2021-08-12T12:01:37-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2019-10-01 061073286 POMPERAUG WOODS INC POMP 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 KEVIN MOSHIER EXECUTIVE DIRECTOR 2032626555 2021-08-12 1 LAURA J KENNEY P00202198 6177170831 2021-08-12 2019 2022-09-23 18:48:47Z KEVIN MOSHIER 80 HERITAGE ROAD SOUTHBURY CT 06488 13110934 0 X WWW.POMPERAUGWOODS.COM X 1988 CT TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 8 8 252 28 0 0 40160 1428223 12279932 11632904 23296 -42410 37793 23969 12381181 13042686 0 0 0 0 6603085 6772222 0 0 0 5621800 5836800 12224885 12609022 156296 433664 20894838 20716210 33117564 32381666 -12222726 -11665456 TO PROVIDE CONTINUOUS CARE FOR RETIRED PEOPLE. 0 0 9800392 11642579 POMPERAUG WOODS IS A CONTINUING CARE RETIREMENT COMMUNITY CONSISTING OF 131 LIVING UNITS, 8 ASSISTED LIVING UNITS, AND 37 NURSING BEDS. SERVICES PROVIDED INCLUDED MEDICAL CARE, FOOD, CLEANING AND LAUNDRY. 9800392 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 83 0 1 252 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LANA SMOLITSKY 2032626555 80 HERITAGE ROAD SOUTHBURY CT 06488 KEVIN MOSHIER EXECUTIVE DIRECTOR 40.00 X 201331 0 65159 LANA SMOLITSKY FINANCE DIRECTOR 40.00 X 115734 0 859 CATHERINE PETERSON NURSING DIRECTOR 40.00 X 104871 0 11630 LYNDA EARLY HR DIRECTOR 40.00 X 103398 0 11919 JOHN GRAMESTY FOOD & BEVERAGE DIRECTOR 40.00 X 101720 0 635 HELENA JEDLINSKY PRESIDENT 1.00 X X 0 0 0 JANET WALKER VICE PRESIDENT 1.00 X X 0 0 0 JAMES R STRUB SECRETARY 1.00 X X 0 0 0 LISA WNUCK TREASURER 1.00 X X 0 0 0 JANE C CONNERY DIRECTOR 1.00 X 0 0 0 MARK LANCOR DIRECTOR 1.00 X 0 0 0 MATTHEW MIHALCIK DIRECTOR 1.00 X 0 0 0 WILLIAM B NEIL JR DIRECTOR (UNTIL APRIL 2020) 1.00 X 0 0 0 GAIL E SEYMOUR DIRECTOR 1.00 X 0 0 0 627054 0 90202 5 0 1 0 LIFE CARE SERVICES 400 LOCUST STREET DES MOINES IA 50309 MANAGEMENT IT CONSULTANT 520173 HERITAGE HEALTH CARE 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY SERVICES 430472 PANICCIA CONSTRUCTION CORP LLC 214 AMITY ROAD SUITE E WOODBRIDGE CT 06525 CONSTRUCTION - EXPANSION 207788 THE NATURE'S EDGE LLCS 54 DORMAN ROAD OXFORD CT 06478 LANDSCAPING/SNOW REMOVAL 133271 KURT MUELLER 157 OAK DRIVE WATERTOWN CT 06795 REMODELING SERVICES 126473 5 1411882 16341 1428223 RESIDENT SERVICE REVENUE 623000 7166209 7166209 HEALTH CENTER FEES 623000 2953545 2953545 AMORTIZATION OF ENTRANCE FEES 623000 1513150 1513150 11632904 25257 25257 67667 -67667 -67667 -67667 14875 581 14294 14294 MISC. REVENUE 623000 9675 9675 9675 13042686 11642579 0 -28116 369804 369804 5253403 4457879 795524 39039 39039 716751 649115 67636 393225 336445 56780 431475 11713 419762 50852 50852 45782 45782 77204 77204 620818 398285 222533 73450 73450 661695 661695 16080 6901 9179 5172 5172 1380482 1373705 6777 189039 42667 146372 FOOD & SUPPLIES 571519 492538 78981 THERAPY 489868 489868 PROMOTIONAL SALES 471148 40930 430218 REAL ESTATE TAXES 458924 456771 2153 293292 260465 32827 12609022 9800392 2808630 0 423465 457698 5246248 4495597 366579 855775 40382 67215 290193 386575 41025810 26686796 14527971 14339014 0 114336 20894838 20716210 3317885 4833192 5850055 5087763 58756 125000 23890868 22335711 33117564 32381666 X -12312990 -11759169 90264 93713 -12222726 -11665456 20894838 20716210 433664 700 122906 0 X X 0 1 X 1 0 X 4020 1975 11000 40160 1428223 1485378 11765707 12689076 12058264 12317725 11642579 60473351 11769727 12691051 12069264 12357885 13070802 61958729 0 0 0 61958729 4781 4449 15788 75969 25257 126244 4781 4449 15788 75969 25257 126244 14294 14294 11774508 12695500 12085052 12433854 13110353 62099267 0.99770 0.99820 0.00200 0.00180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 383697 3448 749 222194 165700 448033 40160 5840 110336 383697 0.43000 0.57000 0 0 962264 962264 34062639 21686933 12375706 6000907 4999863 1001044 14339014 ENTRANCE FEE DEPOSITS 52000 OTHER CURRENT LIABILITIES 1997 ENTRANCE FEE REFUNDS PAYABLE 21464634 CAPITAL LEASE 118856 PAYCHECK PROTECTION PROGRAM 100287 UNEARNED ENTRANCE FEES 597937 22335711 13043386 700 700 13042686 0 13042686 12609022 0 12609022 0 12609022 PART V, LINE 4: BOARD DESIGNATED OR QUASI-ENDOWMENT IS UNRESTRICTED AND MAY BE DISBURSED TO PROVIDE SERVICES OR FACILITIES CONSISTENT WITH THE ORGANIZATION'S CHARITABLE PURPOSES AND MUST BE APPROVED BY THE BOARD OF DIRECTORS. TERM ENDOWMENT REPRESENTS CONTRIBUTIONS THAT ARE RESTRICTED BY THE DONOR EITHER AS TO PURPOSE OR AS TO TIME OF EXPENDITURE. 0 0 0 1 0 1 0 1 0 KEVIN MOSHIER EXECUTIVE DIRECTOR 170858 0 27892 0 2581 0 41577 0 23582 0 266490 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 NET EARNINGS. PART I, LINE 7 SOME OF THE EMPLOYEES OF THE ORGANIZATION RECEIVE DISCRETIONARY BONUSES BASED ON PERFORMANCE. 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 2019, KEVIN RECEIVED $170,858 OF REPORTABLE COMPENSATION, $41,577 OF DEFERRED COMPENSATION AND $23,582 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 JANET WALKER, VICE PRESIDENT 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 AND OFFICER 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 WAGE AND HOUR REVIEW ANNUALLY AND USES A THIRD PARTY WAGE AND HOUR SURVEY TO COMPARE WAGES. ALL INCREASES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD APPROVES WAGES AND ADJUSTMENTS ANNUALLY WITH THE ANNUAL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE YEAR.