2022-11-11T15:03:03-06:00 2021-12-31 990 2021-01-01 251291588 LAFAYETTE MANOR INC LAFA 7244304848 147 LAFAYETTE MANOR ROAD UNIONTOWN PA 15401 DR RICHARD J PISH BOARD PRESIDENT 7244304848 2022-11-03 DR RICHARD J PISH 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DR RICHARD J PISH 147 LAFAYETTE MANOR ROAD UNIONTOWN PA 15401 9202514 0 1 X WWWW.LAFAYETTEMANOR.NET X 1975 PA TO PROVIDE SKILLED NURSING CARE AND PERSONAL CARE SERVICES TO FAYETTE COUNTY AND SURROUNDING AREAS. 5 5 202 0 0 0 1614012 441697 9422015 8603753 121777 119118 31155 37946 11188959 9202514 0 0 0 0 6230726 6152908 0 0 0 4172046 4324374 10402772 10477282 786187 -1274768 10267879 8676130 5878107 5561126 4389772 3115004 TO OPERATE AND MAINTAIN A SKILLED NURSING FACILITY AND PERSONAL CARE HOME FACILITY FOR THE ELDERLY AND INDIGENT OF FAYETTE COUNTY AND SURROUNDING AREAS. 0 0 7293531 7093639 SKILLED NURSING FACILITY SERVICES 1306974 1667178 PERSONAL CARE FACILITY SERVICES 8600505 1 1 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 1 8 0 1 202 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ED RUTLEDGE CFO 7244304848 147 LAFAYETTE MANOR ROAD UNIONTOWN PA 15401 DR RICHARD J PISH PRESIDENT, BOARD OF DIRECT 0.50 X 0 0 0 MARILYN DUGAN BOARD OF DIRECTORS 0.50 X 0 0 0 SUE ANN MILSOM BOARD OF DIRECTORS 0.50 X 0 0 0 ROSEMARY JENDRAL BOARD OF DIRECTORS 0.50 X 0 0 0 LANCE WINTERHALTER BOARD OF DIRECTORS 0.50 X 0 0 0 LINDA STUMPF ADMINISTRATOR 40.00 X 120938 0 0 EDWARD D RUTLEDGE CFO 40.00 X 94224 0 0 215162 0 0 1 0 0 0 CULINARY SERVICES GROUP 1135 BUSINESS PARKWAY SOUTH SUITE WESTMINSTER MD 21157 DIETARY MANAGEMENT AND FOOD 658866 FUNCTIONAL PATHWAYS 10133 SHERRILL BOULEVARD SUITE 200 KNOXVILLE TN 32932 PT/OT/ST REHAB THERAPY 551511 DEDICATED NURSING ASSOCIATES 6536 WILLIAM PENN HIGHWAY ROUTE 22 DELMONT PA 15626 NURSE AGENCY SERVICES 442935 DIAMOND PHARMACY 645 KOLTER DRIVE COMMERCE PARK INDIANA PA 15701 PHARMACY SERVICES 232537 4 425 441272 441697 SKILLED NURSING 623000 6948301 6948301 PERSONAL CARE 623000 1655452 1655452 8603753 119118 119118 0 425 0 0 MISCELLANEOUS 900099 37946 37946 37946 9202514 8760817 0 0 215162 215162 4712668 4396671 315997 95161 76593 18568 738249 668216 70033 391668 348719 42949 52679 52679 49994 49994 795245 776165 19080 26918 26918 132976 1676 131300 386756 386756 14248 2916 11332 168784 168784 490191 490191 221216 221216 REHAB THERAPY 592025 592025 MEDICAL SUPPLIES AND CO 391671 391671 FOOD AND GROCERY 302064 302064 PHARMACY 226561 226561 473046 430472 42574 10477282 8600505 1876777 0 2218089 1225926 379668 402321 1204882 881417 55501 60138 15286766 10224466 5461789 5062300 947950 1044028 10267879 8676130 1248367 1074718 48475 67137 4581265 4419271 5878107 5561126 X 4354546 3079268 35226 35736 4389772 3115004 10267879 8676130 -1274768 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 15000 5180785 4602554 578231 6244127 2241954 4002173 3846854 3379958 466896 5062300 9202514 0 9202514 0 9202514 10477282 0 10477282 0 10477282 FORM 990, PART VI, SECTION B, LINE 11B BOARD PRESIDENT OR BOARD OFFICER REVIEWS DOCUMENT PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C POLICY MONITORED AND REVIEWED AT BOARD MEETING ON AN ANNUAL BASIS, OR AS NEEDED. ALSO, PART OF THE CORPORATE COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST.