PLEASANT RIDGE MANOR: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PLEASANT RIDGE MANOR (EIN 25-1302760)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201243199349303379
Schema version
2011v1.2
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)
Timestamp2012-11-14T12:34:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONNA SCAMBY-POWERSName
PTINP00671750PTIN
Phone2159182277Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts33896463GrossReceipts
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 Employees518TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year52703ContributionsGrantsPriorYear
Contributions Grants Current Year189507ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32194358ProgramServiceRevenuePriorYear
Program Service Revenue CY33092436ProgramServiceRevenueCY
Investment Income Prior Year9469InvestmentIncomePriorYear
Investment Income Current Year5149InvestmentIncomeCurrentYear
Other Revenue Prior Year241351OtherRevenuePriorYear
Other Revenue Current Year609371OtherRevenueCurrentYear
Total Revenue Prior Year32497881TotalRevenuePriorYear
Total Revenue Current Year33896463TotalRevenueCurrentYear
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 Year27899683SalariesEtcPriorYear
Salaries Etc Current Year28617102SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5563148OtherExpensePriorYear
Other Expenses Current Year5861303OtherExpensesCurrentYear
Total Expenses Prior Year33462831TotalExpensesPriorYear
Total Expenses Current Year34478405TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-964950RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-581942RevenuesLessExpensesCY
Total Assets BOY13382545TotalAssetsBOY
Total Assets EOY12526737TotalAssetsEOY
Total Liabilities BOY5415106TotalLiabilitiesBOY
Total Liabilities EOY5141240TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7967439NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7385497NetAssetsOrFundBalancesEOY
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
Expense26520022Expense
Revenue33706956Revenue
DescriptionPROVIDE LONG TERM CARE SERVICES IN AN APPROXIMATE 390 BED NURSING HOME FACILITY.Description
Total Program Service Expense26520022TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096129NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees518NumberOfEmployees
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 CHAIRMAN0.50X000
PHIL FATICA
BOARD VICE CHAIRMAN0.50X000
DOUGLAS SMITH
SECRETARY1.00X000
RWHITNEY CLEAVER
BOARD MEMBER1.00X000
EBERT BEEMAN
BOARD MEMBER0.50X000
KYLE FOUST
BOARD MEMBER0.50X000
JOSEPH GILES
BOARD MEMBER0.50X000
CAROL LOLL
BOARD MEMBER0.50X000
EILEEN AGRESTI
CHIEF FINANCIAL OFFICER37.507579500X
SHEILA HAMILTON
DIRECTOR OF PHARMACY37.507835600X
MARY VENEZIA
DIRECTOR OF NURSING37.506552000X
DAVID POPOWICZ
ASSOCIATE EXECUTIVE DIRECT37.507257700X
ROBERT SMITH
EXECUTIVE DIRECTOR37.509994400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org392192TotalReportableCompFromOrg
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 PROVIDER5955751
ALLIANCE REHAB
1520 KENSINGTON ROADOAK BROOKIL60523REHAB THERAPY1186636
MAPLEVALE FARMS INC
2063 ALLEN ST EXTFALCONERNY14733FOOD SERVICE594355
CA CURTZE INC
POBOX 797ERIEPA16512FOOD SERVICE235748
PELICAN INSURANCE
PO BOX 60769HARRISBURGPA17106INSURANCE PROVIDER156806
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants182507GovernmentGrants
All Other Contributions7000AllOtherContributions
Noncash Contributions7000NoncashContributions
Total Contributions189507TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEES/REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column32527137TotalRevenueColumn
Related Or Exempt Function Income32527137RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column565299TotalRevenueColumn
Related Or Exempt Function Income565299RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33092436TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5149TotalRevenueColumn
Related Or Exempt Function Income5149RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REFUND RESERVE900099248011248011
OTHER OPERATING REVENU900099246723246723
PRIOR YEAR REFUNDS900099114637114637
FieldValueIRS element (for citing)
Total Other Revenue609371TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33896463TotalRevenueColumn
Related Or Exempt Function Income33706956RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17182457Total
Program Services13286313ProgramServices
Management And General3896144ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2136000Total
Program Services1644720ProgramServices
Management And General491280ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8103941Total
Program Services6240035ProgramServices
Management And General1863906ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1194704Total
Program Services919922ProgramServices
Management And General274782ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total15043Total
Management And General15043ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48424Total
Management And General48424ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11175Total
Management And General11175ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total131963Total
Program Services131963ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3600Total
Management And General3600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total138567Total
Program Services95500ProgramServices
Management And General43067ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9242Total
Management And General9242ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total706304Total
Program Services565043ProgramServices
Management And General141261ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4871Total
Program Services2602ProgramServices
Management And General2269ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total79147Total
Management And General79147ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total848768Total
Management And General848768ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total230275Total
Management And General230275ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DRUGS - PHARMACY COST18143981814398
MEDICAL SUPPLIES TO NUR12295051229505
FOOD COST590021590021

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34478405Total
Program Services26520022ProgramServices
Management And General7958383ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2826698BOY
EOY260963EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY477842BOY
EOY494993EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3871300BOY
EOY5502923EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY299875BOY
EOY302809EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73514BOY
EOY63993EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29767301LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24997449LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5172420BOY
EOY4769852EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY643019BOY
EOY1120834EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17877BOY
EOY10370EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13382545BOY
EOY12526737EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3061675BOY
EOY3542271EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1446575BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY521104BOY
EOY548862EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY650000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY385752BOY
EOY400107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5415106BOY
EOY5141240EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2751392BOY
EOY2615645EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5216047BOY
EOY4769852EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7967439BOY
EOY7385497EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13382545BOY
EOY12526737EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-581942ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance643019BeginningBalance
Distributions During Year74185DistributionsDuringYear
Ending Balance568834EndingBalance
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
Depreciation16002240Depreciation
Book Value3318606BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis556298OtherCostOrOtherBasis
Depreciation412562Depreciation
Book Value143736BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9664830OtherCostOrOtherBasis
Depreciation8582647Depreciation
Book Value1082183BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis74837OtherCostOrOtherBasis
Book Value74837BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4769852TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
RESTRICTED CASH-CLIENT FUNDS548862C
NET PENSION ASSETS19972F
DEPRECIATION RESERVE552000C
FieldValueIRS element (for citing)
Total Of Book Value Securities1120834TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOMPENSATED ABSENCESDescription
Amount$400,107Amount
FieldValueIRS element (for citing)
Total Of Amounts400107TotalOfAmounts
Total Revenue33896463TotalRevenue
Total Expenses34478405TotalExpenses
Excess Or Deficit For Year-581942ExcessOrDeficitForYear
Excess Or Deficit Per FS-581942ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt33896463TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal33896463RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033896463TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34478405TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal34478405ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034478405TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 2011).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
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 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
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
K
COUNTY OF ERIE
C

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