2018-11-15T11:04:37-06:00 2017-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2017-01-01 951644042 Torrance Memorial Medical Center % CARI ERICKSON CONTROLLER TORR 3103259110 3330 LOMITA BOULEVARD TORRANCE CA 90505 WILLIAM LARSON CFO 3103259110 2018-11-13 true KARA ADAMS P00023315 9497942300 164.57.159.253 33577420183195000003 2018-11-15 P 856506003E7717BB4C5FA0BAF50AAA2B61E0405F CBBDC42840D8014E8353DD16D453BA683ED30307 2017 2019-02-21 02:37:17Z CRAIG LEACH 3330 LOMITA BOULEVARD TORRANCE CA 90505 804423424 false X WWW.TORRANCEMEMORIAL.ORG X 1925 CA SEE SCHEDULE O 10 8 3961 1400 2450852 0 21013308 17025204 606790899 640305722 2919122 7512230 2873713 2512366 633597042 667355522 112772 317903 0 0 323792858 343197155 0 0 1187197 301774314 310134392 625679944 653649450 7917098 13706072 1141651338 1207830389 578570201 604035708 563081137 603794681 X SEE SCHEDULE O false false 532615167 317903 642761106 SEE SCHEDULE O 532615167 true true false true false false false false false true true false true false true true true true false false true false false false false false true true true false true true false false false false false false false false false true false false false false false true true true false false true 359 0 true 3961 true true true false false false false false false false false false X 10 8 false false false false true true false true true false false true true true true true true true true true true CA X CARI ERICKSON CONTROLLER 3103259110 3330 LOMITA BOULEVARD TORRANCE CA 90505 VINH CAM MD VICE CHAIRMAN 1.0 1.0 X X 0 0 0 WILLIAM COLLIER ESQ TREASURER 1.0 1.0 X X 0 0 0 GREG GEIGER CHAIRMAN 1.0 2.0 X X 0 0 0 SHERRY KRAMER SECRETARY 1.0 1.0 X X 0 0 0 KRISTINE DOUGLAS BOARD MEMBER 1.0 1.0 X 0 0 0 AMIR KAVIANI MD BOARD MEMBER 1.0 1.0 X 0 0 0 CHARLOTTE LESSER BOARD MEMBER 1.0 1.0 X 0 0 0 SUSAN LIEBSON BOARD MEMBER 1.0 1.0 X 0 0 0 RICHARD LUCY BOARD MEMBER 1.0 2.0 X 0 0 0 THOMAS SIMKO MD BOARD MEMBER 1.0 1.0 X 0 0 0 CRAIG LEACH PRESIDENT/CEO/ASSIST TREASURER 20.0 20.0 X 0 829433 250817 WILLIAM LARSON CFO 20.0 20.0 X 0 288120 54259 DEREK BERZ SR VP CHIEF ADMIN OFFICER 40.0 0.0 X 0 336341 33950 DEBRA KELLY VP ANCILLARY SUPPORT SERVICES 40.0 0.0 X 0 302799 52790 BARBARA LEQUIRE SR VP NURSING SERVICES 40.0 0.0 X 0 316861 16351 JOHN MCNAMARA CMO 20.0 20.0 X 0 536335 60470 HEATHER SHAY VP ACCRED & QUALITY SERVICES 40.0 0.0 X 0 290825 41378 SALLY EBERHARD SR VP TMHS 20.0 20.0 X 0 584226 76445 SHANNA HALL SR VP NURSING SERVICES 40.0 0.0 X 0 237264 23622 MARY WRIGHT VP NURSING SERVICES 40.0 0.0 X 0 238026 21060 MICHAEL THOMAS VP ANCILLARY SUPPORT SERVICE 40.0 0.0 X 0 252288 9243 ROBIN CAMRIN VP MED STAFF SERVICES 40.0 0.0 X 0 275425 45231 LINDA DOBIE VP RISK MANAGEMENT 40.0 0.0 X 0 286793 62318 BERNADETTE REID VP INFORMATION SERVICES 40.0 0.0 X 0 291877 50511 LAURA SCHENASI EXEC VP TMMC FOUNDATION 40.0 0.0 X 0 312229 59283 WEN-WEN TSAI RN CADIO VASCULAR ICU 40.0 0.0 X 247440 0 44135 247440 5378842 901863 632 false true false Mayo Collaborative Services PO Box 9146 MINNEAPOLIS MN 55480 Medical Services 1442527 Philips Healthcare PO Box 100355 ATLANTA GA 30384 Medical Services 1592679 Siemens Medical Solutions Dept LA 21536 PASADENA CA 91185 Med Purchased Svcs 2397424 Sodexo Inc and Affiliates PO Box 360170 PITTSBURGH PA 15251 Food Services 4959733 Cerner Corporation PO Box 959156 ST LOUIS MO 63195 IT services 8637875 85 12308157 39000 4678047 17025204 PATIENT SERVICES 900099 385450226 383790571 1659655 0 MEDI-CARE REVENUE 900099 143575511 143575511 0 0 CAPITATION REVENUE 900099 54871692 54871692 0 0 MEDI-CAL REVENUE 900099 38993086 38993086 0 0 PHYSICIAN SUPPORT REVENUE 900099 9858631 9858631 0 0 7556576 6765379 791197 0 640305722 5159674 5159674 0 0 250440 193458 56982 0 56982 56982 139227000 136874444 2352556 2352556 2352556 0 0 0 0 0 0 0 0 0 REBATES & REFUNDS 900099 1571717 1571717 0 0 MANAGEMENT FEES 900099 883667 883667 0 0 2455384 667355522 640310254 2450852 7569212 317903 317903 0 0 0 0 0 0 4961034 0 4961034 0 89390 0 89390 0 243787448 200428181 42560719 798548 13279502 10729397 2507490 42615 62261319 48718710 13360970 181639 18818462 15204693 3553378 60391 0 0 0 901227 0 901227 0 448379 0 448379 0 24609 24609 0 0 0 0 626986 0 626986 0 32778641 17227017 15551624 0 0 0 0 0 33657063 27262118 6394945 0 14644182 0 14644182 0 0 0 0 0 6423032 2417049 3901979 104004 167591 51618 115973 0 0 0 283184 86193 196991 0 9809275 9809275 0 0 0 0 0 47814464 41646530 6167934 0 3735903 3735903 0 0 Medical Supplies 102252787 102252787 0 0 Hospital Fee 34782000 34782000 0 0 Physician Fees 16742974 16742974 0 0 REPAIRS AND MAINTENANCE 3753039 905323 2847716 0 1289056 272887 1016169 653649450 532615167 119847086 1187197 0 12137875 9877323 23041597 20052515 0 0 67414339 76840629 0 0 0 0 0 0 10256676 9362551 27238697 42174141 1144266410 547426533 617135195 596839877 272114141 301436173 21553752 18803394 76076265 116253630 3992992 3802351 10689809 12387805 1141651338 1207830389 75599406 93694294 0 0 0 0 297240000 289785000 0 0 0 0 0 0 0 0 205730795 220556414 578570201 604035708 X 485171965 485613523 74596018 114868004 3313154 3313154 563081137 603794681 1141651338 1207830389 X 13706072 21183000 0 0 0 5824472 X false true X true false X false false false false false false false false true 24609 24609 false SCHEDULE C, PART II-B, LINE 1F LOBBYING ACTIVITIES DURING 2017 TMMC PAID THE CALIFORNIA HOSPITAL ASSOCIATION ON ISSUES FOR LOBBYING. 8957498 701668 420000 9239166 9000069 377429 420000 8957498 11063206 72649 2135786 9000069 10554098 689108 180000 11063206 9786381 947717 180000 10554098 0.33300 0.66700 false true true 31647640 31647640 828657166 336650454 492006712 1462384 1462384 0 278689520 209313695 69375825 3809700 3809700 596839877 INTEREST IN NET ASSETS OF TMF 116253630 C 116253630 0 MINIMUM PENSION LIABILITY 69276973 RISK POOL LIABILITIES 118937152 SELF-INSURANCE 19788827 THIRD PARTY PAYABLES 2737303 DEPOSITS HELD 100000 OTHER CURRENT LIABILITIES 9716159 220556414 X 675136269 21183401 0 21183401 653952868 626986 12775668 13402654 667355522 640280813 0 0 640280813 626986 12741651 13368637 653649450 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE EARNINGS OF THE ENDOWMENT MAY BE USED TO FUND FUTURE CARDIOVASCULAR HEALTH RELATED PROJECTS AND CHEMICAL DEPENDENCY PROGRAMS. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC740) FOOTNOTE THE MEDICAL CENTER IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE MEDICAL CENTER IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS NET INCOME FROM ANY UNRELATED TRADE OR BUSINESS AND IN THE OPINION OF MANAGEMENT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. THE MEDICAL CENTER APPLIES THE PROVISIONS OF ACCOUNTING STANDARDS THAT CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. THOSE STANDARDS PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED. IN ADDITION, ACCOUNTING STANDARDS PROVIDE GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THESE STANDARDS HAVE NOT HAD A SIGNIFICANT IMPACT ON THE FINANCIAL STATEMENTS OF THE MEDICAL CENTER. SCHEDULE D, PART XI, LINE 4B OTHER AMOUNTS NOT INCLUDED ON FORM 990 PHYSICIAN OFFICE SERVICES EXPENSES - 12,775,668 SCHEDULE D, PART XII, LINE 4B OTHER AMOUNTS NOT INCLUDED ON FORM 990 PHYSICIAN OFFICE SERVICES EXPENSES - 12,741,651 Central America and the Caribbean Investments 23754740 23754740 23754740 true false true true false false true true X true X true X 450. true false true true 3293114 3293114 0.00500 73831920 52185431 21646489 0.03300 77125034 52185431 24939603 0.03800 0 0 224348 0 224348 0.00030 2280308 2280308 0.00350 473645 473645 0.00070 644845 644845 0.00100 3623146 0 3623146 0.00550 80748180 52185431 28562749 0.04350 511201 511201 0.00080 33878 33878 0.00010 287423 287423 0.00040 832502 832502 0.00130 true 11728000 3376033 259266240 339165267 -79899027 X true true TORRANCE SURG CENTER AMBULATORY SURGERY 0.35847 0.49 1 1 Torrance Memorial Medical Center 3330 LOMITA BOULEVARD TORRANCE CA 90505 www.torrancememorial.org 930000076 X X X TORRANCE MEMORIAL MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X true 17 false true false true X 200. 450. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PT V,SEC C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 5 NEEDS ASSESSMENT PROCESS THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED OVER A PERIOD OF APPROXIMATELY 8 MONTHS, FROM APRIL TO NOVEMBER 2016. IT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH-RELATED DATA AND INPUT FROM COMMUNITY STAKEHOLDERS. QUALITATIVE PRIMARY DATA WAS OBTAINED FROM THREE SOURCES: A SURVEY OF SCHOOL NURSES, SCHOOL HEALTH AIDES AND SCHOOL COUNSELORS WORKING IN THE SERVICE AREA, A FOCUS GROUP OF SENIOR-LEVEL REPRESENTATIVES FROM SERVICE AREA NON-PROFIT COMMUNITY ORGANIZATIONS AND PERSONAL INTERVIEW WITH KEY STAKEHOLDERS WITH A HIGH-LEVEL COMMUNITY PERSPECTIVE. THE SCHOOL NURSE SURVEY WAS CONDUCTED USING AN ONLINE SURVEY TOOL EMAILED TO SCHOOL NURSES AND SCHOOL HEALTH ASSISTANTS. A TOTAL OF 38 SURVEYS WERE RETURNED, REPRESENTING A TOTAL OF 42 SCHOOLS (26 PRE OR ELEMENTARY SCHOOLS; 9 MIDDLE OR INTERMEDIATE SCHOOLS; 7 HIGH SCHOOLS) WITH A COMBINED APPROXIMATE ENROLLMENT OF 32,261 STUDENTS. THE FOCUS GROUP ACTIVITY WAS CONDUCTED WITH INPUT FROM 23 SENIOR-LEVEL ASSOCIATES FROM 22 NON-PROFIT AGENCIES WITH A COMBINED REPRESENTATION COVERING ALL GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF THE SERVICE AREA AND FOCUSING ON AGENCIES SERVING THE MEDICALLY UNDER-SERVED, LOW-INCOME, OR MINORITY POPULATIONS. THE FOLLOWING NON-PROFIT AGENCIES PARTICIPATED IN THE FOCUS GROUP: 1736 FAMILY CRISIS CENTER BEACH CITIES HEALTH DISTRICT BEHAVIORAL HEALTH SERVICES CANCER SUPPORT COMMUNITY CARING HOUSE CITY OF TORRANCE COMMUNITY PROGRAMS COMMUNITY'S CHILD FOOD FORWARD H.E.L.P. - HEALTHCARE AND ELDER LAW PROGRAMS HARBOR INTERFAITH SERVICES, INC MOTHERS AGAINST DRUNK DRIVING - SOUTHER CALIFORNIA REGION MYCHAL'S LEARNING PLACE NATIONAL ALLIANCE ON MENTAL ILLNESS, SOUTH BAY PEDIATRIC THERAPY NETWORK PVE CARES RICHSTONE FAMILY CENTER SOUTH BAY CHILDREN'S HEALTH CENTER SOUTH BAY COALITION FOR THE HOMELESS SOUTH BAY FAMILY HEALTH CARE TORRANCE/SOUTH BAY YMCA ONE-ON-ONE PERSONAL INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS, THE PUBLIC HEALTH DEPARTMENT, RESIDENTS AND ACTIVISTS REPRESENTING ALL GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF TORRANCE MEMORIAL'S SERVICE AREA. SCHEDULE H, PART V, LINE 7A CHNA WEBSITE https://www.torrancememorial.org/About_Us/Community_Benefits.aspx SCHEDULE H, PART V, LINE 11 A REVIEW OF THE FINDINGS FROM THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMS SIGNIFICANT UNMET NEEDS IN THE FOLLOWING AREAS: - LIMITED HEALTH CARE ACCESS - INSUFFICIENT MENTAL HEALTH SERVICES - SUBSTANCE ABUSE/OPIOID ABUSE - LACK OF DENTAL CARE - HEALTH AND WELLNESS EDUCATION - INSUFFICIENT KNOWLEDGE OF AVAILABLE COMMUNITY RESOURCES - HOMELESSNESS - FOOD IN SECURITY/POOR NUTRITION IN KEEPING WITH TORRANCE MEMORIAL MEDICAL CENTER'S STRATEGIC MISSION, THE HOSPITAL USED THE FINDINGS OF THE 2016 CHNA TO PRIORITIZE SIGNIFICANT NEEDS. AN IMPLEMENTATION PLAN WAS SUBSEQUENTLY PREPARED FOR FISCAL YEAR 2017 TO ADDRESS THESE NEEDS AND SUBMITTED TO OUR BOARD-LEVEL COMMUNITY BENEFITS COMMITTEE FOR REVIEW AND APPROVAL. THE SECTION BELOW SHOWS HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2016 CHNA. PROGRAMS AND SERVICES ARE DESCRIBED FURTHER IN THE ATTACHED 2017 IMPLEMENTATION PLAN. SIGNIFICANT NEED: - LIMITED HEALTH CARE ACCESS POLICY/PROGRAM/SERVICE TO ADDRESS NEED: CHARITY CARE SUBSIDY OF MEDICALLY INDIGENT PATIENTS SUBSIDY OF MEDICARE PROGRAM PHYSICIAN ON CALL EMERGENCY COVERAGE PSYCHIATRIC CARE OF INDIGENT PATIENTS VAN TRANSPORTATION COMMUNITY SCREENINGS WELCOME BABY PROGRAM COMMUNITY HEALTH AND WELLNESS PARTNERSHIP COMMUNITY'S CHILD PARTNERSHIP CARING HOUSE PARTNERSHIP SIGNIFICANT NEED: - INSUFFICIENT MENTAL HEALTH SERVICES POLICY/PROGRAM/SERVICE TO ADDRESS NEED: WELCOME BABY PROGRAM HEALTHY EVER AFTER 4 KIDS/YMCA PARTNERSHIP HEALTHY EVER AFTER/TUSD PARTNERSHIP BEREAVEMENT SERVICES SUPPORT OF NON-PROFIT AGENCIES (CASH DONATIONS) SUPPORT OF NON-PROFIT AGENCIES (ROOM USE) SUPPORT GROUPS WOMAN TO WOMAN IMAGE ENHANCEMENT CENTER CALLE MAYOR MIDDLE SCHOOL ADOPT-A-SCHOOL PROGRAM HARBOR INTERFAITH SERVICES PARTNERSHIP THELMA MCMILLEN CENTER COMMUNITY HEALTH AND WELLNESS PARTNERSHIP BEHAVIORAL HEALTH SERVICES PARTNERSHIP CARING HOUSE PARTNERSHIP HEALTH EDUCATION CLASSES SIGNIFICANT NEED: - SUBSTANCE ABUSE/OPIOID ABUSE POLICY/PROGRAM/SERVICE TO ADDRESS NEED: THELMA McMILLEN CENTER HEALTH EDUCATION CLASSES BEHAVIORAL HEALTH SERVCES PARTNERSHIP MANHATTAN BEACH MEDICAL ADVISORY BOARD SIGNIFICANT NEED: - LACK OF DENTAL CARE POLICY/PROGRAM/SERVICE TO ADDRESS NEED: HARBOR INTERFAITH SERVICES PARTNERSHIP SOUTH BAY CHILDREN'S HEALTH CENTER PARTNERSHIP COMMUNITY HEALTH AND WELLNESS PARTNERSHIP COMMUNITY'S CHILD PARTNERSHIP SIGNIFICANT NEED: - HEALTH AND WELLNESS EDUCATION POLICY/PROGRAM/SERVICE TO ADDRESS NEED: ADVANTAGE PROGRAM LUNDQUIST CARDIOVASCULAR INSTITUTE HUNT CANCER INSTITUTE CANCER RESOURCE CENTER WELCOME BABY PROGRAM SPEAKER'S BUREAU SUPPORT GROUPS MEDICAL LIBRARY PULSE MAGAZINE EDUCATIONAL MEDIA AND WEB VIDEOS PREGNANCY HELP CENTER PARTNERSHIP YMCA PARTNERSHIP CONTINUING MEDICAL EDUCATION ACTIVITIES THELMA MCMILLEN CENTER MIRACLE OF LIVING/MIRACLE OF LIVING AT THE BEACH COMMUNITY'S CHILD PARTNERSHIP BEHAVIORAL HEALTH SERVICES PARTNERSHIP COMMUNITY HEALTH AND WELLNESS PARTNERSHIP SIGNIFICANT NEED: - INSUFFICIENT KNOWLEDGE OF COMMUNITY-BASED RESOURCES POLICY/PROGRAM/SERVICE TO ADDRESS NEED: WELCOME BABY PROGRAM HUNT CANCER INSTITUTE RESOURCE CENTER HEALTHLINE INFORMATION HEALTHLINKS RESOURCE CENTER SPEAKER'S BUREAU SUPPORT GROUPS MANHATTAN BEACH MEDICAL ADVISORY BOARD HARBOR INTERFAITH SERVICES PARTNERSHIP THELMA MCMILLEN CENTER PULSE MAGAZINE COMMUNITY HEALTH AND WELLNESS PARTNERSHIP SIGNIFICANT NEED: - HOMELESSNESS POLICY/PROGRAM/SERVICE TO ADDRESS NEED: - HARBOR INTERFAITH SERVICES PARTNERSHIP - COMMUNITY CHILD PARTNERSHIP - SOUTH BAY COALITION TO END HOMESSNESS PARTNERSHIP - SUPPORT OF NON-PROFIT AGENCIES (CASH DONATIONS AND ROOM USE) SIGNIFICANT NEED: - FOOD IN SECURITY/POOR NUTRITION POLICY/PROGRAM/SERVICE TO ADDRESS NEED: HEALTHY EVER AFTER 4 KIDS/YMCA PARTNERSHIP HEALTHY EVER AFTER/TUSD PARTNERSHIP HARBOR INTERFAITH SERVICE PARTNERSHIP WELCOME BABY PROGRAM COMMUNITY'S CHILD PARTNERSHIP TORRANCE MEMORIAL LEARNING GARDEN SCHEDULE H, PART V, LINE 13B IF A PATIENTS RESPONSIBILITY IS 10% OR MORE OF THE PATIENTS FAMILY INCOME FOR THE PREVIOUS 12 MONTHS, THE ENTIRE AMOUNT OWED BY THE PATIENT WILL BE LIMITED TO 10% OF THEIR FAMILY INCOME FOR THE PRECEDING 12 MONTH PERIOD. SCHEDULE H, PART V, LINE 13H ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT. SCHEDULE H, PART V, LINE 16A FAP WEBSITE https://www.torrancememorial.org/Patient_Information/Billing/Financial_Ass istance.aspx SCHEDULE H, PART V, LINE 16B FAP APPLICATION WEBSITE https://www.torrancememorial.org/Patient_Information/Billing/Financial_Ass istance.aspx SCHEDULE H, PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE https://www.torrancememorial.org/Patient_Information/Billing/Financial_Ass istance.aspx 5 TORRANCE MEMORIAL BREAST DIAG CENTER II 824 E CARSON ST CARSON CA 90745 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL BREAST DIAG CENTER III 855 MANHATTAN BEACH BLVD MANHANTTAN BEACH CA 90266 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL BREAST DIAG CENTER IV 65 PENINSULA CENTER ROLLING HILLS ESTATES CA 90274 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL SURGICAL CENTER 3330 LOMITA BLVD TORRANCE CA 90505 SURGICAL CENTER TORRANCE SURGERY CENTER 1A BURTON HILLS BLVD NASHVILLE TN 37215 SURGICAL CENTER SCHEDULE H, PART I, LINE 3C ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT. SCHEDULE H, PART I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED FROM THE RESPECTIVE WORKSHEETS LOCATED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE AMOUNTS IN THE TABLE FOR CHARITY CARE AT COST, UNREIMBURSED MEDICAID, AND UNREIMBURSED COSTS FROM OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE OTHER BENEFITS LOCATED ON 7E THROUGH 7I WERE DERIVED FROM GENERAL LEDGER ACCOUNTS AND ESTIMATES. SCHEDULE H, PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. ECONOMIC DEVELOPMENT ACTIVITIES INCLUDE PARTICIPATION IN LOCAL CHAMBERS OF COMMERCE VIA BOARD MEMBERSHIP, INVOLVEMENT ON PLANNING COMMITTEES AND VOLUNTEERING AT CHAMBER EVENTS IN THE COMMUNITY. COMMUNITY SUPPORT ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO CASH AND IN-KIND DONATIONS, WRITING LETTERS OF SUPPORT FOR THE LOCAL SCHOOL DISTRICT ON A CAPACITY-BUILDING INITIATIVE FOR HEALTH SCIENCES, AND PRESENCE AT A SITE VISIT TO BE INTERVIEWED BY THE LA COUNTY DEPARTMENT OF EDUCATION TO SUPPORT THE SCHOOLS PURSUIT OF THE GOLD RIBBON PROGRAM AWARD. ENVIRONMENTAL IMPROVEMENT ACTIVITIES INCLUDE PROMOTING AND VOLUNTEERING AT ONGOING PRESCRIPTION DRUG TAKE BACK DAYS. THESE EVENTS ARE CONDUCTED IN COLLABORATION WITH LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY PARTNERS AND RESULT IN SAFE DISPOSAL OF UNUSED OR EXPIRED MEDICATIONS AND SHARPS. COALITION BUILDING ACTIVITIES INCLUDE ACTIVE PARTICIPATION IN HOMELESS COALITION MEETINGS, FACILITATION OF DONATION OPPORTUNITIES OF FOOD, GIFTS AND CLOTHING FOR LOCAL HOMELESS SERVICES PROVIDERS, RECRUITMENT OF VOLUNTEERS TO ASSIST AT COMMUNITY EVENTS, PROMOTION OF COMMUNITY PARTNERS FUNDRAISING ACTIVITIES, AND PARTICIPATION AT COMMUNITY MEETINGS SUCH AS THE SOUTH BAY CITIES COUNCIL OF GOVERNMENTS AND TORRANCE COMMISSION ON AGING. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE CONDUCTING VARIOUS PRECEPTOR, INTERNSHIP, AND GRADUATE STUDENT EXPERIENCES FOR NURSING AND ANCILLARY PROGRAMS TO TRAIN AND PREPARE STUDENTS FOR IN-DEMAND HEALTHCARE CAREERS. OTHER COMMUNITY BUILDING ACTIVITIES INCLUDE MEDICAL AND CLINICAL RESEARCH CONDUCTED THROUGH THE VASEK POLAK RESEARCH PROGRAM. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS, PARTNERSHIPS AND COLLABORATIONS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. IN 2017, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $1,579,629. SCHEDULE H, PART III, SECTION A, LINES 2 & 3 BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING, TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 FOOTNOTE FROM THE TORRANCE MEMORIAL MEDICAL CENTER FINANCIAL STATEMENTS FOR THE YEAR ENDED 12/31/2017 PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE MEDICAL CENTER'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE MEDICAL CENTER'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE MEDICAL CENTER DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE, AMONG OTHER FACTORS. THERE ARE OTHER FACTORS THAT CAN IMPACT COLLECTION, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS AND THE INCREASED BURDEN OF CO-PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE AND BUSINESS PRACTICES RELATED TO COLLECTIONS EFFORTS.THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE MEDICAL CENTER'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE MEDICAL CENTER'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE MEDICAL CENTER ADJUSTS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS AS COLLECTION TRENDS AND THE EFFECT OF OTHER ENVIRONMENTAL FACTORS, AS DISCUSSED ABOVE, BECOME KNOWN. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED, AND THE POTENTIAL FOR RECOVERY IS REMOTE. SCHEDULE H, PART III, SECTION B, LINE 8 TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H. SCHEDULE H, PART III, SECTION C, LINE 9B TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DOES NOT PURSUE COLLECTION FOR AMOUNTS KNOWN TO QUALIFY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE MEDICAL CENTER MAKES EVERY REASONABLE, COST EFFECTIVE EFFORT TO COMMUNICATE PAYMENT OPTIONS, FINANCIAL ASSISTANCE AVAILABILITY AND CHARITY CARE PROGRAMS WITH EACH PATIENT WHO RECEIVES SERVICES AT THE HOSPITAL. IN THE EVENT THAT A PATIENT OR GUARANTOR DOES NOT RESPOND OR COMMUNICATE WITH THE MEDICAL CENTER TO RESOLVE AN OPEN ACCOUNT, THE MEDICAL CENTER MAY FORWARD THE ACCOUNT TO ITS COLLECTION AGENCY. SINCE THE FINANCIAL STATUS OF THE PATIENT IS NOT KNOWN AT THAT POINT, THE AMOUNT IS DISCOUNTED BY 82% PRIOR TO EXTERNAL COLLECTION EFFORTS. SHOULD THE EXTERNAL COLLECTION AGENCY BECOME AWARE OF THE FINANCIAL STATUS OF THE PATIENT IN THE COURSE OF COLLECTION EFFORTS, THE AGENCY MAY ADJUST THE AMOUNT FURTHER TO REFLECT THE LIMITS OUTLINED IN THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. ANY ACCOUNT RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DOES NOT HAVE THE ABILITY TO PAY MAY ALSO BE DEEMED ELIGIBLE FOR CHARITY CARE. SUCH ACCOUNTS ARE EVALUATED BY MEDICAL CENTER PERSONNEL FOR PROPER APPLICATION OF FINANCIAL ASSISTANCE POLICIES. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE COMMUNITY NEEDS ASSESSMENT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE HOSPITAL USES THE FINDINGS IN THE PREPARATION OF COMMUNITY BENEFIT PLANS FOR THE NEXT THREE FISCAL YEARS. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH RELATED DATA AND INTERVIEWS WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES. TO ASSIST WITH IDENTIFYING PRIORITIES, COMPARISONS ARE MADE TO NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2020 AND OTHER REGIONAL EXPERIENCES. ADDITIONALLY ON A TRIENNIAL BASIS, TORRANCE MEMORIAL MEDICAL CENTER CONDUCTS AN INVENTORY OF HEALTH, EDUCATION AND SOCIAL SERVICES AVAILABLE IN THE COMMUNITIES AND CITIES OF THE SERVICE AREA. THE INVENTORY INCLUDES DESCRIPTIONS FOR THE FOLLOWING CATEGORIES: MEDICAL HOSPITALS, PSYCHIATRIC HOSPITALS, SPECIALTY HOSPITALS SUCH AS CHILDREN'S HOSPITALS AND ACUTE REHABILITATION; ACUTE CARE SERVICES INCLUDING EMERGENCY ROOMS, LONG-TERM CARE FACILITIES, REHABILITATION SERVICES; OTHER HEALTH CARE SERVICES SUCH AS DENTAL CARE, FREE CLINICS, CRISIS LINES, SUBSTANCE ABUSE TREATMENT PROGRAMS; HOME CARE SERVICES SUCH AS MEALS-ON-WHEELS AND LIFELINE EMERGENCY RESPONSE, ANOTHER SERVICES FOR PEOPLE WITH DISABILITIES. IN FISCAL YEAR 2007, THE MEDICAL CENTER INITIATED A BOARD OF TRUSTEES COMMUNITY BENEFITS PLANNING COMMITTEE AND INCREASED THE INVOLVEMENT OF SENIOR MANAGEMENT IN SETTING PRIORITIES AND MONITORING PROGRESS FOR HOSPITAL COMMUNITY BENEFITS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 82% DISCOUNT OFF THE HOSPITAL BILL AND A FINANCIAL COUNSELOR IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH POSTED SIGNS AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. IN 2017, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (NOT INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $3,296,013. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DEFINES ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND COMMUNITIES: - TORRANCE AND LOMITA, - BEACH CITIES OF EL SEGUNDO, HERMOSA, MANHATTAN, AND REDONDO BEACH - PALOS VERDES - GARDENA, HAWTHORNE AND LAWNDALE - HARBOR CITY, WILMINGTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 895,123 PERSONS, WITH 22.1 PERCENT OF THE POPULATION UNDER 18 YEARS, 63.2 PERCENT AGE 18 TO 64, AND 14.7 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 47.4 PERCENT WHITE, 36 PERCENT HISPANIC, 19.6 PERCENT ASIAN/PACIFIC ISLANDER, 10.1 PERCENT AFRICAN-AMERICAN, 17.3 PERCENT OTHER SINGLE RACE AND 5.8 PERCENT OTHER MIXED RACE 36.6 PERCENT OF THE SERVICE POPULATION IS HISPANIC AND 63.4 PERCENT IS NON-HISPANIC. OF THOSE AT LEAST FIVE YEARS OF AGE, 55 PERCENT SPEAK ENGLISH ONLY AT HOME, 27 PERCENT SPEAK SPANISH, 13 PERCENT SPEAK ASIAN/PI LANGUAGE, AND 5 PERCENT SPEAK OTHER LANGUAGES. OF THOSE PERSONS AT LEAST 25 YEARS AND OLDER, 15.4 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 19.7 PERCENT HAVE GRADUATED HIGH SCHOOL AND 64.9 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $98,996 WITH 10.2 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA BELOW THE POVERTY LEVEL. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2016. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF PERSONS 65 YEARS AND OLDER, BLACK AND ASIAN RESIDENTS; PERSONS SPEAKING ENGLISH AND ASIAN OR PACIFIC ISLAND LANGUAGES AT HOME, ADULTS WITH SOME COLLEGE TO A PROFESSIONAL DEGREE, AND PERSONS EMPLOYED IN THE LABOR FORCE. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD" A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. TMMC HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PRIMARY ACTIVITIES INCLUDE: - CONDUCTING HEALTH EDUCATION CLASSES ON TOPICS SUCH AS: HEART HEALTH AND STROKE, SMOKING CESSATION, CANCER, NUTRITION, WEIGHT LOSS, DIABETES, MEDICATION SAFETY, RESPIRATORY PROBLEMS, FALL PREVENTION, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING OVER 20 SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, EATING DISORDERS, FIBROMYALGIA, OSTOMY, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, NICOTINE ANONYMOUS, STROKE, PARKINSON'S DISEASE AND SURGICAL WEIGHT LOSS; -PARTICIPATING IN HEALTH FAIRS, PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, FLU SHOTS, ANEMIA SCREENINGS AND PULMONARY FUNCTION SCREENINGS; - STAFFING VARIOUS CENTERS (HEALTH RESOURCE CENTER, CANCER RESOURCE CENTER, BREAST EXAMINATION TRAINING CENTER AND IMAGE ENHANCEMENT CENTER) FOR HEALTH INFORMATION AND ASSISTANCE; - PROVIDING HEALTH INFORMATION IN MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, CABLE TELEVISION PROGRAMMING, LIVE STREAM AND A MEDICAL LIBRARY; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR HOMELESS AND WORKING POOR AND VICTIMS OF DOMESTIC VIOLENCE AND INCREASE THE BLOOD SUPPLY; - CONDUCTING SCHOOL AND COMMUNITY-BASED EDUCATION FOR CHILDREN ON THE BASICS OF NUTRITION AND EXERCISE, PROVIDE PUBLIC ACCESS DEFIBRILLATION PROGRAM AND AED AWARENESS AND TRAINING. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE ANNUAL COMMUNITY BENEFIT IS FILED WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT. true CALLE MAYOR MIDDLE SCHOOL 4800 CALE MAYOR TORRANCE CA 90505 956205081 501(c)(3) 5400 0 ADOPT-A-SCHOOL PROGRAM CARING HOUSE 2842 EL DORADO STREET TORRANCE CA 90503 202201206 501(c)(3) 10000 0 End of life care CALIFORNIA SCIENCE CENTER FOUNDATION 700 EXPOSITION P DR LOS ANGELES CA 90037 952210527 501(c)(3) 10000 0 19th Annual Discovery Ball SOUTH BAY CHILDRENS HEALTH CENTER 410 S CAMINO REAL REDONDO BEACH CA 90277 956003956 501(c)(3) 192157 0 CA COMMUNITY CENTINELA PARTNER AMERICAN HEART ASSOCIATION PO BOX 841750 DALLAS TX 752841750 135613797 501(C)(3) 10000 SUPPORT INNOVATIVE RESEARCH 4 SCHEDULE I, PART I, LINE 2 GRANT FUNDS ARE AWARDED TO NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSION AND TARGET POPULATION SERVED ALIGN WITH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHECK IS ACCOMPANIED WITH A LETTER STATING THAT THE DONATION IS TO BE USED FOR OR A SPECIFIC PROGRAM OR SERVICE. SOMETIMES A MEMORANDUM OF UNDERSTANDING, SIGNED BY BOTH ORGANIZATIONS, PRECEDES THE GRANT, SPECIFYING PURPOSE OF THE GRANT, AS WELL AS A REQUIRED OUTCOME REPORTING PERIOD. X X X X X false true false false false false false false false DEREK BERZ SR VP CHIEF ADMIN OFFICER 0 336341 0 0 0 0 0 23871 0 10079 0 370291 0 0 CRAIG LEACH PRESIDENT/CEO/ASSIST TREASURER 0 599147 0 230286 0 0 0 232690 0 18127 0 1080250 0 0 WILLIAM LARSON CFO 0 260523 0 27597 0 0 0 24750 0 29509 0 342379 0 0 DEBRA KELLY VP ANCILLARY SUPPORT SERVICES 0 273263 0 29536 0 0 0 34751 0 18039 0 355589 0 0 BARBARA LEQUIRE SR VP NURSING SERVICES 0 289264 0 27597 0 0 0 800 0 15551 0 333212 0 0 JOHN MCNAMARA CMO 0 379491 0 108382 0 48462 0 52307 0 8163 0 596805 0 48462 HEATHER SHAY VP ACCRED & QUALITY SERVICES 0 263228 0 27597 0 0 0 23394 0 17984 0 332203 0 0 ROBIN CAMRIN VP MED STAFF SERVICES 0 247828 0 27597 0 0 0 34751 0 10480 0 320656 0 0 LINDA DOBIE VP RISK MANAGEMENT 0 259196 0 27597 0 0 0 30520 0 31798 0 349111 0 0 BERNADETTE REID VP INFORMATION SERVICES 0 264280 0 27597 0 0 0 34991 0 15520 0 342388 0 0 LAURA SCHENASI EXEC VP TMMC FOUNDATION 0 262556 0 49673 0 0 0 27445 0 31838 0 371512 0 0 WEN-WEN TSAI RN CADIO VASCULAR ICU 247440 0 0 0 0 0 31342 0 12793 0 291575 0 0 0 SALLY EBERHARD SR VP TMHS 0 412057 0 118972 0 53197 0 58218 0 18227 0 660671 0 53197 SHANNA HALL SR VP NURSING SERVICES 0 237264 0 0 0 0 0 7488 0 16134 0 260886 0 0 MARY WRIGHT VP NURSING SERVICES 0 238026 0 0 0 0 0 7638 0 13422 0 259086 0 0 MICHAEL THOMAS VP ANCILLARY SUPPORT SERVICE 0 161177 0 32687 0 58424 0 433 0 8810 0 261531 0 0 SCHEDULE J, PART I, LINE 3 METHODS TO DETERMINE COMPENSATION BECAUSE TORRANCE HEALTH ASSOCIATION AND TORRANCE MEMORIAL MEDICAL CENTER HAVE A COMMON BOARD, THE SAME PERSONS FOR BOTH ORGANIZATIONS USED THE METHODS CHECKED ON SCHEDULE J, PART I, QUESTION 3 TO DETERMINE THE COMPENSATION OF THE CEO. SCHEDULE J, PART I, LINE 4B THE TORRANCE HEALTH ASSOCIATION (THA) BOARD OF TRUSTEES PROVIDES A SERP TO PARTICIPANTS IDENTIFIED AS 'KEY EMPLOYEES'. THE SERP PROVIDES FOR AN ANNUAL ACCRUAL BASED UPON THE KEY EMPLOYEE'S EARNINGS TO BE ACCUMULATED IN A LIABILITY ACCOUNT EARNING INTEREST AT THE RATE SPECIFIED IN THE PLAN DOCUMENT. PARTIAL VESTING AND DISTRBUTION OCCURS UPON A PARTICIPANT'S REACHING AGE 60 AND MAINTAINING EMPLOYMENT AS A KEY EMPLOYEE OF THA. DURING 2017, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO PARTIAL AND FULL VESTING IN THE PLAN: JOHN MCNAMARA - $48,462 SALLY EBERHARD - $53,197 A CITY OF TORRANCE 956000803 891380AR8 2010-09-23 234272023 REFUND 05/01/1992 BOND ISSUE false false false B CITY OF TORRANCE 956000803 2016-12-22 64795000 REFUND 06/01/2001 BOND ISSUE false false false A 44865000 0 234272023 0 0 0 2707235 0 0 234272023 34800000 0 2014 true false true true B 0 0 64860056 0 0 65056 464704 0 0 30000000 34795000 0 2017 true false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false true false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4834324 SALES OF MEDICAL SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1787697 SALES OF MEDICAL SUPPLIES false MARISSA SIMKO DAUGHTER OF BOARD MEMBER 89390 COMPENSATION false FORM 990, PART I, LINE 1 AND PART III, LINE 1 TORRANCE MEMORIAL MEDICAL CENTER IS A LOCALLY GOVERNED COMMUNITY, NON-PROFIT MEDICAL CENTER WHOSE PURPOSE IS TO PROVIDE QUALITY HEALTHCARE SERVICES, PREDOMINANTLY TO THE RESIDENTS OF THE SOUTH BAY/PENINSULA COMMUNITIES. UNDER THE GOVERNANCE OF A COMMUNITY-BASED BOARD OF TRUSTEES. TORRANCE MEMORIAL SERVES THE PUBLIC INTEREST BY: - IMPROVING THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE OF OUR RESOURCES; - OFFERING THE MOST CURRENT AND EFFECTIVE TECHNOLOGIES RENDERED IN A COMPASSIONATE, CARING MANNER; AND - MAINTAINING LONG-TERM STABILITY IN ORDER TO ASSURE OUR STRENGTH AND VIABILITY FOR THE BENEFIT OF THE COMMUNITY. FORM 990, PART III, LINE 4A FULFILLING OUR MISSION TO MEET COMMUNITY HEALTH NEEDS: SINCE 1925, COMMUNITY ACCESS TO QUALITY HEALTHCARE SERVICES HAS BEEN A TOP PRIORITY FOR TORRANCE MEMORIAL MEDICAL CENTER. AS AN INDEPENDENT COMMUNITY HOSPITAL, WE RECEIVE NO SUBSIDY FROM CITY OR STATE GOVERNMENTS OR A LARGER CORPORATE SYSTEM. MOST IMPORTANT TO OUR MISSION IS TO SECURE ACCESS TO ACUTE HOSPITAL SERVICES AND REMAIN STABLE WHERE OTHER HOSPITALS HAVE FAILED. TOWARD THAT GOAL, THE BOARD OF TRUSTEES HAS EMBARKED UPON A PROJECT TO REPLACE OUTDATED FACILITIES AND EXPAND OUR SERVICES TO MEET THE FORECASTED DEMAND FOR HOSPITAL BEDS. A MAJOR FUNDRAISING CAMPAIGN HAS BEEN LAUNCHED BY OUR RELATED TORRANCE MEMORIAL HEALTH CARE FOUNDATION TO SUPPLEMENT THE CAPITAL NEEDS OF THESE PROJECTS. A NEW HOSPITAL TOWER WAS OPENED IN LATE 2014 AND EXISTING FACILITIES ARE IN THE PROCESS OF BEING REFURBISHED. ADDITIONAL EXPANSION TO PROVIDE OUTPATIENT CANCER CARE IS UNDER CONSTRUCTION. THE BOARD OF TRUSTEES ADDRESSES THE PRIORITIES FOR COMMUNITY HEALTH NEEDS THROUGH ITS BOARD LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE. THIS COMMITTEE REVIEWS THE RESULTS OF A TRIENNIAL COMMUNITY NEEDS ASSESSMENT WHICH SUMMARIZED THE HEALTH ISSUES WHICH HAVE THE GREATEST PRIORITY. WITHIN THE RESOURCE CONSTRAINTS OF THE MEDICAL CENTER, WE ADOPT AN ANNUAL COMMUNITY BENEFITS PLAN WHICH PRIORITIZES PROGRAMS AND SERVICES WHICH ARE OFFERED AT A FINANCIAL LOSS AND ARE DESIGNED TO IMPROVE COMMUNITY HEALTH. UPON RECOMMENDATION OF A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE, A COMMUNITY BENEFITS BUDGET IS SEPARATELY DEVELOPED AND INCLUDED IN THE ANNUAL BUDGET SUBMITTED TO THE BOARD FOR APPROVAL AND ITS PROGRESS IS MEASURED ACCORDINGLY. EACH YEAR, THE EXPENDITURES TOWARD COMMUNITY BENEFITS ARE ACCOUNTED FOR AND SUMMARIZED AS FOLLOWS: I) CHARITY CARE POLICY AND FINANCIAL ASSISTANCE TO THE UNINSURED. THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE UNDER THE FAP. IN SUCH SITUATION, PATIENTS ARE OFFERED AN 82 PERCENT DISCOUNT OFF THE HOSPITAL BILL, HIGH END DRUGS AND DEVICES AT COST PLUS 5%, AND A FINANCIAL COUNSELOR WHO IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH SIGNS POSTED AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. IN 2017, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (NOT INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $3,296,013. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY. TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2015 WE LAUNCHED "WELCOME BABY A PARTNERSHIP WITH PROVIDENCE LITTLE CO. OF MARY & FIRST 5 LA. WELCOME BABY IS A FREE PROGRAM TARGETING PRE- AND POST-NATAL MOTHERS LIVING IN WILMINGTON TO PROMOTE OVERALL HEALTH DURING THE FIRST YAER OF LIFE, ENSURE CHILDREN HAVE HEALTH COVERAGE AND RECEIVE CONSISTENT CARE, INCREASE BREASTFEEDING RATES, AND ENSURE NEW PARENTS HAVE A SAFE HOME ENVIRONMENT. IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 213 AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN ALL PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. FURTHERMORE, WE PROVIDE VERY LOW COST VAN TRANSPORTATION TO PEOPLE WHO HAVE NO TRANSPORTATION. IN SUPPORT OF EDUCATION, OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO 9 HIGH SCHOOLS AND SEVERAL MIDDLE SCHOOLS IN THE COMMUNITY SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. WE SUPPORT A HOMELESS SHELTER, HARBOR INTERFAITH SERVICES, WITH ANNUAL SUPPORT TO THE FOOD PANTRY AND OFFERING AN ANNUAL FLU SHOT CLINIC. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT HOLIDAY GIFTS TO THOSE IN NEED. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. SUPPORTING LOCAL SCHOOLS AND EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS AND FAMILY MEMBERS, AND THE COMMUNITY, OFFER EDUCATION CLASSES AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS, SERVE AS A TRAINING SITE FOR NURSING SCHOOLS AND OTHER PARAPROFESSIONALS, PARTICIPATE ACTIVELY IN COMMUNITY SYMPOSIUMS FOR DISASTER PREPAREDNESS, AND PARTICIPATE IN TORRANCE CHAMBER'S ADOPT-A-SCHOOL PROGRAM. IN 2017, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $2,214,759. III) SUBSIDY OF MEDICAL CARE SERVICES. TO PROVIDE ACCESS TO MEDICAL SERVICES OF PATIENTS COVERED UNDER GOVERNMENT SPONSORED PLANS WHICH DO NOT PAY THE FULL COSTS OF CARE, TORRANCE MEMORIAL ALSO MEASURES THE SUBSIDY TOWARD THE CARE OF THESE PATIENTS. IN 2017, THESE INCLUDED PATIENTS COVERED UNDER THE STATE SPONSORED MEDI-CAL PLAN FOR THE MEDICALLY INDIGENT. TORRANCE MEMORIAL RECEIVED NO DISPROPORTIONATE SHARE FUNDS TO OFFSET THESE LOSSES. IN ADDITION, ACCORDING TO THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (TO WHOM WE ALSO SUBMIT A COMMUNITY BENEFITS REPORT), WE HAVE CALCULATED THE SUBSIDY OF OUR COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. IN 2017, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $101,584,042. IN ADDITION, WE SUBSIDIZED PROFESSIONAL FEES OF PHYSICIANS FOR PROVIDING COVERAGE TO EMERGENCY DEPARTMENT PATIENTS IN CRITICAL SPECIALTIES WHICH WERE NOT OTHERWISE OBTAINABLE UNLESS THE MEDICAL CENTER OFFERED A SUBSIDY FOR THESE SERVICES. IN 2017, THIS COST WAS APPROXIMATELY $2,130,693. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $109,375,130 IN COMMUNITY BENEFIT EXPENSE IN 2017. AN ONGOING EVALUATION IS BEING UNDERTAKEN TO ASSESS NEW COMMUNITY NEEDS AND DETERMINE HOW BEST TO ADJUST OUR PRIORITIES TO MOST EFFICIENTLY PROVIDE SUPPORT TO COMMUNITIES IN NEED. FORM 990, PART VI, LINE 6 AND 7A TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT ALONG WITH OUR TAX ADVISORS. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. OUR TAX ADVISORS DISCUSSED AND EDUCATED THE TRUSTEES ON THE FORM 990. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990. FORM 990, PART VI, LINE 12C TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) MONITORING, REVIEW AND ENFORCEMENT OF ITS CONFLICT OF INTEREST POLICY RESTS WITH ITS NOMINATING COMMITTEE. ANNUALLY, TMMC SENDS ALL TRUSTEES, OFFICERS, EXECUTIVES, AND MANAGERIAL EMPLOYEES A COPY OF TMMC'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST QUESTIONNAIRE. ALL TRUSTEES, OFFICERS, EXECUTIVES AND MANAGERIAL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE INQUIRES AS TO ALL INDIVIDUALS CONCERNED WITH CONDUCTING, TRANSACTING OR APPROVING THE BUSINESS MATTERS OF TMMC. ONCE THE CONFLICT OF INTEREST QUESTIONNAIRES HAVE BEEN RECEIVED BACK FROM THE OFFICERS, TRUSTEES AND EXECUTIVES, THEY ARE REVIEWED AND SUMMARIZED BY THE NOMINATION COMMITTEE FOR PRESENTATION TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REPORTS ANY CONFLICTS TO THE BOARD OF TRUSTEES WITH THEIR RECOMMENDATION AS TO THE NATURE OF THE CONFLICTS THAT MAY IMPEDE THE INDEPENDENCE OF THE BOARD MEMBER. IF AN OFFICER, TRUSTEE, OR EXECUTIVE IS FOUND TO HAVE A CONFLICT, THERE IS A PROCESS IN PLACE TO PROHIBIT THIS INDIVIDUAL FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS IN THE TRANSACTION. MANAGERIAL EMPLOYEE'S CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VICE PRESIDENT. CONFLICTS ARE NOTED AND FORWARDED TO HUMAN RESOURCES FOR SUMMARIZATION. IF MATERIAL CONFLICTS EXIST, THEY ARE FORWARDED TO THE CEO, WHO TOGETHER WITH THE AREA VICE PRESIDENT, RESOLVE THE ISSUE WITH THE MANAGER. FORM 990, PART VI, LINES 15A & 15B FOR THE TAX YEAR 2017 TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) BOARD OF TRUSTEES HAS ESTABLISHED A COMPENSATION SUBCOMMITTEE (A SUBCOMMITTEE OF THE EXECUTIVE COMMITTEE) TO REVIEW AND RECOMMEND THE COMPENSATION AND BENEFITS OF THE CEO AND KEY LEADERSHIP POSITIONS OF THE CORPORATION. THE COMPENSATION SUBCOMMITTEE IS RESPONSIBLE FOR PERIODIC EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CONFERS WITH THE PRESIDENT CONCERNING THE PRESIDENT'S VALUATION OF THE OTHER EXECUTIVE OFFICERS. THE COMPENSATION SUBCOMMITTEE IS AN ENTIRELY INDEPENDENT COMMITTEE WITH RESPECT TO THE TRANSACTION. THE COMPENSATION SUBCOMMITTEE RETAINS AN OUTSIDE COMPENSATION CONSULTANT TO CONDUCT PERIODIC REVIEWS OF THE TOTAL COMPENSATION OF ALL KEY LEADERSHIP POSITIONS (BASE COMPENSATION, OTHER INCENTIVES/BONUSES, AND BENEFITS). THE CONSULTANTS ARE INDEPENDENT AND ARE QUALIFIED TO ASSESS EXECUTIVE COMPENSATION VALUATIONS. IN REVIEWING AND ESTABLISHING COMPENSATION RECOMMENDATIONS, THE CONSULTANTS COLLECT BACKGROUND INFORMATION ON THE SIZE AND COMPLEXITY OF OPERATIONS AND THE SCOPE OF THE KEY LEADER'S RESPONSIBILITIES. THEY REVIEW VARIOUS SURVEYS, 990'S OF OTHER COMPARABLE OUTSIDE HEALTH CARE ORGANIZATIONS, AND MATCH SURVEYS BASED ON THE ABOVE CRITERIA, TAKING BOTH LOCAL AS WELL AS NATIONAL MARKET DATA INTO CONSIDERATION. AFTER THE DATA HAS BEEN REVIEWED AND ANALYZED THE CONSULTANT PRESENTS THE REPORT TO THE COMPENSATION SUBCOMMITTEE WITH HIS/HER FINDINGS AND RECOMMENDATIONS. THE COMPENSATION SUBCOMMITTEE REVIEWS THE REPORT AND FINDINGS WITH THE CONSULTANT AND RECOMMENDS TO THE EXECUTIVE COMMITTEE ANY CHANGES TO THE KEY LEADERSHIP COMPENSATION AND BENEFIT PACKAGES. THE EXECUTIVE COMMITTEE MAY APPROVE THOSE RECOMMENDATIONS AND REPORT ANY CHANGES TO THE FULL BOARD OF TRUSTEES. THE COMPENSATION SUBCOMMITTEE MAINTAINS WRITTEN RECORDS WHICH INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE CEO AND KEY LEADERSHIP INDIVIDUALS (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE ON THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMPENSATION SUBCOMMITTEE ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THIS PROCESS WAS LAST COMPLETED IN OCTOBER 2017. FORM 990, PART VI, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTIONS. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE SECRETARY OF STATE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES EQUITY TRANSFER TO THA (PARENT) - (10,000,000) CHANGE IN INTEREST OF TMMHCF - 40,177,000 CHANGE IN MINIMUM PENSION LIABILITY - (24,414,000) MISCELLANEOUS - 61,472 ============ TOTAL - 5,824,472 Torrance Health Association 3330 Lomita Blvd Torrance CA 90505 330073515 Health SRVCS CA 501(c)(3) 11b na false Torrance Memorial Med Ctr Healthcare Fdn 3330 Lomita Blvd Torrance CA 90505 953528452 Fundraising CA 501(c)(3) 7 THA true TORRANCE MEMORIAL SURG CTR LLC 3330 LOMITA BLVD TORRANCE CA 90505 465259260 OUTPAT SURG SVCS CA TMMC RELATED 162113 755156 false 0 true 0.66798 TORRANCE SURGERY CENTER LP 1A BURTON HILLS BLVD NASHVILLE TX 37215 330932093 SURGICAL SERVICES TN TMMC RELATED 229733 784040 false 0 false 0.35847 3565 DEL AMO ASSOCIATES 2175 PARK PLACE EL SEGUNDO CA 90245 330554737 RENT REAL ESTATE CA NA N/A false false false false true false false false false false false true true false true true true true true false false TORRANCE MEMORIAL HEALTH CARE FOUNDATION C 12308157 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION M 533716 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION N 104004 FMV TORRANCE MEMORIAL HEALTH CARE FOUNDATION O 980187 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION Q 65155 ACTUAL SCHEDULE R, PART III TORRANCE SURGERY CENTER, LP EIN: 33-0932093 1A BURTON HILLS BLVD NASHVILLE, TN 37215 TORRANCE MEMORIAL SURGERY CENTER, LLC EIN: 46-5259260 23560 CRENSHAW BLVD, STE 104 TORRANCE, CA 90505 3565 DEL AMO ASSOCIATES EIN: 33-0554737 2175 PARK PLACE EL SEGUNDO, CA 90245 SCHEDULE R, PART III, LINE (2) TORRANCE MEMORIAL MEDICAL CENTER HAS INDIRECT CONTROL AS TORRANCE MEMORIAL SURGERY CENTER, LLC IS THE GENERAL PARTNER OF TORRANCE SURGERY CENTER, LP.