2011-08-08T12:36:53-05:00 2010-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2009-10-01 061073286 POMPERAUG WOODS INC POMP 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 KEVIN MOSHIER 2032626555 2011-08-04 1 8605614000 2009 2016-02-24 21:20:13Z KEVIN MOSHIER 80 HERITAGE ROAD SOUTHBURY CT 06488 9606840 0 X WWW.POMPERAUGWOODS.COM X 1988 CT TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 12 12 166 12 0 0 11050 6090 8992138 9541594 -86223 -21069 13779 28867 8930744 9555482 0 0 4640094 4680095 0 0 4846799 4857488 9486893 9537583 -556149 17899 24572905 24857290 27872149 28138635 -3299244 -3281345 TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 0 0 7288582 9570461 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. 7288582 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 45 0 1 166 1 0 0 0 0 0 0 0 0 0 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 DR MARC J TAYLOR 1.00 X X 0 0 0 GERALD L GARAVEL 1.00 X X 0 0 0 WILLIAM B NEIL JR 1.00 X 0 0 0 ANN M PROPPER 1.00 X X 0 0 0 ALBERT S REDWAY 1.00 X 0 0 0 LEONARD R VOLPE JR 1.00 X X 0 0 0 JANE C CONNERY 1.00 X 0 0 0 THERESA A FITZMAURICE 1.00 X 0 0 0 KATHARINE KRANZ LEWIS 1.00 X 0 0 0 JACK PRIOR 1.00 X 0 0 0 JANET WALKER 1.00 X 0 0 0 KEVIN MOSHIER 50.00 X 136751 0 12765 LANA SMOLITSKY 40.00 X 77527 0 1118 214278 0 13883 1 0 0 0 LIFE CARE SERVICES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MGMT CONSULTANT 315868 HOME HEALTH CARE SERVICES LLC PO BOX 402294 ATLANTA GA 30384 HOME CARE SERVICE 308205 SUNDANCE REHABILITATION 6549 PAYSPHERE CIRCLE CHICAGO IL 60674 THERAPY SERVICES 265621 ETHOS MARKETING & DESIGN 907 MAIN STREET WESTBROOK ME 04092 MARKETING SERVICES 182965 MUELLER HOME IMPROVEMENTS 157 OAK DRIVE WATERTOWN CT 06795 REMODELING SERVICES 165672 5 6090 6090 RESIDENT SERVICE REVEN 623000 5577792 5577792 HEALTH CENTER FEES 623000 2276307 2276307 AMORTIZATION OF ENTRAN 623000 1687495 1687495 9541594 13949 13949 35018 -35018 -35018 -35018 37790 16340 21450 21450 MISC. REVENUE 623000 7417 7417 7417 9555482 9570461 0 -21069 245677 83058 162619 3680503 3036139 644364 27319 27319 428763 415341 13422 297833 258825 39008 174225 174225 70270 70270 33213 33213 42045 42045 136676 113896 22780 5441 389 5052 331790 331790 1205907 1205907 190322 190322 UTILITIES 645064 645064 FOOD & SUPPLIES 596665 571522 25143 PROMOTIONAL SALES 407080 17360 389720 PROPERTY TAXES 309078 309078 THERAPY 293495 293495 416217 246432 169785 9537583 7288582 2249001 0 183853 75370 3080390 5091545 1697446 787600 43773 37770 174485 279192 34533658 15950932 19297429 18582726 95529 3087 24572905 24857290 3420908 4485860 18285394 18727285 4950000 4350000 1215847 575490 27872149 28138635 X -3299244 -3281345 -3299244 -3281345 24572905 24857290 X 0 1 1 X 0 X 60375 9519 5800 11050 6090 92834 7360200 8054686 9132713 9027490 9579384 43154473 7420575 8064205 9138513 9038540 9585474 43247307 0 0 0 43247307 164626 101770 88153 24950 13949 393448 164626 101770 88153 24950 13949 393448 7417 7417 7585201 8165975 9226666 9063490 9606840 43648172 0.99080 0.98700 0.00900 0.01280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 962264 962264 28970502 12257596 16712906 4600892 3693336 907556 18582726 ENTRANCE FEE DEPOSITS 16500 OTHER CURRENT LIABILITIES 18990 UNEARNED ENTRANCE FEES 540000 575490 9555482 9537583 17899 0 17899 9555482 0 9555482 0 9555482 9537583 0 9537583 0 9537583 LIFE CARE SERVICES LLC (LCS) KEVIN MOSHIER IS AN OFFICER OF THE ORGANIZATION AND A KEY EMPLOYEE OF LCS 315868 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 ANN PROPPER, PRESIDENT OF THE BOARD, AND JANET WALKER, DIRECTOR, 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.