0 0 LINDA BERMAN PHYSICIAN 240285 0 0 0 0 0 10543 0 0 0 250828 0 0 0 JENNIFER BUCKLEY KENT RESIDENCY FACULTY 234017 0 0 0 0 0 5214 0 5547 0 244778 0 0 0 SAPNA CHOWDRY MEDICAL DIRECTOR 240922 0 0 0 0 0 13487 0 1185 0 255594 0 0 0 JESSICA JOHNSON ASSOCIATE MEDICAL DIRECTOR 236991 0 0 0 0 0 5663 0 9322 0 251976 0 0 0 A RHODE ISLAND EDUCATIONAL AND BUILDING ASSOCIATION 2010-08-02 4135000 TO REFINANCE EXISTING TAX-EXEMPT BOND FOR A LOWER INTEREST RATE 0 0 0 A 982000 4135000 4135000 2009 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PRESENTED TO THE GOVERNING BODY FOR APPROVAL BEFORE BEING FILED. 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 GIVE RISE TO CONFLICT. THIS INFORMATION IS REQUIRED TO BE COMPLETED AND RETURNED TO THE ADMINISTRATIVE SERVICES COORDINATOR FOR FILING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES THE ANNUAL SURVEY COMPLETED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO DETERMINE THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR KEY EMPLOYEES AND TOP MANAGEMENT OFFICIALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: SHARE OF GAIN IN INVESTMENT IN LLC 329,867. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE SELECTION OF THE INDEPENDENT AUDITORS, OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT, AND APPROVAL OF THE FINANCIAL STATEMENTS. ONCE APPROVED, THE FINANCIAL STATEMENTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS POLICY HAS NOT CHANGED FROM THE PRIOR YEAR. THC MANAGER LLC 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 364716323 REAL ESTATE RI -525 THUNDERMIST HEALTH CENTER THC DEVELOPMENT COMPANY LLC 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 371655355 REAL ESTATE RI THUNDERMIST HEALTH CENTER THE LANDLORD LLC 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 274499053 REAL ESTATE RI 3053575 THUNDERMIST HEALTH CENTER THE MT LLC 25 JOHN A CUMMINGS WAY WOONSOCKET RI 02895 274498874 REAL ESTATE RI 520523 THUNDERMIST HEALTH CENTER