2024-08-07T18:52:04-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2022-10-01 061073286 POMPERAUG WOODS INC POMP 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 VICKI GYBA EXECUTIVE DIRECTOR 2032626555 2024-08-06 1 0 LAURA J KENNEY P00202198 6177170831 2024-08-05 2022 2024-08-08 14:25:15Z VICKI GYBA 80 HERITAGE ROAD SOUTHBURY CT 06488 13312866 0 X WWW.POMPERAUGWOODS.COM X 1988 CT POMPERAUG WOODS IS A NONPROFIT LIFECARE CONTINUING CARE RETIREMENT COMMUNITY FOR INDIVIDUALS AGED 62 AND OVER CONSISTING OF 130 INDEPENDENT LIVING APARTMENTS, 16 MEMORY CARE BEDS, AND 37 SKILLED NURSING BEDS. SERVICES PROVIDED INCLUDE MEDICAL CARE, ASSISTANCE IN LIVING SERVICES, FOOD, LAUNDRY AND CLEANING. 9 9 262 26 0 0 54104 811 12111711 13172526 -6132 72056 118911 35723 12278594 13281116 0 0 0 0 7019061 7456047 0 0 0 6135923 6448784 13154984 13904831 -876390 -623715 19018725 20881307 32469557 34949052 -13450832 -14067745 TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE WITH A FULL CONTINUUM OF HEALTH CARE SERVICES. 0 0 10873898 13193349 POMPERAUG WOODS IS A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 130 LIVING UNITS, 16 MEMORY CARE BEDS, AND 37 NURSING BEDS. SERVICES PROVIDED INCLUDED MEDICAL CARE, FOOD, CLEANING AND LAUNDRY. 10873898 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 74 0 1 262 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 X LANA SMOLITSKY 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 HELENA JEDLINSKY PRESIDENT 1.00 X X 0 0 0 JANET WALKER CO-VICE PRESIDENT 1.00 X X 0 0 0 JANE C CONNERY CO-VICE PRESIDENT 1.00 X X 0 0 0 KEVIN HELLRIEGEL SECRETARY (AS OF 06/23) 1.00 X X 0 0 0 JAMES R STRUB SECRETARY (UNTIL 9/23) 1.00 X X 0 0 0 LISA WNUCK TREASURER 1.00 X X 0 0 0 EUGENE CORNELIUS DIRECTOR (UNTIL 11/22) 1.00 X 0 0 0 CHRISTINE EDELSON DIRECTOR 1.00 X 0 0 0 DOUGLAS KENYON DIRECTOR 1.00 X 0 0 0 MATTHEW MIHALCIK DIRECTOR 1.00 X 0 0 0 ANTONIO VAS DIRECTOR 1.00 X 0 0 0 KEVIN MOSHIER EXECUTIVE DIRECTOR 40.00 X 233658 0 40185 LANA SMOLITSKY FINANCE DIRECTOR 40.00 X 136203 0 22208 JANEL BEARD CLINICAL LIAISON/SNF ADMISSIONS 40.00 X 118953 0 26633 ADAM BRAGANCA HR DIRECTOR (UNTIL 03/23) 40.00 X 105291 0 24269 CATHERINE PETERSON NURSING DIRECTOR 40.00 X 108934 0 36372 VICKI GYBA ASSOCIATE DIRECTOR 40.00 X 100796 0 22535 803835 0 172202 6 0 1 0 HEALTHPRO HERITAGE LLC PO BOX 69268 BALTIMORE MD 21264 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 682447 LIFE CARE SERVICES LLC 400 LOCUS ST DES MOINES IA 50309 MANAGEMENT, IT, CONSULTING 608433 THE NATURE'S EDGE LLC 54 DORMAN RD OXFORD CT 06478 LANDSCAPING, SNOW REMOVAL 144605 KP STANGO BUILDING AND REMODELING 43 HUNTINGTON AVE WATERTOWN CT 06779 APARTMENTS RENOVATIONS 104770 4 811 811 RESIDENT SERVICE REVENUE 623000 8590563 8590563 HEALTH CENTER FEES 623000 3473348 3473348 AMORTIZATION OF ENTRANCE FEES 623000 1108615 1108615 13172526 103706 103706 100 31750 -31650 -31650 -31650 14900 0 14900 14900 MISC. REVENUE 623000 20823 20823 20823 13281116 13193349 0 86956 391965 391965 5814138 5023313 790825 73832 66999 6833 728937 679313 49624 447175 384259 62916 482859 12444 470415 17236 17236 50886 50886 95286 95286 593562 42094 551468 430498 195098 235400 69958 69958 973222 973222 43709 43709 1448860 1441616 7244 245509 67064 178445 FOOD & SUPPLIES 769637 697344 72293 REAL ESTATE TAXES 415567 414819 748 THERAPY 378725 378725 ANCILLARIES & OTHER 249049 226812 22237 184221 131781 52440 13904831 10873898 3030933 0 1203 2200 3805111 4982407 587196 1373255 79905 67936 378959 378317 44331045 30388567 14052968 13942478 113383 134714 19018725 20881307 990231 1035234 5576879 6681139 1375800 1698614 24526647 25534065 32469557 34949052 X -13570781 -14187744 119949 119999 -13450832 -14067745 19018725 20881307 -623715 6802 0 X 0 1 X 1 0 X 40160 1428223 376643 54104 811 1899941 12317725 11642579 10551985 12111711 13193349 59817349 12357885 13070802 10928628 12165815 13194160 61717290 0 245500 201084 446584 245500 201084 446584 61270706 75969 25257 3340 23056 103706 231328 75969 25257 3340 23056 103706 231328 14294 22430 16854 14900 68478 102057 102057 12433854 13110353 10954398 12307782 13312766 62119153 0.98630 0.99110 0.00370 0.00240 X 962264 962264 36239649 24911986 11327663 3676912 3020184 656728 3452220 2456397 995823 13942478 ENTRANCE FEE REFUNDS PAYABLE 25516767 CAPITAL LEASE 17298 25534065 13287918 6802 6802 13281116 0 13281116 13904831 0 13904831 0 13904831 X X 0 0 0 1 0 1 0 1 0 KEVIN MOSHIER EXECUTIVE DIRECTOR 202712 0 30946 0 0 0 4979 0 35206 0 273843 0 0 0 LANA SMOLITSKY FINANCE DIRECTOR 130135 0 6068 0 0 0 829 0 21379 0 158411 0 0 0 PART I, LINE 5 SOME BONUSES WERE CONTINGENT ON OCCUPANCY AND THEREFORE REVENUE. PART I, LINE 6 SOME BONUSES WERE CONTINGENT ON OCCUPANCY AND THEREFORE REVENUE. PART I, LINE 7 SOME OF THE EMPLOYEES OF THE ORGANIZATION RECEIVE DISCRETIONARY BONUSES BASED ON PERFORMANCE AND DEPARTMENT SPECIFIC GOALS. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS MAY APPOINT NOT MORE THAN SEVEN DIRECTORS, INCLUDING THE PRESIDENT AND VICE PRESIDENT TO SERVE AS AN EXECUTIVE COMMITTEE, WHICH COMMITTEE SHALL HAVE ALL OF THE POWERS OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION UTILIZED LIFE CARE SERVICES, LLC TO SUPERVISE OPERATIONS OF THE FACILITY. THE EXECUTIVE DIRECTOR OF POMPERAUG WOODS, KEVIN MOSHIER IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC. DURING CALENDAR YEAR 2022, KEVIN RECEIVED $233,658 OF REPORTABLE COMPENSATION, $4,979 OF DEFERRED COMPENSATION AND $35,206 OF NONTAXABLE BENEFITS FROM LIFE CARE SERVICES, LLC FOR PROVIDING MANAGEMENT SERVICES TO POMPERAUG WOODS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE VICE PRESIDENT OF THE BOARD AND THE FINANCE MEMBER OF THE BOARD, BEFORE FILING. THE ORGANIZATION WILL PROVIDE A COMPLETE COPY OF FORM 990 TO ALL VOTING MEMBERS PRIOR TO AND AFTER FILING FORM 990. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS SIGNED OFF BY EACH BOARD MEMBER ANNUALLY. ANY CONFLICTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC, (LCS) WHICH PROVIDES MANAGEMENT SERVICES TO POMPERAUG WOODS. THE COMPENSATION OF THE FINANCE DIRECTOR IS DETERMINED BY THE EXECUTIVE DIRECTOR USING COMPARABLE DATA, AND IS APPROVED BY THE PRESIDENT OF THE BOARD. LCS REVIEWS COMPENSATION ON A NATIONAL LEVEL USING A THIRD PARTY SURVEY. INCREASES ARE REVIEWED BY THE DIRECTOR OF OPERATIONS, LCS HR AND THE EXECUTIVE OFFICERS OF LCS FOR APPROVAL. POMPERAUG WOODS DOES A COMPENSATION AND HOUR REVIEW ANNUALLY AND USES A THIRD PARTY COMPENSATION AND HOUR SURVEY TO COMPARE COMPENSATION. ALL INCREASES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD APPROVES COMPENSATION AND ADJUSTMENTS FOR INDIVIDUALS ANNUALLY WITH THE ANNUAL BUDGET. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.