EXECUTIVE DIRECTOR

2012-08-07T09:47:51-05:00 2011-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2010-10-01 061073286 POMPERAUG WOODS INC POMP 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 KEVIN MOSHIER EXECUTIVE DIRECTOR 2032626555 2012-08-02 1 ELIZABETH SOLECKI 8605614000 2010 2016-02-24 21:20:13Z KEVIN MOSHIER 80 HERITAGE ROAD SOUTHBURY CT 06488 10202201 0 X WWW.POMPERAUGWOODS.COM X 1988 CT TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 13 13 185 69 0 0 6090 62403 9541594 10081560 -21069 -33695 28867 41233 9555482 10151501 0 0 0 0 4680095 4877870 0 0 0 4857488 4796966 9537583 9674836 17899 476665 24857290 24583356 28138635 27388036 -3281345 -2804680 TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 0 0 7267017 10113515 POMPERAUG WOODS IS A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 141 LIVING UNITS AND 37 NURSING BEDS. SERVICES PROVIDED INCLUDED MEDICAL CARE, FOOD, CLEANING AND LAUNDRY. 7267017 1 1 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 1 0 0 0 0 0 0 0 0 0 0 1 47 0 1 185 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 DIRECTOR 1.00 X 0 0 0 DR MARC J TAYLOR DIRECTOR 1.00 X 0 0 0 WILLIAM B NEIL JR PRESIDENT 1.00 X X 0 0 0 ANN M PROPPER DIRECTOR 1.00 X 0 0 0 ALBERT S REDWAY DIRECTOR 1.00 X 0 0 0 LEONARD R VOLPE JR TREASURER 1.00 X X 0 0 0 JANE C CONNERY DIRECTOR 1.00 X 0 0 0 JACK PRIOR SECRETARY 1.00 X X 0 0 0 JANET WALKER VICE PRESIDENT 1.00 X X 0 0 0 MARK LANCOR DIRECTOR 1.00 X 0 0 0 GAIL E SEYMOUR DIRECTOR 1.00 X 0 0 0 JAMES R STRUB DIRECTOR 1.00 X 0 0 0 THOMAS M SUTNIK DIRECTOR 1.00 X 0 0 0 KEVIN MOSHIER EXECUTIVE DIRECTOR 40.00 X 140900 0 21014 LANA SMOLITSKY FINANCE DIRECTOR 40.00 X 78235 0 1239 SUSAN RONALTER DIRECTOR OF NURSING 40.00 X 91284 0 0 JUDITH WOOD HR DIRECTOR 40.00 X 74061 0 0 CAROL ANN MCCORMICK DIRECTOR OF MARKETING 40.00 X 78661 0 0 219135 0 22253 1 0 1 0 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MGMT CONSULTANT 408642 SUNDANCE REHABILITATION 6549 PAYSPHERE CIRCLE CHICAGO IL 60674 THERAPY SERVICES 319364 ZILNER MARKETING 8725 ROSEHILL ROAD LENEXA KS 66215 MARKETING SERVICES 272210 HOME HEALTH CARE SERVICES LLC PO BOX 402294 ATLANTA GA 30384 HOME CARE SERVICE 190394 MUELLER HOME IMPROVEMENTS 157 OAK DRIVE WATERTOWN CT 06795 REMODELING SERVICES 139302 5 62403 62403 RESIDENT SERVICE REVEN 623000 5540811 5540811 HEALTH CENTER FEES 623000 2558973 2558973 AMORTIZATION OF ENTRAN 623000 1981776 1981776 10081560 12066 12066 45761 -45761 -45761 -45761 36894 4939 31955 31955 MISC. REVENUE 623000 9278 9278 9278 10151501 10122793 0 -33695 249209 81236 167973 3801416 3100985 700431 4732 4732 479688 423316 56372 342825 297557 45268 183749 10709 173040 75983 75983 34766 34766 263583 137280 126303 20630 20630 710629 710629 41346 38357 2989 289188 289188 1203415 1203415 152365 152365 ANCILLARY EXPENSES 486692 138940 347752 FOOD & SUPPLIES 432533 432533 PROMOTIONAL SALES 321857 925 320932 THERAPY 292490 292490 MISCELLANEOUS 238510 104725 133785 49230 49230 9674836 7267017 2407819 0 75370 20082 5091545 4524426 787600 1565606 37770 42301 279192 253451 35163629 17026644 18582726 18136985 3087 40505 24857290 24583356 4485860 4130849 18727285 18081333 4350000 3750000 575490 1425854 28138635 27388036 X -3281345 -2836323 31643 -3281345 -2804680 24857290 24583356 476665 0 X 0 1 1 X 0 X 9519 5800 11050 6090 62403 94862 8054686 9132713 9027490 9579384 10118454 45912727 8064205 9138513 9038540 9585474 10180857 46007589 0 0 0 46007589 101770 88153 24950 13949 12066 240888 101770 88153 24950 13949 12066 240888 7417 9278 16695 8165975 9226666 9063490 9606840 10202201 46265172 0.99440 0.99080 0.00520 0.00900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 962264 962264 29534362 13201511 16332851 4667003 3825133 841870 18136985 ENTRANCE FEE DEPOSITS 17000 OTHER CURRENT LIABILITIES 18854 UNEARNED ENTRANCE FEES 1390000 1425854 10151501 9674836 476665 0 476665 10151501 0 10151501 0 10151501 9674836 0 9674836 0 9674836 0 0 0 0 0 0 0 0 0 KEVIN MOSHIER 140900 0 0 0 0 0 5794 0 15220 0 161914 0 0 0 LIFE CARE SERVICES LLC (LCS) KEVIN MOSHIER IS AN OFFICER OF THE ORGANIZATION AND A KEY EMPLOYEE OF LCS 408642 MANAGEMENT SERVICES PROVIDED BY LCS 1 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 IS AN EMPLOYEE OF LIFE CARE SERVICES, LLC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY WILLIAM NEIL, PRESIDENT OF THE BOARD, AND 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.