2011-11-15T15:22:50-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 133479996 BRONX-LEBANON SPECIAL CARE CENTER INC BRON 7185797071 1265 FULTON AVENUE BRONX NY 10456 VICTOR DEMARCO 7185797071 2011-11-15 1 FREDERICK H ROTHMAN 2128674000 2010 2016-02-24 21:20:13Z VICTOR DEMARCO 1265 FULTON AVENUE BRONX NY 10456 35580238 0 X N/A X 1989 NY TO DELIVER QUALITY AND EFFICIENT HEALTH CARE SERVICES TO RESIDENTS OF THE BRONX AND NYC. 3 2 292 6 0 0 0 0 36286249 35226769 154405 85258 7349 268211 36448003 35580238 0 0 0 0 20003290 20032679 0 0 0 14486660 14468392 34489950 34501071 1958053 1079167 19610520 21722992 16094391 17472696 3516129 4250296 X SEE SCHEDULE OTHE MISSION OF THE BRONX-LEBANON SPECIAL CARE CENTER IS TO DELIVER QUALITY, EFFECTIVE AND EFFICIENT HEALTH CARE SERVICES TO MEET THE HEALTH SERVICE NEEDS OF THE RESIDENTS OF THE BRONX AND TO ENHANCE IT'S RPUTATION AS ONE OF THE COMMUNITY'S LONG TERM CARE FACILITIES IN THE BRONX AND NEW YORK CITY. 0 0 30804918 35226769 THE SPECIAL CARE CENTER PROVIDES MEDICAL CARE FOR 120 AIDS AND 120 GERIATRIC RESIDENTS, AS WELL AS OCCUPATIONAL, PHYSICAL THERAPY AND SOCIAL SERVICES. 30804918 1 0 0 1 0 0 0 0 0 1 0 0 0 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 15 0 1 292 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 7189018600 1265 FULTON AVENUE BROOKLYN NY 10456 X MR MIGUEL A FUENTES JR 1.00 X X 0 2431100 31301 MR ANTONIO SIRVENT 0.50 X 0 0 27743 MS BARBARA LOWE RN MPH 0.50 X 0 0 27576 MR VICTOR G DEMARCO 1.00 X 0 839292 30825 MR OCTAVIO MARIN 1.00 X 0 422111 30705 MR ALAN OKAFOR 37.50 X 217428 0 14788 MR PETER KENNEDY 40.00 X 181724 0 23559 MS JULIANA CHIN 37.50 X 180285 0 25850 GEOFFREY LORD 40.00 X 153067 0 20723 OLIVE WILLIAMS-BROWN 40.00 X 149894 0 10942 882398 3692503 244012 13 0 1 0 BRONX-LEBANON HOSPITAL CENTER 1276 FULTON AVENUE BRONX NY 10456 MANAGEMENT COMPANY 1410964 ESSEN MEDICAL ASSOCIATES 2015 GRAND CONCOURSE BRONX NY 10453 MEDICAL SERVICE 1040104 ARAMARK HEALTHCARE PO BOX 33170 NEWARK NJ 07188 FOOD SERVICE 690703 ADVANCED PROFESSIONAL MARKETING 99 ESSEX STREET 2ND FLOOR NEW YORK NY 10002 STAFFING 301325 MODERN FACILITIES SERVICES INC 733 RIDGEDALE AVE EAST HANOVER NJ 07936 HOUSEKEEPING 236318 11 REVENUE-PATIENT SRVCS 623000 35226769 35226769 35226769 85258 85258 MORTGAGE ABATEMENT 900099 261295 261295 MEDICAL RECORDS FEES 623000 3547 3547 SUNDRY SALES 900099 3369 3369 268211 35580238 35226769 0 353469 14772431 12554012 2218419 953259 943726 9533 3220038 2906314 313724 1086951 923908 163043 1479224 1399346 79878 60159 60159 37780 37780 18785 18785 1972873 1876072 96801 5107 5107 5913784 5588536 325248 385846 373433 12413 935058 883630 51428 19235 18177 1058 1481850 1251118 230732 85536 13491 72045 NEW YORK STATE ASSESSME 2073155 2073155 34501071 30804918 3696153 0 1897549 4632355 5649840 5734443 4163968 4116866 216119 146046 204642 204642 35534607 29194185 7210025 6340422 268377 548218 19610520 21722992 2247398 2344624 5608333 4793333 8238660 10334739 16094391 17472696 X 3516129 4250296 3516129 4250296 19610520 21722992 X 1079167 -345000 X X 0 1 1 X 0 X 36263176 36299460 36939772 36286249 35226769 181015426 36263176 36299460 36939772 36286249 35226769 181015426 0 0 0 181015426 181872 220571 202560 154405 85258 844666 181872 220571 202560 154405 85258 844666 5265 5432 5956 7349 268211 292213 36450313 36525463 37148288 36448003 35580238 182152305 0.99380 0.99480 0.00460 0.00510 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: SUNDRY SALES MORTGAGE ABATEMENT MEDICAL RECORDS FEES 0 0 0 0 0 0 0 0 1 18785 18785 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE PORTION OF DUES TO TRADE ORGANIZATIONS THAT IS RELATED TO LOBBYING. 1 1 28092784 23673291 4419493 6726720 4939939 1786781 715102 580955 134147 6340422 DUE TO THIRD PARTIES 10217916 DUE TO PATIENTS 116823 10334739 35580238 34501071 1079167 -345000 -345000 734167 35580238 0 35580238 0 35580238 34501071 0 34501071 0 34501071 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: BLSCC 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: RESERVE ON INVESTMENTS IN AFFILIATED ORGANIZATION. -345,000. 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 VICTOR G DEMARCO 0 529954 0 290000 0 19338 0 21459 0 9366 0 870117 0 0 MR OCTAVIO MARIN 0 295593 0 125000 0 1518 0 21459 0 9246 0 452816 0 0 MR ALAN OKAFOR 217428 0 0 0 0 0 1800 0 12988 0 232216 0 0 0 MR PETER KENNEDY 164208 0 17000 0 516 0 14403 0 9156 0 205283 0 0 0 MS JULIANA CHIN 180285 0 0 0 0 0 12862 0 12988 0 206135 0 0 0 GEOFFREY LORD 125932 0 27000 0 135 0 11603 0 9120 0 173790 0 0 0 OLIVE WILLIAMS-BROWN 135646 0 14000 0 248 0 1811 0 9131 0 160836 0 0 0 PART I, LINE 4B MIGUEL A. FUENTES, JR. $1,006,841 PART I, LINE 7 HIGHLY COMPENSATED 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 VICTOR G. DEMARCO AND OCTAVIO MARIN INCLUDE PAYMENT OF A BONUS FOR 2009 AND FOR 2010. NEW YORK CITY INDUSTRIAL DEVELOPMENT AGENCY 133479996 64971C2B9 2004-07-01 9245000 REFINANCING 0 0 0 9245000 785166 8459834 2004 1 0 1 1 0 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 42 HOURS FOR RELATED ORGANIZATIONS. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: RESERVE ON INVESTMENTS IN AFFILIATED ORGANIZATION. -345,000. TOTAL TO FORM 990, PART XI, LINE 5: -345,000. 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 STREET BRONX NY 10456 131974191 HOSPITAL NY 501 (C) (3) 3 N/A 0 BRONX LEBANON HOSPITAL NEW DIRECTIONS FUND 1276 FULTON STREET BRONX NY 10456 133183084 FUNDRAISING NY 501 (C) (3) 7 BRONX LEBANON HOSPITAL CENTER 0 1650 BLHC SERVICES CORP 1276 FULTON STREET BRONX NY 10456 201841933 RENTAL APARTMENT BUILDING NY 501 (C) (3) 11A BRONX LEBANON HOSPITAL CENTER 0 1770 BLHC SEVICES CORP 1276 FULTON STREET BRONX NY 10456 202031443 RENTAL APARTMENT BUILDING NY 501 (C) (3) 11A BRONX LEBANON HOSPITAL CENTER 0 HIGHBRIDGE WOODYCREST CENTER 936 WOODYCREST AVENUE BRONX NY 10452 133519617 SKILLED NURSING HOME NY 501 (C) (3) 9 BRONX LEBANON HOSPITAL CENTER 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0