PLEASANT RIDGE MANOR: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PLEASANT RIDGE MANOR (EIN 25-1302760)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201342269349303824
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-14T16:23:41-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN233022325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ZELENKOFSKE AXELROD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12370 YORK ROAD SUITE A-5AddressLine1
CityJAMISONCity
StatePAState
ZIP Code18929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251302760EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLEASANT RIDGE MANORBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPLEANameControl
Phone8144745521Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18300 W RIDGE ROADAddressLine1
CityGIRARDCity
StatePAState
ZIP Code16417ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT V SMITHName
TitleEXECUTIVE DIRECTORTitle
Phone8144745521Phone
Date Signed2013-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONNA SCAMBY-POWERSName
PTINP00671750PTIN
Phone2159182277Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT V SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18300 W RIDGE ROADAddressLine1
CityGIRARDCity
StatePAState
ZIP Code16417ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33802105GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PLEASANTRIDGEMANOR.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF PLEASANT RIDGE MANOR IS TO ASSURE THAT THE MEDICALLY AND FINANCIALLY INDIGENT OF ERIE COUNTY SHALL RECEIVE THE HIGHEST QUALITY MEDICAL AND NURSING HOME CARE IN AN ENVIRONMENT THAT PROMOTES THE PSYCHOLOGICAL, SOCIAL, SPIRITUAL, RECREATIONAL, AND REHABILITATIVE DEVELOPMENT OF THE INDIVIDUAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees520TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year189507ContributionsGrantsPriorYear
Contributions Grants Current Year117655ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33092436ProgramServiceRevenuePriorYear
Program Service Revenue CY33222595ProgramServiceRevenueCY
Investment Income Prior Year5149InvestmentIncomePriorYear
Investment Income Current Year18657InvestmentIncomeCurrentYear
Other Revenue Prior Year609371OtherRevenuePriorYear
Other Revenue Current Year443198OtherRevenueCurrentYear
Total Revenue Prior Year33896463TotalRevenuePriorYear
Total Revenue Current Year33802105TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28617102SalariesEtcPriorYear
Salaries Etc Current Year24453272SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5861303OtherExpensePriorYear
Other Expenses Current Year7901112OtherExpensesCurrentYear
Total Expenses Prior Year34478405TotalExpensesPriorYear
Total Expenses Current Year32354384TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-581942RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1447721RevenuesLessExpensesCY
Total Assets BOY12526737TotalAssetsBOY
Total Assets EOY12767214TotalAssetsEOY
Total Liabilities BOY5141240TotalLiabilitiesBOY
Total Liabilities EOY4469882TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7385497NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8297332NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF PLEASANT RIDGE MANOR IS TO ASSURE THAT THE MEDICALLY AND FINANCIALLY INDIGENT OF ERIE COUNTY SHALL RECEIVE THE HIGHEST QUALITY MEDICAL AND NURSING HOME CARE IN AN ENVIRONMENT THAT PROMOTES THE PSYCHOLOGICAL, SOCIAL, SPIRITUAL, RECREATIONAL, AND REHABILITATIVE DEVELOPMENT OF THE INDIVIDUAL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29189619Expense
Revenue33684450Revenue
DescriptionPROVIDE LONG TERM CARE SERVICES IN AN APPROXIMATE 390 BED NURSING HOME FACILITY.Description
Total Program Service Expense29189619TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees520NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8144745521TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18300 W RIDGE ROADAddressLine1
CityGIRARDCity
StatePAState
ZIP Code16417ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BARRY GROSSMAN
PRESIDENT1.00X000
JAMES SPARBER
TREASURER1.00X000
FIORE LEONE
BOARD MEMBER0.50X000
PHIL FATICA
BOARD MEMBER0.50X000
DOUGLAS SMITH
SECRETARY1.00X000
RWHITNEY CLEAVER
VICE CHAIRMAN1.00X000
EDWARD DIMATTIO JR
BOARD MEMBER0.50X000
KYLE FOUST
BOARD MEMBER0.50X000
JOSEPH GILES
BOARD CHAIRMAN0.50X000
CAROL LOLL
BOARD MEMBER0.50X000
EILEEN AGRESTI
CHIEF FINANCIAL OFFICER37.507222800X
SHEILA HAMILTON
DIRECTOR OF PHARMACY37.507315400X
MARY VENEZIA
DIRECTOR OF NURSING37.506489200X
DAVID POPOWICZ
ASSOCIATE EXECUTIVE DIRECT37.507275000X
ROBERT SMITH
EXECUTIVE DIRECTOR37.509994100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org382965TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HIGHMARK INC
POBOX 382022PITTSBURGHPA15251HEALTH INSURANCE PROVIDER5915262
ALLIANCE REHAB
1520 KENSINGTON ROADOAK BROOKIL60523REHAB THERAPY1281890
MAPLEVALE FARMS INC
2063 ALLEN ST EXTFALCONERNY14733FOOD SERVICE641498
CA CURTZE INC
POBOX 797ERIEPA16512FOOD SERVICE218228
INC
PO BOX 931703ATLANTAGA31193SECURITY SERVICES173824
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations47655RelatedOrganizations
Government Grants70000GovernmentGrants
Total Contributions117655TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEES/REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column32016486TotalRevenueColumn
Related Or Exempt Function Income32016486RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1206109TotalRevenueColumn
Related Or Exempt Function Income1206109RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33222595TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18657TotalRevenueColumn
Related Or Exempt Function Income18657RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIOR YEAR REFUNDS900099239903239903
OTHER OPERATING REVENUE900099202550202550
REFUND RESERVE900099745745
FieldValueIRS element (for citing)
Total Other Revenue443198TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33802105TotalRevenueColumn
Related Or Exempt Function Income33684450RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15530810Total
Program Services14353131ProgramServices
Management And General1177679ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1323028Total
Program Services1217186ProgramServices
Management And General105842ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6429159Total
Program Services5914826ProgramServices
Management And General514333ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1170275Total
Program Services1076653ProgramServices
Management And General93622ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total171199Total
Program Services162413ProgramServices
Management And General8786ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45927Total
Management And General45927ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29849Total
Management And General29849ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total128160Total
Program Services128160ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2237Total
Management And General2237ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total158135Total
Program Services119940ProgramServices
Management And General38195ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total30146Total
Management And General30146ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total890316Total
Program Services712253ProgramServices
Management And General178063ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total6078Total
Program Services3208ProgramServices
Management And General2870ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7572Total
Program Services841ProgramServices
Management And General6731ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12383Total
Management And General12383ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total747780Total
Management And General747780ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total170322Total
Management And General170322ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
THERAPY18454551845455
DRUGS - PHARMACY COST15577291557729
FOOD COST11861181186118
MEDICAL SUPPLIES TO NUR911706911706

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32354384Total
Program Services29189619ProgramServices
Management And General3164765ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY260963BOY
EOY1320589EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY494993BOY
EOY509135EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5502923BOY
EOY5344538EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY302809BOY
EOY251980EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY63993BOY
EOY82980EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30262577LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec25740596LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4769852BOY
EOY4521981EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1120834BOY
EOY725641EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10370BOY
EOY10370EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12526737BOY
EOY12767214EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3542271BOY
EOY3526176EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY548862BOY
EOY495302EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY650000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY400107BOY
EOY448404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5141240BOY
EOY4469882EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2615645BOY
EOY3775351EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4769852BOY
EOY4521981EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7385497BOY
EOY8297332EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12526737BOY
EOY12767214EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1447721ReconcilationRevenueExpenses
Reconcilation Other Changes-535886ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance568834BeginningBalance
Additions During Year156807AdditionsDuringYear
Ending Balance725641EndingBalance
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis150490OtherCostOrOtherBasis
Book Value150490BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19320846OtherCostOrOtherBasis
Depreciation16418005Depreciation
Book Value2902841BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis556298OtherCostOrOtherBasis
Depreciation441567Depreciation
Book Value114731BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9776409OtherCostOrOtherBasis
Depreciation8881024Depreciation
Book Value895385BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis458534OtherCostOrOtherBasis
Book Value458534BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4521981TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
RESTRICTED CASH-CLIENT FUNDS495302C
NET PENSION ASSETS230339F
FieldValueIRS element (for citing)
Total Of Book Value Securities725641TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOMPENSATED ABSENCESDescription
Amount$448,404Amount
FieldValueIRS element (for citing)
Total Of Amounts448404TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt33802105TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal33802105RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033802105TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32354384TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32354384ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032354384TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART IV, LINE 1B:FUNDS ARE HELD FOR RESIDENTS ON THEIR BEHALF. THE ORGANIZATION ENTRUSTS THE FUNDS FOR RESIDENTS WHO PERSONALLLY CHOOSE TO HAVE THE ORGANIZATION HANDLE THESE FUNDS. THESE FUNDS CANNOT BE USED FOR ANY PURPOSE OTHER THAN AT THE RESIDENT'S DISCRETION.
THE FACILITY HOLDS CLIENT FUNDS IN RESTRICTED ESCROW ACCOUNTS. THESE FUNDS ARE ALSO HELD IN RESTRICTION AS AN ASSET.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy0CharityCarePolicy
Annual Community Benefit Report0AnnualCommunityBenefitReport
Bad Debt Expense Reported0BadDebtExpenseReported

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLEASANT RIDGE MANORBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18300 W RIDGE ROADAddressLine1
CityGIRARDCity
StatePAState
ZIP Code16417ZIPCode
FieldValueIRS element (for citing)
OtherLONG TERM CARE SKILLED NURSING HOMEOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PLEASANT RIDGE MANORBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

ExplanationExplanation
PART III, LINE 4: THE CFO REVIEWS WITH THE ACCOUNTING STAFF THE ACCOUNTS TO BE EVALUATED FOR NON-COLLECTIBILITY. THE ACCOUNTS ARE EVALUATED FOR ALL CUSTOMER BILLING TYPES, AND AMOUNTS TO BE DEEMED AS UNCOLLECTIBLE ARE DETERMINED ON A CASE BY CASE BASIS, PENDING BOARD OF DIRECTORS APPROVAL.THE ORGANIZATION FOLLOWS THE DIRECT WRITE OFF METHOD FOR ACCOUNTING FOR BAD DEBT EXPENSE. THE FIGURE SHOWN IS FOR INFORMATIONAL PURPOSES ONLY.
PART III, LINE 8: MEDICAL ASSISTANCE REIMBURSEMENT RESIDENTS ACCOUNT FOR APPROXIMATELY 86% OF PLEASANT RIDGE MANOR'S CENSUS AND APPROXIMATELY 71% OF ITS REVENUE BASE. REVENUE REPORTED ON LINE 5 REPRESENTS THE INPATIENT NET PPS AMOUNT AFTER DEDUCTIBLES AND CO-INSURANCE.
PART VI, LINE 2: PLEASANT RIDGE MANOR, FORMERLY THE ERIE COUNTY GERIATRIC CENTER, IS A NON-PROFIT ORGANIZATION, AS DEFINED UNDER SECTION 501 C 3 OF THE INTERNAL REVENUE CODE, ORGANZIED TO PROVIDE PUBLIC, NONSECTARIAN CHARITY, HEALTH AND NURSING CARE TO INDIGENT PERSONS WITHIN ERIE COUNTY, PENNSYLVANIA. UNDER THE TERMS OF THE STATEMENT OF AGREEMENT DATED APRIL 15, 1980 BETWEEN THE COUNTY OF ERIE AND PLEASANT RIDGE MANOR, THE COUNTY HAS THE FULL AND ENTIRE RIGHT OF CONTROL OF THE FINANCIAL AFFAIRS OF PLEASANT RIDGE MANOR. PLEASANT RIDGE MANOR IS RECOGNIZED AS A COUNTY FACILITY. APPROXIMATELY 71% OF ITS REVENUE IS DERIVED FROM SERVICES PROVIDED TO RESIDENTS UNDER THE MEDICAL ASSISTANCE PROGRAM. HOWEVER, NO PURELY CHARITABLE CARE WAS PROVIDED DURING THE PERIOD COVERED BY THIS REPORT (CALENDAR YEAR 2012).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD REVIEWED FORM 990 PRIOR TO ITS FILING. THE FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CAS 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.
FORM 990, PART VI, SECTION B, LINE 15PLEASANT RIDGE MANOR HAS A BUDGET PROCESS INTEGRATED WITH THE COUNTY OF ERIE. WITHIN THAT PROCESS, THE COMPENSATION OF THE ORGANIZATIONS 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.
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST, THE MANAGEMENT OF PLEASANT RIDGE MANOR WILL MAKE THEIR AUDITED FINANCIAL STATEMENTS AND FORM 990 AVAILABLE FOR INSPECTION. THE FORM 990 IS ALSO AVAILABLE FOR INSPECTION ON THE PUBLIC WEBSITE GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, THE MANAGEMENT OF PLEASANT RIDGE MANOR WILL MAKE THEIR AUDITED FINANCIAL STATEMENTS AND FORM 990 AVAILABLE FOR INSPECTION AND/OR REVIEW. THE FORM 990 IS ALSO AVAILABLE FOR TO INTERESTED PARTIES ON THE PUBLIC WEBSITE GUIDESTAR.ORG
FORM 990, PART XI, LINE 9:RESTATEMENT OF NET POSITION -535,886.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART XI LINE 2CERIE COUNTY COUNCIL SERVES AS THE PLEASANT RIDGE MANOR BOARD OF DIRECTORS WITH COMPLETE OVERSIGHT APPLICABLE TO ALL PLEASANT RIDGE MANOR FUNCTIONS. PLEASANT RIDGE MANOR IS A POLITICAL SUBDIVISION OF THE COUNTY OF ERIE. THIS POLICY HAS NOT CHANGED SINCE THE PRIOR FISCAL YEAR END.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
PLEASANT RIDGE MANOR FRIENDS FOREVER
8300 W RIDGE ROADGIRARDPA16417251464234TO ASSIST THE BOARD OF TRUSTEES OF PLEASANT RIDGE MANOR.PA501(C)(3)0
COUNTY OF ERIE
140 W 6TH STREET ROOM 505ERIEPA16501ORGANIZATION IS A POLITICAL SUBDIVISION OF ERIE COUNTYPAGOVT UNIT0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType
PLEASANT RIDGE MANOR FRIENDS FOREVER
L
COUNTY OF ERIE
C

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