PLEASANT RIDGE MANOR: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PLEASANT RIDGE MANOR (EIN 25-1302760)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349308300
Schema version
2010v3.4
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)
Timestamp2011-11-15T15:07:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 DIRECTOR AND CEOTitle
Phone8144745521Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDONNA SCAMBY-POWERSName
Phone2159182277Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts32683259GrossReceipts
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 Employees543TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year35100ContributionsGrantsPriorYear
Contributions Grants Current Year52703ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31879197ProgramServiceRevenuePriorYear
Program Service Revenue CY32194358ProgramServiceRevenueCY
Investment Income Prior Year13310InvestmentIncomePriorYear
Investment Income Current Year9469InvestmentIncomeCurrentYear
Other Revenue Prior Year302309OtherRevenuePriorYear
Other Revenue Current Year241351OtherRevenueCurrentYear
Total Revenue Prior Year32229916TotalRevenuePriorYear
Total Revenue Current Year32497881TotalRevenueCurrentYear
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 Year24567669SalariesEtcPriorYear
Salaries Etc Current Year27899683SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8779396OtherExpensePriorYear
Other Expenses Current Year5563148OtherExpensesCurrentYear
Total Expenses Prior Year33347065TotalExpensesPriorYear
Total Expenses Current Year33462831TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1117149RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-964950RevenuesLessExpensesCY
Total Assets BOY15156603TotalAssetsBOY
Total Assets EOY13382545TotalAssetsEOY
Total Liabilities BOY6224214TotalLiabilitiesBOY
Total Liabilities EOY5415106TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8932389NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7967439NetAssetsOrFundBalancesEOY
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
Expense25713964Expense
Revenue32497881Revenue
DescriptionPROVIDE LONG TERM CARE SERVICES IN AN APPROXIMATE 390 BED NURSING HOME FACILITY.Description
Total Program Service Expense25713964TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
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 Attached0FinancialStmtAttached
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 With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees543NumberOfEmployees
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
PHIL FATICA
BOARD MEMBER0.50X000
CAROL LOLL
BOARD MEMBER0.50X000
JOSEPH GILES
BOARD MEMBER0.50X000
EBERT BEEMAN
BOARD MEMBER0.50X000
EILEEN AGRESTI
CHIEF FINANCIAL OFFICER37.507501400X
TIMOTHY DOMMERMUTH
DIRECTOR OF PHARMACY37.509096900X
SANDRA NELSON
DIRECTOR OF NURSING37.508054000X
DAVID POPOWICZ
ASSOCIATE EXECUTIVE DIRECT37.507543600X
ROBERT SMITH
EXECUTIVE DIRECTOR37.5010381900X
KYLE W FOUST
BOARD CHAIRMAN0.50000X
RON CLEAVER
BOARD MEMBER1.00000X
DOUGLAS SMITH
SECRETARY1.00000X
FIORE LEONE
BOARD VICE CHAIRMAN0.50000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org425778TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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 PROVIDER6951453
ALLIANCE
1520 KENSINGTON ROAD SUITE 110OAK BROOKIL60523CONTRACTED SECURITY SERVICE1066679
VILLA MEDICAL SUPPLY
1460 W 38TH STREETERIEPA16508MEDICAL GOODS/EQUIPMENT173784
PELICAN INSURANCE
POBOX 60769HARRISBURGPA17104CONTRACTED SECURITY SERVICE166663
ERIE PSYCHIATRIC ASSOCIATES
150 E 8TH STREETERIEPA16501CONTRACTED SECURITY SERVICE127640
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants18993GovernmentGrants
All Other Contributions33710AllOtherContributions
Total Contributions52703TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEES/REVENUESDescription
Business Code623000BusinessCode
Total Revenue Column31616883TotalRevenueColumn
Related Or Exempt Function Income31616883RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column577475TotalRevenueColumn
Related Or Exempt Function Income577475RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue32194358TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9469TotalRevenueColumn
Related Or Exempt Function Income9469RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other185378Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other185378Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUDescription
Business Code900099BusinessCode
Total Revenue Column241351TotalRevenueColumn
Related Or Exempt Function Income241351RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue241351TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32497881TotalRevenueColumn
Related Or Exempt Function Income32445178RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17077416Total
Program Services13205431ProgramServices
Management And General3871985ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1824540Total
Program Services1459632ProgramServices
Management And General364908ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7784144Total
Program Services6275358ProgramServices
Management And General1508786ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1213583Total
Program Services938426ProgramServices
Management And General275157ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total14989Total
Management And General14989ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49119Total
Management And General49119ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12509Total
Management And General12509ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total265084Total
Program Services265084ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total4806Total
Management And General4806ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total177721Total
Program Services90012ProgramServices
Management And General87709ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8661Total
Management And General8661ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total637166Total
Program Services509733ProgramServices
Management And General127433ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5848Total
Program Services3525ProgramServices
Management And General2323ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total218576Total
Management And General218576ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total991563Total
Management And General991563ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total210343Total
Management And General210343ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD COST13581811358181
DRUGS - PHARMACY COST981154981154
MEDICAL SUPPLIES TO NUR627428627428

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33462831Total
Program Services25713964ProgramServices
Management And General7748867ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3698933BOY
EOY2826698EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY468311BOY
EOY477842EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3654859BOY
EOY3871300EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY326093BOY
EOY299875EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY290676BOY
EOY73514EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29378390LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24205970LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5918816BOY
EOY5172420EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY767659BOY
EOY643019EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY31256BOY
EOY17877EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15156603BOY
EOY13382545EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3262305BOY
EOY3061675EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1950633BOY
EOY1446575EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY644257BOY
EOY521104EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY367019BOY
EOY385752EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6224214BOY
EOY5415106EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3174827BOY
EOY2751392EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5757562BOY
EOY5216047EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8932389BOY
EOY7967439EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15156603BOY
EOY13382545EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-964950ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc1AgentTrusteeEtc
Beginning Balance644257BeginningBalance
Distributions During Year1238DistributionsDuringYear
Ending Balance643019EndingBalance
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 Basis19195385OtherCostOrOtherBasis
Depreciation15498500Depreciation
Book Value3696885BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis556298OtherCostOrOtherBasis
Depreciation382444Depreciation
Book Value173854BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9429661OtherCostOrOtherBasis
Depreciation8325026Depreciation
Book Value1104635BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46556OtherCostOrOtherBasis
Book Value46556BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5172420TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOMPENSATED ABSENCESDescription
Amount$385,752Amount
FieldValueIRS element (for citing)
Total Of Amounts385752TotalOfAmounts
Total Revenue32497881TotalRevenue
Total Expenses33462831TotalExpenses
Excess Or Deficit For Year-964950ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-964950ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32497881TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal32497881RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99032497881TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33462831TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33462831ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033462831TotalExpensesPerForm990

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 2009).

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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.FORM 990, PART VI, SECTION B, LINE 12C
PLEASANT 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 B, LINE 15
UPON 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 18
UPON 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.ORGFORM 990, PART VI, SECTION C, LINE 19
ERIE 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.FORM 990 PART XI LINE 2C

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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