2013-01-31T09:57:34-06:00 2011-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2011-01-01 133519617 THE BRONX-LEBANON HIGHBRIDGE WOODYCREST CENTER INC BRON 7182933200 936 WOODYCREST AVENUE BRONX NY 10452 VICTOR DEMARCO 7182933200 2013-01-30 1 BERNARD GROTELL P01317742 2128674000 2011 2016-02-25 16:41:14Z VICTOR DEMARCO 936 WOODYCREST AVENUE BRONX NY 10452 17332167 0 X WWW.HIGHBRIDGEWOODYCREST.ORG X 1989 NY TO PROVIDE RESIDENTIAL CARE FOR PERSONS WITH AIDS OR HIV 3 2 110 8 0 0 0 0 14898208 17267965 43981 50931 11320 13271 14953509 17332167 0 0 0 0 7191981 7087545 0 0 0 7392883 7062216 14584864 14149761 368645 3182406 21563863 17788026 16913506 12955263 4650357 4832763 TO PROVIDE RESIDENTIAL CARE FOR PERSONS WITH AIDS AND HIV. 0 0 12559493 17267965 HIGHBRIDGE WOODYCREST CENTER PROVIDES MEDICAL CARE AND OTHER RESIDENTIAL SERVICES FOR 90 RESIDENTS WITH AIDS OR HIV. 12559493 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 32 0 110 1 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X VICTOR DEMARCO 7182933200 936 WOODYCREST AVENUE BRONX NY 10452 X MS BARBARA LOWE RN MPH 0.50 X X 0 0 0 MR ANTONIO SIRVENT 0.50 X X 0 0 0 MR MIGUEL A FUENTES JR 1.00 X X 0 1706188 28786 MR VICTOR G DEMARCO 1.00 X 0 679660 33672 MR OCTAVIO MARIN 1.00 X 0 357111 34371 MR LUDOMIR CZYNSKI 40.00 X 152116 0 13803 MS DENISE ROSEMOND 40.00 X 136377 0 13965 288493 2742959 124597 2 0 1 0 ARAMARK HEALTHCARE POBOX 33170 NEWARK NJ 07188 FOOD SERVICE 672284 ESSEN MEDICAL ASSOCIATES 2015 GRAND CONCOURSE BRONX NY 10453 MEDICAL SERVICE 495662 OPTIMUM MEDICAL STAFFING 27 GREENFIELD AVE STATEN ISLAND NY 10304 STAFFING 480923 BRONX LEBANON HOSPITAL CENTER 1276 FULTON AVE BRONX NY 10456 MANAGEMENT COMPANY 151777 MODERN FACILITIES SVC INC 733 RIDGEDALE AVE EAST HANOVER NJ 07936 HOUSEKEEPING 140847 7 RESIDENT SERVICE REVEN 623000 17267965 17267965 17267965 50931 50931 OTHER INCOME 900000 13271 13271 13271 17332167 17267965 0 64202 165919 147555 18364 4954221 4405855 548366 301756 251953 49803 1285103 1163013 122090 380546 328061 52485 1455488 1292501 162987 86369 86369 45500 45500 6976 6976 3089149 2769758 319391 210177 186641 23536 424957 377370 47587 2295 2039 256 856856 760905 95951 94720 84113 10607 NY STATE CASH ASSESSMEN 789729 789729 14149761 12559493 1590268 0 27587 10642 9484079 3804113 1790725 2231092 22504964 13240245 9630243 9264719 631229 2477460 21563863 17788026 1526996 1159032 5055600 5168000 383400 9947510 6628231 16913506 12955263 X 4650357 4832763 4650357 4832763 21563863 17788026 X 3182406 -3000000 X X 0 1 1 X 0 X 16280242 16602054 15557596 14898208 17267965 80606065 16280242 16602054 15557596 14898208 17267965 80606065 0 0 0 80606065 38729 11640 5213 43981 50931 150494 38729 11640 5213 43981 50931 150494 51287 11052 10338 11320 13271 97268 16370258 16624746 15573147 14953509 17332167 80853827 0.99690 0.99610 0.00190 0.00160 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE 500000 500000 17891141 9502947 8388194 3903351 3575430 327921 210472 161868 48604 9264719 RESIDENT PERSONAL FUNDS 8143 DUE FROM MARTIN LUTHER KING JR. HEALTH CENTER, INC 2000000 DEFERRED FINANCING COSTS 469317 2477460 DUE TO THIRD PARTY PAYORS 5641226 DUE TO BRONX-LEBANON SPECIAL CARE CENTER 196314 RESIDENT PERSONAL FUNDS 8143 DUE TO BRONX-LEBANON HOSPITAL CENTER 782548 6628231 17332167 14149761 3182406 -3000000 -3000000 182406 17332167 0 17332167 0 17332167 14149761 0 14149761 0 14149761 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: RESERVE ON DUE FROM MARTIN LUTHER KING JR. HEALTH CENTER INC. -3,000,000. 0 1 0 0 0 0 0 0 0 MR MIGUEL A FUENTES JR 0 990278 0 509308 0 206602 0 20161 0 8625 0 1734974 0 0 MR VICTOR G DEMARCO 0 510322 0 150000 0 19338 0 21459 0 12213 0 713332 0 0 MR OCTAVIO MARIN 0 284343 0 71250 0 1518 0 21459 0 12912 0 391482 0 0 MR LUDOMIR CZYNSKI 151507 0 0 0 609 0 5379 0 8424 0 165919 0 0 0 MS DENISE ROSEMOND 135996 0 0 0 381 0 3978 0 9987 0 150342 0 0 0 PART I, LINE 4B MIGUEL A. FUENTES, JR. $193,853 SUPPLEMENTAL INFORMATION PART III SCHEDULE 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 VICTOR G. DEMARCO AND OCTAVIO MARIN INCLUDE PAYMENT OF A BONUS FOR 2010 AND 2011. NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY 133479996 64971C2B9 2004-07-01 9245000 REFINANCE 0 0 0 9425000 11146 9233854 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THE CHIEF EXECUTIVE OFFICER APPOINTS ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C ALL 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 19 ONLY FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. MS. BARBARA LOWE, RN, MPH DEVOTED 2.5 HOURS FOR RELATED ORGANIZATIONS. MR. ANTONIO SIRVENT DEVOTED 2.5 HOURS FOR RELATED ORGANIZATIONS. MR. MIGUEL A. FUENTES, JR. DEVOTED 45 HOURS FOR RELATED ORGANIZATIONS. MR. VICTOR G. DEMARCO DEVOTED 45 HOURS FOR RELATED ORGANIZATIONS. MR. OCTAVIO MARIN DEVOTED 41 HOURS FOR RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: RESERVE ON DUE FROM MARTIN LUTHER KING JR. HEALTH CENTER INC. -3,000,000. TOTAL TO FORM 990, PART XI, LINE 5: -3,000,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MARTIN LUTHER KING JR HEALTH CENTER 1265 FRANKLIN AVENUE BRONX NY 10456 132707945 OUTPATIENT MEDICAL SERVICES NY 501 (C) (3) 9 BRONX LEBANON HOSPITAL CENTER 0 BRONX LEBANON HOSPITAL CENTER 1276 FULTON AVENUE BRONX NY 10456 133974191 HOSPITAL NY 501 (C) (3) 3 N/A 0 BRONX LEBANON HOSPITAL NEW DIRECTIONS FUND 1276 FULTON AVENUE BRONX NY 10456 133183084 FUNDRAISING NY 501 (C) (3) 7 BRONX LEBANON HOSPITAL CENTER 0 1650 BLHC SERVICES CORP 1276 FULTON AVENUE BRONX NY 10456 201841933 RENTAL APARTMENT BUILDING NY 501 (C) (3) 11A BRONX LEBANON HOSPITAL CENTER 0 1770 BLHC SERVICES CORP 1276 FULTON AVENUE BRONX NY 10456 202031443 RENTAL APARTMENT BUILDING NY 501 (C) (3) 11A BRONX LEBANON HOSPITAL CENTER 0 BRONX LEBANON SPECIAL CARE CENTER 1265 FRANKLIN AVENUE BRONX NY 10456 133479996 SKILLED NURSING HOME NY 501 (C) (3) 9 BRONX LEBANON HOSPITAL CENTER 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0