2011-11-15T13:16:52-06:00 2010-12-31 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2010-01-01 133948652 COLUMBIA UNIVERSITY HEALTH CARE INC COLU 2123054990 630 WEST 168TH STREET NEW YORK NY 10032 SARA PATTERSON 2123054990 2011-11-15 1 FREDERICK H ROTHMAN 2128674000 2010 2016-03-07 17:11:31Z SARA PATTERSON 630 WEST 168TH STREET NEW YORK NY 10032 21252025 0 X N/A X 1995 NY TO OPERATE A DENTAL CLINIC PURSUANT TO ARTICLE 28 OF THE NYS PUBLIC HEALTH LAW. 5 0 0 0 0 0 8148967 8449648 13447091 12802377 0 0 0 0 21596058 21252025 0 0 0 0 0 0 0 0 0 21596058 21252025 21596058 21252025 0 0 5991159 4437781 5991159 4437781 0 0 X COLUMBIA UNIVERSITY HEALTH CARE WAS FORMED TO OPERATE A DENTAL AND OTHER HEALTH-CARE CLINIC'S PURSUANT TO THE TERMS AND PROVISIONS OF ARTICLE 28 OF THE NEW YORK STATE PUBLIC HEALTH LAW. IN JUNE 2011, THE BOARD OF DIRECTORS ADOPTED THE FOLLOWING MISSION STATEMENT:COLUMBIA UNIVERSITY HEALTH CARE'S MISSION IS TO IMPROVE THE HEALTH OF ALL PATIENTS SERVED BY PROVIDING AFFORDABLE AND HIGH QUALITY HEALTH CARE. COLUMBIA UNIVERSITY HEALTH CARE IS ESPECIALLY DEDICATED TO PROVIDING ORAL HEALTH CARE TO UNDERSERVED COMMUNITIES IN NORTHERN MANHATTAN WITH AN EMPHASIS ON ORAL HEALTH DISEASE PREVENTION. 0 0 15293561 12802377 COLUMBIA UNIVERSITY HEALTH CARE IS COMMITTED TO REDUCING THE ORAL HEALTH DISEASE BURDEN OF THE RESIDENTS IN NORTHERN MANHATTAN, MUCH OF WHICH IS DESIGNATED AS A FEDERAL DENTAL HEALTH PROFESSIONAL SHORTAGE AREA. IN ADDITION, DIABETES SERVICES ARE ALSO PROVIDED. DURING THE 2010 YEAR CUHC PROVIDED 105,200 DENTAL VISITS TO MORE THAN 33,100 INDIVIDUALS; CUHC PROVIDED $7.7 MILLION IN UNCOMPENSATED CARE. 15293561 1 1 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X SARA PATTERSON 2123054990 630 WEST 168TH STREET NEW YORK NY 10032 X IRA B LAMSTER 1.00 X X 0 358504 46235 STEPHEN MARSHALL 1.00 X X 0 163757 72811 SARA PATTERSON 1.00 X X 0 151747 40001 FRANCINE CARACAPPA 1.00 X 0 301353 58008 ROBERT LEWY 1.00 X 0 173938 5573 RONNIE MYERS 1.00 X 0 247485 83720 0 1396784 306348 0 0 1 0 THE TRUSTEES OF COLUMBIA UNIVERSITY IN T 535 WEST 116TH STREET NEW YORK NY 10027 CONTRACTED SERVICES 11820549 1 7686073 763575 8449648 CLINIC REVENUE 621400 12802377 12802377 12802377 21252025 12802377 0 0 56000 56000 11821199 7017027 4804172 4596836 3882769 714067 243250 243250 3738347 3726701 11646 129329 129329 176162 176162 40351 40351 REPAIRS & MAINTENANCE 450551 450551 21252025 15293561 5958464 0 1943668 203804 2103823 1702896 2707243 176162 0 2531081 1943668 0 5991159 4437781 433179 307506 5557980 4130275 5991159 4437781 X 0 0 5991159 4437781 0 0 X X 0 1 1 X 0 X 6237077 6494845 8161634 8148967 8449648 37492171 13987500 13868240 14220770 13447091 12802377 68325978 20224577 20363085 22382404 21596058 21252025 105818149 0 0 0 105818149 20224577 20363085 22382404 21596058 21252025 105818149 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1891252 94563 1796689 815991 81599 734392 2531081 DUE TO COLUMBIA UNIVERSITY 4130275 4130275 21252025 21252025 0 0 0 21252025 0 21252025 0 21252025 21252025 0 21252025 0 21252025 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CUHC 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 0 0 0 0 0 0 0 0 IRA B LAMSTER 0 338504 0 0 0 20000 0 37535 0 8700 0 404739 0 0 STEPHEN MARSHALL 0 163757 0 0 0 0 0 18596 0 54215 0 236568 0 0 SARA PATTERSON 0 149747 0 2000 0 0 0 13706 0 26295 0 191748 0 0 FRANCINE CARACAPPA 0 301353 0 0 0 0 0 19160 0 38848 0 359361 0 0 ROBERT LEWY 0 13318 0 36667 0 123953 0 2658 0 2915 0 179511 0 0 RONNIE MYERS 0 137918 0 50372 0 59195 0 19536 0 64184 0 331205 0 0 SUPPLEMENTAL INFORMATION PART III DR. LEWY RETIRED AS A FULL-TIME EMPLOYEE OF COLUMBIA UNIVERSITY ON FEBRUARY 1, 2010 AND STEPPED DOWN FROM THE CUHC BOARD AT THAT TIME. CERTAIN OF THE COMPENSATION SHOWN WAS PAID FROM A QUALIFIED RETIREMENT PLAN FOR HIS SERVICE AS AN EMPLOYEE AT THE UNIVERSITY. HE CONTINUES TO BE A PART-TIME EMPLOYEE OF THE UNIVERSITY BUT RECEIVES NO COMPENSATION FOR HIS DUTIES AS A DIRECTOR OF CUHC. FORM 990, PART VI, SECTION A, LINE 6 THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK ("COLUMBIA UNIVERSITY") IS THE SOLE MEMBER OF COLUMBIA UNIVERSITY HEATLH CARE, INC. ("CUHC"). FORM 990, PART VI, SECTION A, LINE 7A COLUMBIA UNIVERSITY HAS THE RIGHT TO ELECT THE CUHC BOARD MEMBERS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 11 COLUMBIA UNIVERSITY HEALTHCARE INC. IS CONTROLLED BY THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK ('THE UNIVERSITY') AS ITS SOLE MEMBER. THE UNIVERSITY HAS ASSUMED RESPONSIBILITY FOR THE ADMINISTRATION OF CUHC. THE FORM 990 WAS REVIEWED BY OFFICIALS OF THE UNIVERSITY, INCLUDING THE UNIVERSITY'S DEPUTY CONTROLLER, ASSOCIATE TAX DIRECTOR, THE CONTROLLER OF COLUMBIA UNIVERSITY MEDICAL CENTER, THE SENIOR ASSOCIATE DEAN FOR FINANCE AT THE COLLEGE DENTAL MEDICINE, AND A REPRESENTATIVE FROM THE UNIVERSITY'S GENERAL COUNSEL'S OFFICE. FORM 990, PART VI, SECTION B, LINE 12C COLUMBIA UNIVERSITY HEALTH CARE, INC. ("CUHC") ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS SOLE MEMBER, THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK. EACH EMPLOYEE OF COLUMBIA UNIVERSITY WHO SERVES AS A DIRECTOR OF CUHC IS SUBJECT TO COLUMBIA UNIVERSITY'S "STATEMENT OF UNIVERSITY POLICY ON CONFLICTS OF INTEREST," AND IS REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ANY DISCLOSURES THAT COULD GIVE RISE TO CONFLICTS AS IDENTIFIED THROUGH SUCH REVIEW ARE REPORTED TO AN APPROPRIATE SENIOR OFFICER. FORM 990, PART VI, SECTION B,LINE 15: COLUMBIA UNIVERSITY HEALTH CARE,INC. ("CUHC") DOES NOT HAVE ANY EMPLOYEES. CUHC CONTRACTS SERVICES FROM ITS SOLE MEMBER, THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK. FORM 990, PART VI, SECTION C, LINE 19 CUHC IS CONTROLLED BY COLUMBIA UNIVERSITY AS ITS SOLE MEMBER. COLUMBIA UNIVERSITY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE ON THE UNIVERSITY'S WEBSITE AT WWW.COLUMBIA.EDU. CUHC'S DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. HOURS PROVIDED TO RELATED ORGANIZATIONS: FORM 990, PART VII, SECTION A, COLUMN E IRA B. LAMSTER 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION STEPHEN MARSHALL 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION SARA PATTERSON 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION FRANCINE CARACAPPA 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION ROBERT LEWY 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION RONNIE MYERS 59 HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION THE DIRECTORS OF CUHC SERVE IN THEIR CAPACITY AS EMPLOYEES OF COLUMBIA UNIVERSITY, CUHC'S SOLE MEMBER. THEIR AVERAGE HOURS AS EMPLOYEES OF THE UNIVERSITY IS 60 HOURS PER WEEK. THE ACTUAL TIME DEVOTED TO THEIR DUTIES FOR CUHC VARIES WITH THE NEEDS OF THE ORGANIZATION. DR. IRA LAMSTER, SERVES AS DEAN OF THE UNIVERSITY'S COLLEGE OF DENTAL MEDICINE, AND HIS COMPENSATION IS REVIEWED ANNUALLY BY THE UNIVERSITY'S PRESIDENT AND A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT UNIVERSITY TRUSTEES. THE PRESIDENT AND THE COMMITTEE REVIEW COMPARABILITY DATA AND MINUTES OF THE COMMITTEE'S DELIBERATIONS ARE RECORDED CONTEMPORANEOUSLY. DR. MARSHALL, MS. PATTERSON, MS. CARACAPPA, DR. LEWY AND DR. MEYERS ARE NOT OFFICERS OR KEY EMPLOYEES OF THE UNIVERSITY. THEIR COMPENSATION IS DETERMINED IN ACCORDANCE WITH THE UNIVERSITY'S REGULAR COMPENSATION PRACTICES APPLICABLE TO SIMILARLY SITUATED EMPLOYEES. ALL UNIVERSITY EMPLOYEES WHO SERVE AS DIRECTORS OF CUHC DO SO AS PART OF THEIR UNIVERSITY RESPONSIBILITIES. FORM 990, PART XII, LINE 2C THE CONSOLIDATED FINANCIAL STATEMENTS OF COLUMBIA UNIVERSITY, THE SOLE MEMBER OF CUHC, ARE AUDITED BY PRICEWATERHOUSECOOPERS ("PWC"), AN INDEPENDENT AUDITOR. THE UNIVERSITY'S BOARD OF TRUSTEES HAS AN AUDIT COMMITTEE COMPRISED OF INDEPENDENT MEMBERS WHICH IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT, REVIEW AND COMPILATION OF THE UNIVERSITY'S FINANCIAL STATEMENTS AND SELECTION OF THE UNIVERSITY'S INDEPENDENT AUDITOR. FORM 990, PART VI, LINE 13 COLUMBIA UNIVERSITY HAS A WRITTEN WHISTLEBLOWER POLICY WHICH APPLIES TO THE ACTIVITIES OF CUHC. FORM 990, PART VI, LINE 14 CUHC FOLLOWS THE DOCUMENT RETENTION AND DESTRUCTION POLICIES OF COLUMBIA UNIVERSITY, CONSISTENT WITH APPLICABLE LAW. FORM 990, PART VII, SECTION B CONSISTENT WITH THE AFFILIATION BETWEEN COLUMBIA UNIVERSITY AND CUHC, COLUMBIA UNIVERSITY PROVIDES CLINICAL AND OTHER SERVICES TO CUHC IN SUPPORT OF ITS EXEMPT PURPOSES. 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