BRONXCARE DR MARTIN LUTHER KING JR HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BRONXCARE DR MARTIN LUTHER KING JR HEALTH CENTER (EIN 13-2707945)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-31
IRS object ID
201300319349300325
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)
Timestamp2013-01-31T10:02:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN132707945EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DR MARTIN LUTHER KING JR HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDRMANameControl
Phone7186813400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11265 FRANKLIN AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10456ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameVICTOR DEMARCOName
TitleCFOTitle
Phone7186813400Phone
Date Signed2013-01-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNARD GROTELLName
PTINP01317742PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVICTOR DEMARCONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11265 FRANKLIN AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10456ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35766863GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY ECONOMICALLY DEPRIVED POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees421TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2188012ContributionsGrantsPriorYear
Contributions Grants Current Year2533738ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33697818ProgramServiceRevenuePriorYear
Program Service Revenue CY33124181ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year197110OtherRevenuePriorYear
Other Revenue Current Year108944OtherRevenueCurrentYear
Total Revenue Prior Year36082940TotalRevenuePriorYear
Total Revenue Current Year35766863TotalRevenueCurrentYear
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 Year23757827SalariesEtcPriorYear
Salaries Etc Current Year23807103SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16980715OtherExpensePriorYear
Other Expenses Current Year11855083OtherExpensesCurrentYear
Total Expenses Prior Year40738542TotalExpensesPriorYear
Total Expenses Current Year35662186TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4655602RevenuesLessExpensesPriorYear
Revenues Less Expenses CY104677RevenuesLessExpensesCY
Total Assets BOY14005100TotalAssetsBOY
Total Assets EOY16432752TotalAssetsEOY
Total Liabilities BOY42631006TotalLiabilitiesBOY
Total Liabilities EOY44953981TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-28625906NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-28521229NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO DELIVER COMPREHENSIVE, QUALITY AND EFFICIENT PRIMARY AND AMBULATORY HEALTH CARE SERVICES TO ADDRESS THE HEALTH CARE NEEDS OF THE RESIDENTS OF THE SOUTH AND CENTRAL BRONX, AND OF ALL THE OTHER COMMUNITIES WE SERVE; TO ENHANCE THE REPUTATION OF THE HEALTH CENTER AS ONE OF THE PREMIER COMMUNITY HEALTH CENTERS IN THE BRONX AND NEW YORK CITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29179287Expense
Revenue33124181Revenue
DescriptionDR. MARTIN LUTHER KING JR. HEALTH CENTER, INC. IS A FREE STANDING AMBULATORY CARE FACILITY. THE CENTER PROVIDES VARIOUS DIAGNOSTIC AND TREATMENT SERVICES TO ITS COMMUNITY.Description
Total Program Service Expense29179287TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Contributions1DeductibleNonCashContributions
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 With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees421NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VICTOR DEMARCOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7189018600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11265 FRANKLIN AVENUEAddressLine1
CityBRONXCity
StateNYState
ZIP Code10456ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MR MIGUEL A FUENTES JR
PRESIDENT & CHIEF EXECUTIV1.00XX0170618828786
MR VAUGHN THOMAS
CHAIRPERSON4.00X000
MR JULIO PABON MPA
VICE CHAIRPERSON3.00X000
MR ROBERT CARRILLO
TREASURER3.00X000
MS CLAUDIA NISBETT
SECRETARY3.00X000
MR WINSTON BREWSTER
BOARD MEMBER2.00X000
PROF ELLEN R HOIST MS RN
BOARD MEMBER2.00X000
MR LUIS MOJICA EDD
BOARD MEMBER2.00X000
MS MARTHA REYES RN
BOARD MEMBER2.00X000
MS NEVA SHILLINGFORD
BOARD MEMBER2.00X000
PROF SIGMUND C SHIPP PH D
BOARD MEMBER2.00X000
MR STEVEN ANDERMAN
SENIOR VICE PRESIDENT & CH1.00X068021434491
MR VICTOR G DEMARCO
SENIOR VICE PRESIDENT & CH1.00X067966033672
MR LIONEL STEWART
EXECUTIVE DIRECTOR30.001323244410824414X
DR JUAN DIZON
CHIEF-INTERNAL MEDICINE40.00245278029808X
DR JOSE TIBURCIO
PHYSICIAN-FAMILY PRACTICE40.00216684021676X
DR FRANCIS HAYDEN
PHYSICIAN-PSYCHIATRY40.00220652013848X
DR TRICIA CHAN
PHYSICIAN- MEDICINE40.00197818022791X
DR BONNIE GITMAN
DENTIST40.0020160008375X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1214356TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3110170TotalReportableCompFrmRltdOrgs
Total Other Compensation217861TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRIB INDUSTRIES CORP
733 RIDGEDALE AVE SUITE 206EASTHANOVERNJ07936HOUSEKEEPING MGT359637
APOLLO HEALTH STREET INC
LOCK BOX8226 PO BOX 8500PHILADELPHIAPA19178BILLING & COLLECTION348495
THE OUTSOURCE GROUP
39867 TREASURY CENTERCHICAGOIL60694BILLING & COLLECTION250348
MBL CONSTRUCATION CORP
2620 ST RAYMOND AVENUEBRONXNY10467CONSTRUCTION116770
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations1172506RelatedOrganizations
Government Grants1361232GovernmentGrants
Noncash Contributions820200NoncashContributions
Total Contributions2533738TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column33124181TotalRevenueColumn
Related Or Exempt Function Income33124181RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33124181TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
TOKENS90009989624$89,624
PARKING LOT81293012000$12,000
MEDICAL RECORDS FEE9000997320$7,320
FieldValueIRS element (for citing)
Total Other Revenue108944TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35766863TotalRevenueColumn
Related Or Exempt Function Income33124181RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$108,944ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total156262Total
Program Services124433ProgramServices
Management And General31829ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17693679Total
Program Services14089720ProgramServices
Management And General3603959ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1204437Total
Program Services1061186ProgramServices
Management And General143251ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3247317Total
Program Services2615082ProgramServices
Management And General632235ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1505408Total
Program Services1279597ProgramServices
Management And General225811ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20757Total
Management And General20757ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25000Total
Management And General25000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2738517Total
Program Services2409895ProgramServices
Management And General328622ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3258202Total
Program Services2704308ProgramServices
Management And General553894ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total582981Total
Program Services513023ProgramServices
Management And General69958ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3028171Total
Program Services2513382ProgramServices
Management And General514789ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total123460Total
Program Services108645ProgramServices
Management And General14815ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total27701Total
Management And General27701ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total980450Total
Program Services813773ProgramServices
Management And General166677ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total927984Total
Program Services816626ProgramServices
Management And General111358ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionRECREATIONAL ACTIVITIESDescription
Total22525Total
Program Services22525ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total119335Total
Program Services107092ProgramServices
Management And General12243ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35662186Total
Program Services29179287ProgramServices
Management And General6482899ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY371076BOY
EOY335695EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY233260BOY
EOY231168EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3610786BOY
EOY4107984EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26230BOY
EOY2677EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17675426LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11194760LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7525565BOY
EOY6480666EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2238183BOY
EOY5274562EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14005100BOY
EOY16432752EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3270108BOY
EOY3257052EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39360898BOY
EOY41696929EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY42631006BOY
EOY44953981EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-28625906BOY
EOY-28521229EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-28625906BOY
EOY-28521229EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14005100BOY
EOY16432752EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses104677ReconcilationRevenueExpenses
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 Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2889045CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2181190CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2057171CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2188012CurrentTaxYearMinus1Year
Current Tax Year2028738CurrentTaxYear
Total11344156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38705808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39687930CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44964779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33697818CurrentTaxYearMinus1Year
Current Tax Year33124181CurrentTaxYear
Total190180516Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41594853CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41869120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47021950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35885830CurrentTaxYearMinus1Year
Current Tax Year35152919CurrentTaxYear
Total201524672Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509201524672PublicSupportTotal509

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years337119CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year197110CurrentTaxYearMinus1Year
Current Tax Year613854CurrentTaxYear
Total1323437Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41690353CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42206239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47101804CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year36082940CurrentTaxYearMinus1Year
Current Tax Year35766773CurrentTaxYear
Total202848109Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99350PublicSupportPercentage509
Prior Year Support Percentage0.99650PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PARKING LOT TOKENS MEDICAL RECORDS FEEGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9365884OtherCostOrOtherBasis
Depreciation4225245Depreciation
Book Value5140639BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis8115076OtherCostOrOtherBasis
Depreciation6791177Depreciation
Book Value1323899BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis194466OtherCostOrOtherBasis
Depreciation178338Depreciation
Book Value16128BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6480666TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM THIRD PARTIESDescription
Book Value5274562BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5274562TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THE BRONX-LEBANON HOSPITAL CENTER$41,136,050
DUE TO THIRD PARTIES$560,879
FieldValueIRS element (for citing)
Total Of Amounts41696929TotalOfAmounts
Total Revenue35766863TotalRevenue
Total Expenses35662186TotalExpenses
Excess Or Deficit For Year104677ExcessOrDeficitForYear
Excess Or Deficit Per FS104677ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35766863TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal35766863RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99035766863TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35662186TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal35662186ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99035662186TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CENTER HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MR MIGUEL A FUENTES JR
099027805093080206602020161086250173497400
MR STEVEN ANDERMAN
05108760150000019338021459013032071470500
MR VICTOR G DEMARCO
05103220150000019338021459012213071333200
MR LIONEL STEWART
115792385971524050801292431114853828682622751506355021100
DR JUAN DIZON
118735088600037943021356084520275086000
DR JOSE TIBURCIO
139454055410021820013298083780238360000
DR FRANCIS HAYDEN
16322004305001438205464083840234500000
DR TRICIA CHAN
92534078298026986014416083750220609000
DR BONNIE GITMAN
1940170750008300083750209975000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BMIGUEL A. FUENTES, JR. $193,853
PART I, LINE 7MR. LIONEL STEWART RECEIVED A BONUS BASED UPON ACHIEVEMENT OF GOALS SET AT THE BEGINNING OF THE YEAR WITH MR. FUENTES. PHYSICIAN BONUSES ARE DETERMINED BY THE DEPARTMENT CHAIRMAN BASED UPON THE INDIVIDUALS CONTRIBUTION TO THE DEPARTMENT.
PART IIISCHEDULE J, PART II, MR. MIGUEL A. FUENTES, JR. INCLUDED IN COLUMN B (II), IS $509,308 REPRESENTING AN ANNUAL BONUS IN RECOGNITION OF THE SIGNIFICANT CONTRIBUTIONS MADE BY MR. FUENTES IN 2010. THIS BONUS IS BASED ON HIS SUCCESS IN ACHIEVING SPECIFIC TARGETS RELATED TO THE HOSPITAL'S OPERATING PROFIT, CONTROL OF GROWTH IN PAYROLL AND MEDICAL QUALITY PERFORMANCE. INCLUDED IN COLUMN B (III), OTHER COMPENSATION IS $193,853, REPRESENTING THE 2011 CONTRIBUTION TO THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR MR. FUENTES. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WAS AUTHORIZED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IN RECOGNITION OF MR. FUENTES' 30 YEARS OF SERVICE AND HIS CONTRIBUTION TO ENHANCING THE CLINICAL AND FINANCIAL PERFORMANCE OF THE ORGANIZATION. IT SHOULD ALSO BE NOTED THAT THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE FOR THE ORGANIZATION. BONUS AMOUNTS FOR STEVEN ANDERMAN AND VICTOR G. DEMARCO INCLUDE PAYMENT OF A BONUS FOR 2011 AND 2010.SUPPLEMENTAL INFORMATION

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990820200NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE BRONX LEBANON HOSPITAL CENTER IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE CHIEF EXECUTIVE OFFICER APPOINTS ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS AT THE NEXT BOARD MEETING AFTER THE SUBMISSION OF THE 990 TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL PERSONS ARE COVERED UNDER THE POLICY. THE INTERNAL AUDITOR REVIEWS CONFLICT OF INTEREST STATEMENTS AND INVESTIGATES POTENTIAL CONFLICTS. LEGAL OPINIONS ARE SOUGHT WHEN NECESSARY. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS IN RELATED TRANSACTIONS.
FORM 990, PART VI, SECTION C, LINE 19ONLY FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII:MR. MIGUEL A. FUENTES, JR. DEVOTED 45 HOURS FOR RELATED ORGANIZATIONS. MR. VICTOR G. DEMARCO DEVOTED 45 HOURS FOR RELATED ORGANIZATIONS. MR. STEVEN ANDERMAN DEVOTED 42 HOURS FOR RELATED ORGANIZATIONS.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BRONX LEBANON HOSPITAL CENTER
1276 FULTON AVENUEBRONXNY10456131974191HOSPITALNY501 (C) (3)3N/A0
BRONX LEBANON SPECIAL CARE CENTER
1265 FULTON AVENUEBRONXNY10456133479996SKILLED NURSING HOMENY501 (C) (3)90BRONX-LEBANON HOSPITAL CENTER
BRONX LEBANON HOSPITAL NEW DIRECTIONS FUND
1276 FULTON AVENUEBRONXNY10456133183084FUNDRAISINGNY501 (C) (3)70BRONX-LEBANON HOSPITAL CENTER
1650 BLHC SERVICES CORP
1276 FULTON AVENUEBRONXNY10456201841933RENTAL APARTMENT BUILDINGNY501 (C) (3)11 A0BRONX-LEBANON HOSPITAL CENTER
1770 BLHC SERVICES CORP
1276 FULTON AVENUEBRONXNY10456202031443RENTAL APARTMENT BUILDINGNY501 (C) (3)11 A0BRONX-LEBANON HOSPITAL CENTER
HIGHBRIDGE WOODYCREST CENTER
936 WOODYCREST AVENUEBRONXNY10452133519617SKILLED NURSING HOMENY501 (C) (3)11 A0BRONX-LEBANON HOSPITAL CENTER
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.