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        <ProgramServicesAmt>5533373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>587748</ManagementAndGeneralAmt>
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        <TotalAmt>1044568</TotalAmt>
        <ProgramServicesAmt>938791</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105777</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>18246</TotalAmt>
        <ManagementAndGeneralAmt>18246</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>89603</TotalAmt>
        <ManagementAndGeneralAmt>89603</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>16900</TotalAmt>
        <ManagementAndGeneralAmt>16900</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>634320</TotalAmt>
        <ProgramServicesAmt>624549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9771</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>54110</TotalAmt>
        <ManagementAndGeneralAmt>54110</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>92586</TotalAmt>
        <ProgramServicesAmt>7980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84606</ManagementAndGeneralAmt>
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        <TotalAmt>1224714</TotalAmt>
        <ProgramServicesAmt>1100694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124020</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>3602</TotalAmt>
        <ManagementAndGeneralAmt>3602</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>901280</TotalAmt>
        <ProgramServicesAmt>901280</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>180665</TotalAmt>
        <ManagementAndGeneralAmt>180665</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1413733</TotalAmt>
        <ProgramServicesAmt>1411535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2198</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DRUGS - PHARMACY COSTS</Desc>
        <TotalAmt>1396419</TotalAmt>
        <ProgramServicesAmt>1396419</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>THERAPY</Desc>
        <TotalAmt>972425</TotalAmt>
        <ProgramServicesAmt>972425</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RESIDENT ACTIVITIES</Desc>
        <TotalAmt>75104</TotalAmt>
        <ProgramServicesAmt>75104</ProgramServicesAmt>
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        <ProgramServicesAmt>26640195</ProgramServicesAmt>
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      <InventoriesForSaleOrUseGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>596755</BOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>10484060</BOYAmt>
        <EOYAmt>6075470</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>13613015</BOYAmt>
        <EOYAmt>9093001</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5778979</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5778979</BOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19391994</BOYAmt>
        <EOYAmt>15986268</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1114288</ReconcilationRevenueExpnssAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <OtherCostOrOtherBasisAmt>150490</OtherCostOrOtherBasisAmt>
        <BookValueAmt>150490</BookValueAmt>
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        <BookValueAmt>1005795</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>NET PENSION ASSET</Desc>
        <BookValueAmt>480961</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEFERRED OUTFLOWS/OPEB</Desc>
        <BookValueAmt>108388</BookValueAmt>
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        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>10370</BookValueAmt>
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        <Desc>DEFERRED INFLOWS FOR PENSION</Desc>
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        <Desc>OPEB LIABILITY</Desc>
        <Amt>2335052</Amt>
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        <Desc>COMPENSATED ABSENCES</Desc>
        <Amt>427202</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED INFLOWS FOR OPEB</Desc>
        <Amt>376305</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>WORKERS COMPENSATION PAYABLE</Desc>
        <Amt>41811</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>10370</Amt>
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      <TotalLiabilityAmt>6075470</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>30776812</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>30776812</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>30776812</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>29662524</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>29662524</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>29662524</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART IV, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASANT RIDGE MANOR ACCOUNTS FOR FUNDS WHICH BELONG TO RESIDENTS, SUCH AS SOCIAL SECURITY INCOME PAYMENTS, AND ASSISTS RESIDENTS IN MANAGING THE USE OF SUCH FUNDS.</ExplanationTxt>
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    <IRS990ScheduleM documentId="RetDoc4">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>46930</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>BLDG MATERIALS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5270</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALE PRICE/SIMILAR ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>REPLACE GASLINE</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALE PRICE/SIMILAR ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 1 AND PART III, LINE 1 IN AN ENVIRONMENT THAT PROMOTES THE PSYCHOLOGICAL, SOCIAL, SPIRITUAL, RECREATIONAL, AND REHABILITATIVE DEVELOPMENT OF THE INDIVIDUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION A, LINE 2: ALL BOARD MEMBERS ALSO SERVE TOGETHER AS ERIE COUNTY COUNCIL MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF ITS POLICIES AND PROCEDURES, PLEASANT RIDGE MANOR STRICTLY ENFORCES THE CONFLICT OF INTEREST POLICY WITH ALL EMPLOYEES AND OFFICERS AND HAS SAID POLICY SIGNED OFF ON WITH INDIVIDUALS ON AN ANNUAL BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASANT RIDGE MANOR HAS A BUDGET PROCESS INTEGRATED WITH THE COUNTY OF ERIE. WITHIN THAT PROCESS, THE COMPENSATION OF PLEASANT RIDGE MANOR'S EXECUTIVE DIRECTOR/CEO AND ALL TOP MANAGEMENT PERSONNEL ARE CAREFULLY BUDGETED AND REVIEWED IN COMPARISON TO OTHERS IN SIMILAR INDUSTRIES BEFORE THOSE SALARY AMOUNTS ARE APPROVED BY THE COUNTY OF ERIE AND THE BOARD OF DIRECTORS OF PLEASANT RIDGE MANOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASANT RIDGE MANOR HAS A BUDGET PROCESS INTEGRATED WITH THE COUNTY OF ERIE. WITHIN THAT PROCESS, THE COMPENSATION OF PLEASANT RIDGE MANOR'S EXECUTIVE DIRECTOR/CEO AND ALL TOP MANAGEMENT PERSONNEL ARE CAREFULLY BUDGETED AND REVIEWED IN COMPARISON TO OTHERS IN SIMILAR INDUSTRIES BEFORE THOSE SALARY AMOUNTS ARE APPROVED BY THE COUNTY OF ERIE AND THE BOARD OF DIRECTORS OF PLEASANT RIDGE MANOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, THE MANAGEMENT OF PLEASANT RIDGE MANOR WILL MAKE THEIR AUDITED FINANCIAL SATEMENTS AND FORM 990 AVAILABLE FOR INSPECTION AND/OR REVIEW. THE FORM 990 IS ALSO AVAILABLE TO INTERESTED PARTIES ON THE PUBLIC WEBSITE GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMITTEE HAS NOT CHANGED ITS OVERSIGHT PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine2Txt>FRIENDS FOREVER</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8300 W RIDGE ROAD</AddressLine1Txt>
          <CityNm>GIRARD</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16417</ZIPCd>
        </USAddress>
        <EIN>251464234</EIN>
        <PrimaryActivitiesTxt>ASSIST BOD</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COUNTY OF ERIE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>COUNTY OF ERIE</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>140 W 6TH STREET ROOM 505</AddressLine1Txt>
          <CityNm>ERIE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16501</ZIPCd>
        </USAddress>
        <EIN>256001027</EIN>
        <PrimaryActivitiesTxt>SUBDIVISIO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>