2021-11-15T10:43:32-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2020-01-01 208745166 LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY INC LAFA 9784583388 476 VARNUM AVE LOWELL MA 01854 RAYMOND DENNEHY PRESIDENT 9784583388 2021-11-15 1 RAYMOND DENNEHY 999009999 JONATHAN LANGFIELD P00562148 7819821001 2021-11-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z RAYMOND DENNEHY 25 LAFAYETTE STREET MARBLEHEAD MA 01945 5696561 0 X WWW.THELAFAYETTE.NET X 2007 MA IT IS THE MISSION OF LAFAYETTE REHABILITATION AND SKILLED NURSINIG FACILITY, INC. TO PROVIDE ELDERS WITH DYNAMIC, MEANINGFUL AND SUPPORTIVE LIVING ENVIRONMENTS, INTEGRATING QUALITY CARE, EDUCATION AND RESEARCH, RESPECT FOR INDIVIDUALITY AND THE HUMAN SPIRIT, AND INNOVATIVE APPROACHES TO MEET THE EVER CHANGING NEEDS OF THE COMMUNITIES WE SERVE. 7 5 128 7 0 0 0 816680 5808391 4862714 37982 17167 0 0 5846373 5696561 0 0 0 0 4090207 4034473 0 0 0 2537445 2439605 6627652 6474078 -781279 -777517 9681228 10321991 8933985 10408783 747243 -86792 X IT IS THE MISSION OF LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. TO PROVIDE ELDERS WITH DYNAMIC, MEANINGFUL AND SUPPORTIVE LIVING ENVIRONMENTS, INTEGRATING QUALITY CARE, EDUCATION AND RESEARCH, RESPECT FOR INDIVIDUALITY AND THE HUMAN SPIRIT, AND INNOVATIVE APPROACHES TO MEET THE EVER CHANGING NEEDS OF THE COMMUNITIES WE SERVE. 0 0 5848225 0 4862714 LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. IS A 65-BED, JCAHO ACCREDITED AND MEDICARE CERTIFIED HEALTHCARE FACILITY OFFERING TRADITIONAL SKILLED NURSING CARE, SHORT-TERM REHABILITATION, PLUS A VARIETY OF SPECIALIZED TREATMENT PROGRAMS. 5848225 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 14 0 128 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 1 1 0 0 1 1 1 1 1 0 0 1 0 0 0 0 0 0 MA X MICHAEL MOSIER 8607503900 135 SOUTH ROAD FARMINGTON CT 06032 MICHAEL TAKESIAN ADMINISTRATOR 40.00 X 0 169860 10496 EMILY GETCHELL DNS 40.00 X 0 149089 0 GEORGE BARBUZZI ADMINISTRATOR 40.00 X 125215 0 0 DEBORAH LISIECKI REHAB DIRECTOR 40.00 X 0 119869 0 SUSAN BREEN PHYSICAL THERAPIST 40.00 X 0 115696 9740 RAYMOND DENNEHY PRESIDENT 1.00 2.00 X X 60000 0 0 DAVID O'DONNELL TREASURER 1.00 2.00 X X 0 0 0 GINA QUEIROS DIRECTOR 1.00 2.00 X 0 0 0 JOEL KIRCHIK DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL MOORE DIRECTOR 1.00 2.00 X 0 0 0 ROBERT GREER VANTUYL DIRECTOR 1.00 2.00 X 0 0 0 JEFFREY WITHERELL DIRECTOR 1.00 2.00 X 0 0 0 185215 554514 20236 4 1 1 0 ATHENA HEALTH CARE SYSTEMS 35 AVCO ROAD HAVERHILL MA 01835 MANAGEMENT COMPANY 250370 PERFORMANCE HEALTHCARE 47 RIVER STREET WELLESLEY MA 02481 HOUSEKEEPING/LAUNDRY CONTRACT SERVICES 227210 NIXON PEABODY 53 STATE STREET BOSTON MA 02109 LEGAL SERVICES 101845 3 816680 816680 PROGRAM SERVICE REVENUE 623000 4862714 4862714 4862714 17167 17167 5696561 4862714 0 17167 60000 60000 3441663 3294338 147325 224563 211268 13295 308247 289996 18251 147420 147420 38227 38227 24117 24117 267723 228052 39671 10740 10740 129971 79456 50515 40767 40767 98214 98214 527722 524615 3107 218819 218819 76015 76015 MEDICAL EXPENSES 386370 386370 STATE ASSESSMENT 307545 307545 DIETARY EXPENSES 133537 133537 BAD DEBTS 30216 30216 2202 2202 6474078 5848225 625853 0 209523 598 359586 1374709 1761197 315648 37004 43103 7190462 2512288 4805770 4678174 1513333 1513333 994815 2396426 9681228 10321991 926874 1366970 7756805 7770566 250306 250306 743533 0 277408 8933985 10408783 X 747243 -86792 747243 -86792 9681228 10321991 -777517 -56518 0 X 0 0 0 X 41183 816680 857863 5767136 6066070 5745860 5808391 4862714 28250171 5808319 6066070 5745860 5808391 5679394 29108034 0 0 0 29108034 65151 60582 89433 37982 17167 270315 65151 60582 89433 37982 17167 270315 5873470 6126652 5835293 5846373 5696561 29378349 0.99080 0.98860 0.00920 0.01070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 584000 584000 5950919 2036109 3914810 600974 421610 179364 54569 54569 0 4678174 ASSETS WHOSE USE IS LIMITED 149621 TRUSTEE FUNDS HELD - BOND INDENTURE 839397 DUE FROM RELATED PARTY 1407408 2396426 MEDICARE COST SETTLEMENT 277408 277408 X 0 0 0 0 0 0 0 0 0 MICHAEL TAKESIAN ADMINISTRATOR 0 169860 0 0 0 0 0 0 0 10496 0 180356 0 0 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A 043431814 57585AAA8 2007-10-25 652313 PURCHASE FACILITIES 0 0 0 B MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A 043431814 57585AAB6 2007-10-25 2648860 PURCHASE FACILITIES 0 0 0 C MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007A 043431814 57585AAC4 2007-10-25 4854593 PURCHASE FACILITIES 0 0 0 D MASSACHUSETTS DEVELOPMENT FINANCE AGENCY - SERIES 2007C 043431814 2007-10-25 670606 PURCHASE FACILITIES 0 0 0 A 65961 652313 391271 261042 2007 0 0 1 1 B 255597 2648860 977754 1671106 2007 0 0 1 1 C 502950 4854593 4854593 2007 0 0 1 1 D 670606 6364 664242 2007 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 A 0 B 0 C 0 D 0 RAYMOND DENNEHY BOD MEMBER - PRESIDENT 60000 BOD MEMBER IS OWNER OF HEALTH CARE VALUATION ADVISORS WHICH PROVIDES CONSULTING SERVICES TO THE ORGANIZATION. 0 FORM 990, PART VI, SECTION A, LINE 2 PRESIDENT RAYMOND DENNEHY HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 IN MAY 1, 2018 THE ORGANIZATION HAS ENTERED INTO A MANAGEMENT AGREEMENT, WITH ATHENA HEALTH CARE ASSOCIATES INC TO MANAGE THE OPERATIONS OF LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. ACTING THROUGH THE NURSING FACILITY EMPLOYEES, TO SUPERVISE, DIRECT AND CONTROL THE DAY-TO-DAY BUSINESS ACTIVITIES AND MANAGEMENT OF THE NURSING FACILITY. ATHENA HEALTH CARE ASSOCIATES INC PREPARE AND FILE, ALL COST REPORTS, PAYROLL TAX AND REAL ESTATE TAX FILINGS REQUIRED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS A RELATED ORGANIZATION, ADVENTCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE APPROVAL OF THE MEMBER, ADVENTCARE, INC., IS REQUIRED TO ELECT OR REMOVE DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS AND RESPONSIBILITIES ARE EXPRESSLY RESERVED TO ADVENTCARE, INC., THE MEMBER OF THE CORPORATION: (A) TO ELECT AND REMOVE DIRECTORS OF THE CORPORATION WITH OR WITHOUT CAUSE. ANY VACANCY OCCURRING AMONG THE DIRECTORS WILL BE FILLED BY ACTION OF THE MEMBER; (B) TO APPROVE THE ANNUAL OPERATING BUDGET OF THE CORPORATION; (C) TO CONDUCT FINANCIAL PLANNING, MONITOR AND ASSURE LONG-TERM FINANCIAL PERFORMANCE OF THE CORPORATION; (D) TO APPROVE THE PURCHASE, ACQUISITION, ASSIGNN1ENT, SALE, CONVEYANCE OR MORTGAGE OF REAL PROPERTY; (E) TO APPROVE THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS FOR BORROWED MONEY; (F) TO APPROVE CONTRACTS FOR MANAGEMENT SERVICES; (G) TO APPROVE ANY CAPITAL EXPENDITURES NOT SHOWN ON THE ANNUAL BUDGET WHICH EXCEED $10,000 FOR ANY EXPENDITURE; (H) TO APPROVE ALL CORPORATE REORGANIZATIONS AND THE ESTABLISHMENT OF OR INVESTMENT IN JOINT VENTURES, CORPORATIONS, PARTNERSHIPS, OTHER ENTITIES OR AFFILIATIONS; (I) TO APPROVE INITIATION OR SETTLEMENT OF LITIGATION OR ADMINISTRATIVE PROCEEDINGS TO WHICH THE CORPORATION IS OR MAY BE A PARTY; (J) TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF ORGANIZATION OR BY-LAWS OF THE CORPORATION; (K) TO ENSURE THAT THE CORPORATION PURSUES A MISSION, PHILOSOPHY AND GOALS CONSISTENT WITH THOSE OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A COMPLETE COPY OF THE FORM 990 TAX RETURN (INCLUDING ALL REQUIRED SCHEDULES) IS PROVIDED TO EACH PERSON WHO IS A VOTING MEMBER OF THE BOARD OF DIRECTORS AT THE TIME THE FORM 990 IS PROVIDED, EITHER IN PAPER OR ELECTRONIC FORM, BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE MSRB ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE. ADVENTCARE INC 476 VARNUM AVENUE LOWELL MA 01854 321012491 MANAGEMENT COMPANY MA 501(C)(3) LINE 10 N/A 0 FAIRHAVEN HEALTHCARE CENTER INC 476 VARNUM AVENUE LOWELL MA 01854 208745264 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 ADVENTCARE INC 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0