2011-11-15T15:29:00-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 132707945 DR MARTIN LUTHER KING JR HEALTH CENTER INC DRMA 7186813400 1265 FRANKLIN AVENUE BRONX NY 10456 VICTOR DEMARCO 7186813400 2011-11-15 1 FREDERICK H ROTHMAN 2128674000 2010 2016-02-24 21:20:13Z VICTOR DEMARCO 1265 FRANKLIN AVENUE BRONX NY 10456 36082940 0 X N/A X 1968 NY TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY ECONOMICALLY DEPRIVED POPULATION. 11 10 429 6 0 0 2057171 2188012 44964779 33697818 0 0 79854 197110 47101804 36082940 0 0 0 0 24935171 23757827 0 0 0 23715800 16980715 48650971 40738542 -1549167 -4655602 14683950 14005100 38654254 42631006 -23970304 -28625906 X TO 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. 0 0 34935278 33697818 DR. 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. 34935278 1 1 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 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 6 0 1 429 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X VICTOR DEMARCO 7189018600 1265 FRANKLIN AVENUE BRONX NY 10456 X MR MIGUEL A FUENTES JR 1.00 X X 0 2431100 31301 MR VAUGHN THOMAS 4.00 X 0 0 0 MR JULIO PABON MPA 3.00 X 0 0 0 MR ROBERT CARRILLO 3.00 X 0 0 0 MS CLAUDIA NISBETT 3.00 X 0 0 0 MR WINSTON BREWSTER 2.00 X 0 0 0 PROF ELLEN R HOIST MS RN 2.00 X 0 0 0 MR LUIS MOJICA EDD 2.00 X 0 0 0 MS MARTHA REYES RN 2.00 X 0 0 0 MS NEVA SHILLINGFORD 2.00 X 0 0 0 PROF SIGMUND C SHIPP PH D 2.00 X 0 0 0 MR STEVEN ANDERMAN 1.00 X 0 840839 30825 MR VICTOR G DEMARCO 1.00 X 0 839292 30825 MR LIONEL STEWART 40.00 X 191628 0 24940 MR OCTAVIO MARIN 1.00 X 0 422111 30705 DR JUAN DIZON 40.00 X 241240 0 30530 DR RUDRANI BANIK 40.00 X 235834 0 10317 DR FRANCIS HAYDEN 40.00 X 212165 0 14589 DR JOSE TIBURCIO 40.00 X 214499 0 22416 DR MAGDY MIKHAIL 1.00 X 0 1199265 30834 1095366 5732607 257282 40 0 1 0 THE OUTSOURCE GROUP 39867 TREASURY CENTER CHICAGO IL 60694 COLLECTION 343006 TRI-B INDUSTRIES CORP 733 RIDGEDALE AVE SUITE 206 EAST HANOVER NJ 07936 HOUSEKEEPING 284130 APOLLO HEALTH STREET INC 2 BRIGHTON ROAD SUITE 300 BLOOMFIELD NJ 07003 COLLECTION 253199 BRONX-LEBANON HOSPITAL CENTER 1276 FULTON AVENUE BRONX NY 10456 MANAGEMENT 154070 MBL CONSTRUCTION 2620 ST RAYMOND AVE BRONX NY 10467 SNOW REMOVAL 142857 5 1191958 996054 848698 2188012 PATIENT REVENUE 621400 33697818 33697818 33697818 PARKING LOT 812930 103125 103125 TOKENS 900099 76995 76995 MISCELLANEOUS INCOME 900099 10004 10004 6986 6986 197110 36082940 33697818 0 197110 217140 30400 186740 18291790 14927958 3363832 1167695 1038903 128792 2813393 2583327 230066 1267809 1115672 152137 154070 135582 18488 76595 76595 40000 40000 2624521 2309578 314943 3341276 2941426 399850 490320 431480 58840 2864990 2349292 515698 134420 118290 16130 30013 30013 903701 750072 153629 796872 701247 95625 BAD DEBT EXPENSE 5374111 5374111 MISCELLANEOUS 135265 113379 21886 RECREATIONAL ACTIVITIES 14561 14561 40738542 34935278 5803264 0 460675 371076 266988 233260 4339445 3610786 51818 26230 17739875 10214310 7242244 7525565 2322780 2238183 14683950 14005100 3770259 3270108 34883995 39360898 38654254 42631006 X -23970304 -28625906 -23970304 -28625906 14683950 14005100 -4655602 0 X X 0 1 1 X 1 1 X 1537567 2889045 2181190 2057171 2188012 10852985 42555189 38705808 39687930 44964779 33697818 199611524 44092756 41594853 41869120 47021950 35885830 210464509 0 0 0 210464509 28719 95500 337119 79854 197110 738302 44121475 41690353 42206239 47101804 36082940 211202811 0.99650 0.99740 0.00000 0.00010 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME PARKING LOT TOKENS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8705386 3583617 5121769 7995647 6630693 1364954 1038842 1038842 7525565 OTHER RECEIVABLES 17185 DUE FROM THIRD PARTIES 2220998 2238183 DUE TO THE BRONX-LEBANON HOSPITAL CENTER 34802322 DUE TO THIRD PARTIES 4558576 39360898 36082940 40738542 -4655602 0 -4655602 36082940 0 36082940 0 36082940 40738542 0 40738542 0 40738542 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, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. 0 1 0 0 0 0 0 1 0 MR MIGUEL A FUENTES JR 0 986899 0 430038 0 1014163 0 21935 0 9366 0 2462401 0 0 MR STEVEN ANDERMAN 0 531501 0 290000 0 19338 0 21459 0 9366 0 871664 0 0 MR VICTOR G DEMARCO 0 529954 0 290000 0 19338 0 21459 0 9366 0 870117 0 0 MR LIONEL STEWART 154549 0 35000 0 2079 0 15313 0 9627 0 216568 0 0 0 MR OCTAVIO MARIN 0 295593 0 125000 0 1518 0 21459 0 9246 0 452816 0 0 DR JUAN DIZON 140888 0 84580 0 15772 0 21356 0 9174 0 271770 0 0 0 DR RUDRANI BANIK 220726 0 15000 0 108 0 1199 0 9118 0 246151 0 0 0 DR FRANCIS HAYDEN 179010 0 32975 0 180 0 5464 0 9125 0 226754 0 0 0 DR JOSE TIBURCIO 149799 0 59392 0 5308 0 13298 0 9118 0 236915 0 0 0 DR MAGDY MIKHAIL 0 279927 0 900000 0 19338 0 21459 0 9375 0 1230099 0 0 PART I, LINE 4B MIGUEL A. FUENTES, JR. $1,006,841 PART I, LINE 7 HIGHLY COMPENSATED AND KEY EMPLOYEES 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. SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART II, MR. MIGUEL A. FUENTES, JR. INCLUDED IN COLUMN B (II), IS $430,038 REPRESENTING AN ANNUAL BONUS IN RECOGNITION OF THE SIGNIFICANT CONTRIBUTIONS MADE BY MR. FUENTES IN 2009. 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 $1,006,841, REPRESENTING THE 2010 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' 29 YEARS OF SERVICE AND HIS CONTRIBUTION TO ENHANCING THE CLINICAL AND FINANCIAL PERFORMANCE OF THE ORGANIZATION. THE PLAN BENEFIT IS ACTUARIALLY CALCULATED TO PROVIDE A LUMP SUM PAYMENT IN 2011. 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, VICTOR G. DEMARCO, AND OCTAVIO MARIN INCLUDE PAYMENT OF A BONUS FOR 2009 AND FOR 2010. X 1 848698 COST 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. 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. 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 40 HOURS FOR RELATED ORGANIZATIONS. MR. LIONEL STEWART DEVOTED 1 HOUR FOR RELATED ORGANIZATIONS. DR. MAGDY MIKHAIL DEVOTED 40 HOURS FOR RELATED ORGANIZATIONS. MR. OCTAVIO MARIN DEVOTED 42 HOURS FOR RELATED ORGANIZATIONS. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BRONX LEBANON HOSPITAL CENTER 1276 FULTON AVENUE BRONX NY 10456 131974191 HOSPITAL NY 501 (C) (3) 3 N/A 0 BRONX LEBANON SPECIAL CARE CENTER 1265 FULTON AVENUE BRONX NY 10456 133479996 SKILLED NURSING HOME NY 501 (C) (3) 9 BRONX-LEBANON HOSPITAL CENTER 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) 11 A BRONX-LEBANON HOSPITAL CENTER 0 1770 BLHC SERVICES CORP 1276 FULTON AVENUE BRONX NY 10456 202031443 RENTAL APARTMENT BUILDING NY 501 (C) (3) 11 A BRONX-LEBANON HOSPITAL CENTER 0 HIGHBRIDGE WOODYCREST CENTER 936 WOODYCREST AVENUE BRONX NY 10452 133519617 SKILLED NURSING HOME NY 501 (C) (3) 11 A BRONX-LEBANON HOSPITAL CENTER 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0