2014-08-06T22:04:44-05:00 2013-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2012-10-01 061073286 POMPERAUG WOODS INC POMP 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 KEVIN MOSHIER 2032626555 2014-07-14 1 ELIZABETH SOLECKI P00235171 8605614000 2012 2015-11-30 17:44:51Z KEVIN MOSHIER 80 HERITAGE ROAD SOUTHBURY CT 06488 10245553 0 X WWW.POMPERAUGWOODS.COM X 1988 CT TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 12 12 212 53 0 0 22321 50935 9446212 10102583 -3290 -26384 42394 80328 9507637 10207462 0 0 0 0 5023934 5380310 0 0 0 4968299 4974811 9992233 10355121 -484596 -147659 25630458 25225958 28919734 38239611 -3289276 -13013653 TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 0 0 7907989 10182911 POMPERAUG WOODS IS A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 132 LIVING UNITS, 9 ASSISTED LIVING UNITS, AND 37 NURSING BEDS. SERVICES PROVIDED INCLUDED MEDICAL CARE, FOOD, CLEANING AND LAUNDRY. 7907989 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 53 0 1 212 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X POMPERAUG WOODS INC 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 EDWARD H WILLIAMS 1.00 X 0 0 0 KEN KERIN 1.00 X 0 0 0 ANN M PROPPER 1.00 X 0 0 0 ELISE ROMANIK 1.00 X 0 0 0 JANE C CONNERY 1.00 X 0 0 0 JAMES WALLACE 1.00 X 0 0 0 MARK LANCOR 1.00 X 0 0 0 GAIL E SEYMOUR 1.00 X 0 0 0 THOMAS M SUTNIK 1.00 X 0 0 0 WILLIAM B NEIL JR 1.00 X X 0 0 0 JANET WALKER 1.00 X X 0 0 0 ALBERT S REDWAY 1.00 X X 0 0 0 JAMES R STRUB 1.00 X X 0 0 0 KEVIN MOSHIER 40.00 X 0 0 0 LANA SMOLITSKY 40.00 X 81802 0 13875 81802 0 13875 1 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MGMT & IT CONSULTANT 479956 HOME HEALTH CARE SERVICES LLC PO BOX 402294 ATLANTA GA 30384 HOME CARE SERVICE 369334 SUNDANCE REHABILITATION 6549 PAYSPHERE CIRCLE CHICAGO IL 60674 THERAPY SERVICES 274742 MUELLER HOME IMPROVEMENTS 157 OAK DRIVE WATERTOWN CT 06795 REMODELING SERVICES 141097 MAT CHRISTIANI 46 MARTHA STREET SEYMOUR CT 06483 PAINTING EXTERIOR AND INTERIOR 114596 5 50935 50935 RESIDENT SERVICE REVENUE 623000 6323001 6323001 HEALTH CENTER FEES 623000 2581645 2581645 AMORTIZATION OF ENTRANCE FEES 623000 1197937 1197937 10102583 7078 7078 1353 34815 -33462 -33462 -33462 30010 3276 26734 26734 MISC. REVENUE 623000 53594 53594 53594 10207462 10182911 0 -26384 95124 95124 4367550 3715741 651809 43506 43506 492262 451504 40758 381868 335345 46523 388661 8048 380613 27724 27724 29531 29531 289529 153841 135688 29331 29331 611003 611003 51930 42721 9209 135849 135849 1240085 1240085 164945 164945 ANCILLARY EXPENSES 517008 151748 365260 FOOD & SUPPLIES 483203 483203 PROMOTIONAL SALES 397039 4418 392621 THERAPY 220299 220299 388674 310678 77996 10355121 7907989 2447132 0 10451 7635 5865677 5479690 1743332 2075652 43675 43949 229222 328959 35968911 18748838 17646205 17220073 91896 70000 25630458 25225958 5699385 1032218 19290986 5813477 3150000 2550000 779363 28843916 28919734 38239611 X -3336995 -13059947 47719 46294 -3289276 -13013653 25630458 25225958 X -147659 -9576718 X 0 1 X 1 0 X 11050 6090 62403 22321 50935 152799 9027490 9579384 10118454 9488606 10182911 48396845 9038540 9585474 10180857 9510927 10233846 48549644 0 0 0 48549644 24950 13949 12066 7287 7078 65330 24950 13949 12066 7287 7078 65330 7417 9278 16695 9063490 9606840 10202201 9518214 10240924 48631669 0.99830 0.99660 0.00130 0.00310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 962264 962264 29970854 14656151 15314703 5035793 4092687 943106 17220073 ENTRANCE FEE DEPOSITS 17500 OTHER CURRENT LIABILITIES 9380 UNEARNED ENTRANCE FEES 1924000 ENTRANCE FEE REFUNDS PAYABLE 26893036 28843916 10207462 0 10207462 0 10207462 10355121 0 10355121 0 10355121 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 2012, HE RECEIVED $141,154 OF REPORTABLE COMPENSATION AND $24,544 OF NONTAXABLE BENEFITS FROM LIFE CARE SERVICES, LLC FOR PROVIDING MANAGEMENT SERVICES TO POMPERAUG WOODS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY JANET WALKER, VICE PRESIDENT OF THE BOARD, BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PROVIDES ANNUAL EDUCATION REGARDING THE POLICY. PART VI, SECTION B, LINE 15: THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC, 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN ACCOUNTING PRINCIPLE - REFUNDABLE ADVANCE FEES -9,576,718.