TORRANCE MEMORIAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: TORRANCE MEMORIAL MEDICAL CENTER (EIN 95-1644042)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201543179349309919
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T19:21:10-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVENUE SUITE 1700	AddressLine1Txt
City	IRVINE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	951644042	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Torrance Memorial Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CARI ERICKSON CONTROLLER	InCareOfNm
Business Name Control	TORR	BusinessNameControlTxt
Phone	3103259110	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 Lomita Blvd	AddressLine1Txt
City	Torrance	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90505	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM LARSON	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-11-11	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KARA ADAMS	PreparerPersonNm
PTIN	P00023315	PTIN
Phone	9497942300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CRAIG LEACH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 LOMITA BLVD	AddressLine1Txt
City	TORRANCE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90505	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$724,499,160	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.torrancememorial.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1925	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	see schedule o	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	3448	TotalEmployeeCnt
Total Volunteers	1338	TotalVolunteersCnt
Total Gross UBI	$12,475,843	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$3,930,852	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,369,244	PYContributionsGrantsAmt
CY Contributions Grants	$10,336,172	CYContributionsGrantsAmt
PY Program Service Revenue	$485,616,547	PYProgramServiceRevenueAmt
CY Program Service Revenue	$514,030,481	CYProgramServiceRevenueAmt
PY Investment Income	$15,597,897	PYInvestmentIncomeAmt
CY Investment Income	$16,183,305	CYInvestmentIncomeAmt
PY Other Revenue	$4,135,606	PYOtherRevenueAmt
CY Other Revenue	$3,235,998	CYOtherRevenueAmt
PY Total Revenue	$515,719,294	PYTotalRevenueAmt
CY Total Revenue	$543,785,956	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$268,018,271	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$270,045,326	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,039,800	CYTotalFundraisingExpenseAmt
PY Other Expenses	$218,202,144	PYOtherExpensesAmt
CY Other Expenses	$236,359,387	CYOtherExpensesAmt
PY Total Expenses	$486,220,415	PYTotalExpensesAmt
CY Total Expenses	$506,404,713	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,498,879	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,381,243	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,077,650,000	TotalAssetsBOYAmt
Total Assets EOY	$1,178,506,629	TotalAssetsEOYAmt
Total Liabilities BOY	$514,174,253	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$629,238,578	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$563,475,747	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$549,268,051	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	see schedule o	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$446,548,469	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$516,940,416	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Prog Srvc Accom Acty2		ProgSrvcAccomActy2Grp
Total Program Service Expenses	$446,548,469	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	283	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3448	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CARI ERICKSON CONTROLLER	PersonNm
Phone	3103259110	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 LOMITA BOULEVARD	AddressLine1Txt
City	TORRANCE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90505	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Vinh Cam MD
Board Member	1.0	1.0	Yes (X)	$0	$0	$0
William Collier Esq
Chairman	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Pamela Crane
Secretary	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Sally Eberhard
Board Member/Sr. VP Planning	20.0	20.0	Yes (X)	$0	$675,471	$83,254
Dennis Fitzgerald
Treasurer (Part Year)	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
George Graham
President Emeritus	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Greg Geiger
Treasurer	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
Sherry Kramer
Board Member	1.0	1.0	Yes (X)	$0	$0	$0
Craig Leach
President/CEO & Asst Treasurer	20.0	20.0	Yes (X)	$0	$572,177	$204,358	Yes (X)
CHARLOTTE LESSER
BOARD MEMBER	1.0	1.0	Yes (X)	$0	$0	$0
Mary Giordano
Board Member (Part Year)	1.0	1.0	Yes (X)	$0	$0	$0
Susan Liebson
Board Member	1.0	1.0	Yes (X)	$0	$0	$0
David Rand MD
Vice Chairman	1.0	1.0	Yes (X)	$0	$0	$0	Yes (X)
John McNamara Fmr Board Mbr
SR VP Chief Medical Officer	20.0	20.0	Yes (X)	$0	$378,119	$69,344
HUGO HOOL MD
BOARD MEMBER (PART YEAR)	1.0	1.0	Yes (X)	$0	$0	$0
William Larson
CFO	20.0	20.0		$0	$228,003	$46,129	Yes (X)
Margaret Berwald
Sr VP Nursing Services/CNO	40.0	0.0		$0	$285,658	$104,952		Yes (X)
Debra Kelley
VP Ancillary Support Services	40.0	0.0		$0	$261,792	$48,526		Yes (X)
Barbara Lequire
VP Nursing	40.0	0.0		$0	$233,502	$46,515		Yes (X)
Michael Thomas
VP Ancillary Support Services	40.0	0.0		$0	$290,302	$47,795		Yes (X)
HEATHER SHAY
VP ACCRED & CLIN QUALITY	40.0	0.0		$0	$231,414	$33,166		Yes (X)
Robin Camrin
VP Med Staff Svcs	40.0	0.0		$0	$232,871	$38,135			Yes (X)
Linda Dobie
VP Risk Management	40.0	0.0		$0	$229,745	$58,107			Yes (X)
Lois Michael
VP Human Resources	40.0	0.0		$0	$347,952	$24,816			Yes (X)
Bernadette Reid
VP Information Systems	40.0	0.0		$0	$237,630	$40,433			Yes (X)
Laura Schenasi
Exec. VP TMMC Foundation	40.0	0.0		$0	$287,907	$52,713			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,492,543	TotReportableCompRltdOrgAmt
Total Other Compensation	$898,243	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	539	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
McCarthy Building Co
20401 SW Birch St Ste 300	Newport Beach	CA	92660	CONSTRUCTION SVCS	$39,080,337
Cerner Corporation
PO Box 412702	Kansas City	MO	64141	Information Tech	$7,748,547
AB Human Capital Select
2680 S Val Vista Dr Ste 161	Gilbert	AZ	85295	Staffing Services	$5,344,722
SERRO LLC
20 CALIFORNIA ST	SAN FRANCISCO	CA	94111	CONSULT/ENGINEER SVC	$3,679,318
HMC ARCHITECTS
3546 CONCOURS ST	ONTARIO	CA	91764	ARCHITECTURAL SVCS	$2,544,636

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$10,000,000	RelatedOrganizationsAmt
Government Grants	$47,400	GovernmentGrantsAmt
All Other Contributions	$288,772	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$10,336,172	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Patient Services	900099	$306,438,356	$305,177,074	$1,261,282	$0
Medicare Revenue	900099	$100,245,508	$100,245,508	$0	$0
Premium Revenue	900099	$61,596,584	$61,596,584	$0	$0
Physician Support Service	900099	$9,921,776	$0	$9,921,776	$0
Medi-Cal Revenue	900099	$26,700,176	$26,700,176	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,128,081	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,161,359	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$966,722	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$514,030,481	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,501,491	TotalRevenueColumnAmt
Exclusion	$3,501,491	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$454,242	RealAmt
Personal	$274,839	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$211,620	RealAmt
Personal	$191,398	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$242,622	RealAmt
Personal	$83,441	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$326,063	TotalRevenueColumnAmt
Unrelated Business Revenue	$326,063	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$192,992,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$180,310,186	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,681,814	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,681,814	TotalRevenueColumnAmt
Exclusion	$12,681,814	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
REBATES & REFUNDS	900099	$1,138,523	$1,138,523	$0	$0
MANAGEMENT INCOME	900099	$1,049,412	$1,049,412	$0	$0
CMS INCENTIVE PMT EHS	900099	$722,000	$722,000	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$2,909,935	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$543,785,956	TotalRevenueColumnAmt
Related Or Exempt Func Income	$504,790,636	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,475,843	UnrelatedBusinessRevenueAmt
Exclusion	$16,183,305	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,416,999	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$4,416,999	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$50,688	TotalAmt
Program Services	$50,688	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$190,398,933	TotalAmt
Program Services	$171,955,907	ProgramServicesAmt
Management And General	$17,718,704	ManagementAndGeneralAmt
Fundraising	$724,322	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,940,174	TotalAmt
Program Services	$10,479,560	ProgramServicesAmt
Management And General	$1,414,334	ManagementAndGeneralAmt
Fundraising	$46,280	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$48,480,352	TotalAmt
Program Services	$42,164,719	ProgramServicesAmt
Management And General	$6,222,366	ManagementAndGeneralAmt
Fundraising	$93,267	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,758,180	TotalAmt
Program Services	$13,089,711	ProgramServicesAmt
Management And General	$1,620,693	ManagementAndGeneralAmt
Fundraising	$47,776	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$202,084	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$202,084	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$302,184	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$302,184	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$268,331	TotalAmt
Program Services	$268,331	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$452,214	TotalAmt
Program Services	$385,487	ProgramServicesAmt
Management And General	$66,727	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,411,868	TotalAmt
Program Services	$25,780,015	ProgramServicesAmt
Management And General	$5,631,853	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,010,578	TotalAmt
Program Services	$94,347,936	ProgramServicesAmt
Management And General	$1,662,642	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,214,856	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$12,214,856	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,345,913	TotalAmt
Program Services	$4,907,525	ProgramServicesAmt
Management And General	$310,233	ManagementAndGeneralAmt
Fundraising	$128,155	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$288,669	TotalAmt
Program Services	$264,231	ProgramServicesAmt
Management And General	$24,438	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$199,889	TotalAmt
Program Services	$168,466	ProgramServicesAmt
Management And General	$31,423	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,448,329	TotalAmt
Program Services	$3,791,952	ProgramServicesAmt
Management And General	$656,377	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,764,937	TotalAmt
Program Services	$24,520,503	ProgramServicesAmt
Management And General	$4,244,434	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,244,372	TotalAmt
Program Services	$5,244,372	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
HOSPITAL FEE	$23,440,000	$23,440,000	$0	$0
MED FEES - PHYSICIANS	$13,885,434	$13,885,434	$0	$0
R&M, LICENSES & TAXES	$1,505,343	$1,289,193	$216,150	$0
ALL OTHER EXPENSES	$12,374,386	$10,514,439	$1,859,947	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$506,404,713	TotalAmt
Program Services	$446,548,469	ProgramServicesAmt
Management And General	$58,816,444	ManagementAndGeneralAmt
Fundraising	$1,039,800	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,029,148	BOYAmt
EOY	$12,816,952	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,002,617	BOYAmt
EOY	$40,010,298	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$75,343,949	BOYAmt
EOY	$66,092,426	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,719,736	BOYAmt
EOY	$10,869,901	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$19,546,238	BOYAmt
EOY	$45,316,712	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,072,242,404	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$421,356,540	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$567,054,345	BOYAmt
EOY	$650,885,864	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$290,502,322	BOYAmt
EOY	$223,111,955	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$16,832,947	BOYAmt
EOY	$32,687,110	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$67,169,799	BOYAmt
EOY	$79,231,800	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,085,293	BOYAmt
EOY	$3,746,748	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,363,606	BOYAmt
EOY	$13,736,863	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,077,650,000	BOYAmt
EOY	$1,178,506,629	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$62,130,255	BOYAmt
EOY	$93,273,198	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$285,130,000	BOYAmt
EOY	$283,470,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$166,913,998	BOYAmt
EOY	$252,495,380	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$514,174,253	BOYAmt
EOY	$629,238,578	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,708,022	BOYAmt
EOY	$469,976,606	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,400,188	BOYAmt
EOY	$75,908,198	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,367,537	BOYAmt
EOY	$3,383,247	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$563,475,747	BOYAmt
EOY	$549,268,051	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,077,650,000	BOYAmt
EOY	$1,178,506,629	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,381,243	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,559,273	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$48,029,666	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$268,331	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Other Activities	$0	OtherActivitiesAmt
Total Lobbying Expenditures	$268,331	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE (F)	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES DURING 2014 TMMC PAID CALIFORNIA HOSPITALS COMMITTEE ON ISSUES FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,186,561	BeginningYearBalanceAmt
Investment Earnings Or Losses	$493,398	InvestmentEarningsOrLossesAmt
End Year Balance	$7,679,959	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,418,844	BeginningYearBalanceAmt
Investment Earnings Or Losses	$767,717	InvestmentEarningsOrLossesAmt
End Year Balance	$7,186,561	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,855,842	BeginningYearBalanceAmt
Investment Earnings Or Losses	$563,002	InvestmentEarningsOrLossesAmt
End Year Balance	$6,418,844	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,070,017	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$214,175	InvestmentEarningsOrLossesAmt
End Year Balance	$5,855,842	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,672,357	BeginningYearBalanceAmt
Investment Earnings Or Losses	$397,660	InvestmentEarningsOrLossesAmt
End Year Balance	$6,070,017	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,647,640	OtherCostOrOtherBasisAmt
Book Value	$31,647,640	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$770,082,557	OtherCostOrOtherBasisAmt
Depreciation	$259,322,678	DepreciationAmt
Book Value	$510,759,879	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,462,384	OtherCostOrOtherBasisAmt
Depreciation	$1,462,384	DepreciationAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$249,369,605	OtherCostOrOtherBasisAmt
Depreciation	$160,571,478	DepreciationAmt
Book Value	$88,798,127	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,680,218	OtherCostOrOtherBasisAmt
Book Value	$19,680,218	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$650,885,864	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN NET ASSETS OF TMF	Desc
Book Value	$79,231,800	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$79,231,800	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYERS	$7,905,217
MINIMUM PENSION LIABILITY	$79,109,165
RISK POOLS	$139,241,116
SELF INSURANCE	$26,028,773
INTERCOMPANY PAYABLES	$31,909
DEPOSITS HELD	$179,200

Field	Value	IRS element (for citing)
Total Liability	$252,495,380	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$518,473,766	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$3,559,273	NetUnrealizedGainsInvstAmt
Other Revenue	-$21,300,703	OtherRevenueAmt
Revenue Not Reported	-$24,859,976	RevenueNotReportedAmt
Revenue Subtotal	$543,333,742	RevenueSubtotalAmt
Investment Expenses Not Incld	$452,214	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$452,214	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$543,785,956	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$491,883,606	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$14,068,893	OtherExpensesIncludedAmt
Expenses Not Reported	-$14,068,893	ExpensesNotReportedAmt
Expenses Subtotal	$505,952,499	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$452,214	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$452,214	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$506,404,713	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
SCHEDULE D, PART X, LINE 2	FIN 48 (ASC 740) FOOTNOTE THE MEDICAL CENTER APPLIES THE PROVISION OF ACCOUNTING STANDARDS WHICH 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 2D	OTHER AMOUNTS INCLUDED ON FORM 990 GRANTS RECEIVED (10,336,172) CONTRIBUTIONS RELEASED 2,701,000 PHYSICIAN OFFICE SERVICES EXPENSES (13,852,544) NON-OPERATING REVENUE-RENTAL INCOME 403,018 MISCELLANEOUS 344 OTHER NON-OPERATING EXPENSES (216,349) ============= TOTAL (21,300,703)
SCHEDULE D, PART XII, LINE 2D	OTHER AMOUNTS INCLUDED ON FORM 990 POSS EXPENSES (13,852,544) OTHER NON-OPERATING EXPENSES (216,349) ============== TOTAL (14,068,893)

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,091,667	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,091,667	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,142,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,529,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,612,582	NetCommunityBenefitExpnsAmt
Total Expense	0.03280	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,233,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,529,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,704,249	NetCommunityBenefitExpnsAmt
Total Expense	0.03890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$215,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$221,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$221,447	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,188,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,188,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$294,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$294,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$790,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$790,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,709,416	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,709,416	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,943,283	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,529,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,413,665	NetCommunityBenefitExpnsAmt
Total Expense	0.04620	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$548,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$548,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,177	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$427,411	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$427,411	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,005,190	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,005,190	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,082,369	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,601,665	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$200,953,333	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$243,629,874	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$42,676,541	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	TORRANCE MEM SRG CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	JOINT VENTURE IN SURG CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TORRANCE MEMORIAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 LOMITA BOULEVARD	AddressLine1Txt
City	TORRANCE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90505	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.torrancememorial.org	WebsiteAddressTxt
State License	930000076	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TORRANCE MEMORIAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	X	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	X	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5	NEEDS ASSESSMENT PROCESS THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED OVER A PERIOD OF APPROXIMATELY 6 MONTHS, FROM JUNE TO NOVEMBER 2013. 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 SECONDARY DATA WAS OBTAINED AT ZIP CODE LEVEL WHEREVER POSSIBLE. IF ZIP CODE LEVEL WAS NOT AVAILABLE, LOS ANGELES COUNTY SERVICE PLANNING AREA DATA FOR SOUTH BAY SPA 8 WAS USED. QUALITATIVE PRIMARY DATA WAS OBTAINED FROM THREE SOURCES: A SURVEY OF SCHOOL NURSES WORKING IN THE SERVICE AREA, A FOCUS GROUP OF SENIOR-LEVEL REPRESENTATIVES FROM SERVICE AREA NON-PROFIT COMMUNITY ORGANIZATIONS AND PERSONAL INTERVIEW WITH COMMUNITY LEADERS, RESIDENTS AND ACTIVISTS. THE SCHOOL NURSE SURVEY WAS CONDUCTED USING AN ONLINE SURVEY TOOL EMAILED TO SCHOOL NURSES AND SCHOOL HEALTH ASSISTANTS. A TOTAL OF 37 SURVEYS WERE RETURNED, REPRESENTING A TOTAL OF 59 SCHOOLS (34 PRE OR ELEMENTARY SCHOOLS; 13 MIDDLE OR INTERMEDIATE SCHOOLS; 10 HIGH SCHOOLS; 2 SPECIAL EDUCATION OR TRANSITIONAL SCHOOLS) WITH A COMBINED APPROXIMATE ENROLLMENT OF 48,809 STUDENTS. THE FOCUS GROUP ACTIVITY WAS CONDUCTED WITH INPUT FROM 24 SENIOR-LEVEL ASSOCIATES FROM 23 NON-PROFIT AGENCIES WITH A COMBINED REPRESENTATION COVERING ALL GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF THE SERVICE AREA. THE FOLLOWING NON-PROFIT AGENCIES PARTICIPATED IN THE FOCUS GROUP: BEACH CITIES HEALTH DISTRICT BEHAVIORAL HEALTH SERVICES CITY OF MANHATTAN BEACH OLDER ADULT PROGRAMS COMMUNITY'S CHILD FOCAL POINT ON AGING H.E.L.P. - HEALTHCARE AND ELDER LAW PROGRAMS HARBOR COMMUNITY CLINIC HARBOR INTERFAITH SERVICES MOTHERS AGAINST DRUNK DRIVING - LA/VENTURA AFFILIATE NATIONAL ALLIANCE ON MENTAL ILLNESS, SOUTH BAY PEDIATRIC THERAPY NETWORK PVE CARES REDONDO BEACH YOUTH COMMISSION SOUTH BAY CHILDREN'S HEALTH CENTER SOUTH BAY COALITION FOR THE HOMELESS SOUTH BAY FAMILY HEALTH CARE CENTER SOUTH BAY SENIOR SERVICES THE VOLUNTEER CENTER - SOUTH BAY, HARBOR, LONG BEACH TOBERMAN NEIGHBORHOOD CENTER TORRANCE ADULT SCHOOL TORRANCE AREA CHAMBER OF COMMERCE TORRANCE CULTURAL ARTS CENTER TORRANCE/SOUTH BAY YMCA TORRANCE ONE-ON-ONE PERSONAL INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING COMMUNITY LEADERS, RESIDENTS AND ACTIVISTS: 1. CARRIE BACH, RN - PUBLIC HEALTH NURSE, CLINICAL NURSE SPECIALIST; ASSISTANT PROGRAM SPECIALIST, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH 2. DIANE BROWN - DIRECTOR, HAWTHORNE SENIOR CENTER, CITY OF HAWTHORNE 3. LORI DRENGSON - ASSOCIATE DEVELOPMENT DIRECTOR, GARDENA-CARSON FAMILY YMCA 4. THYRA ENDICOTT, MD - RADIATION ONCOLOGIST; FORMER NURSE AT COUNTY USC 5. PAT FUREY - ATTORNEY, PROSECUTION OF CHILD ABUSE, REPRESENTING LOS ANGELES COUNTY; COUNCIL MEMBER, CITY OF TORRANCE 6. JUDITH GERBER - TORRANCE HISTORICAL SOCIETY; TORRANCE LIBRARY COMMISSION; TORRANCE CERTIFIED FARMER'S MARKET 7. HENRY LEE - MEMBERSHIP DIRECTOR, GARDENA-CARSON FAMILY YMCA 8. HELENE PIZZINI - RETIRED, OVER 30 YEARS IN NON-PROFIT SECTOR; 21 YEARS AS EXECUTIVE DIRECTOR SAN PEDRO YMCA; ROTARY CLUB OF SAN PEDRO OVER 20 YEARS; ROTARY DISTRICT OF GREATER LOS ANGELES AND THE VALLEY 9. LISA SANTORA, MD - CHIEF MEDICAL OFFICER, BEACH CITIES HEALTH DISTRICT 10. FRANK SCOTTO - MAYOR OF TORRANCE 11. LAURA VALLES - COMMUNITY HEALTH ASSESSMENT AND OUTREACH FACILITATOR, LOS ANGELES PUBLIC LIBRARY FACILITATOR, LOS ANGELES PUBLIC LIBRARY
SCHEDULE H, PART V, LINE 7A & 10A	HTTP://WWW.TORRANCEMEMORIAL.ORG/DOCUMENTS/COMMUNITYBENEFITS/2013CHNA_FINAL _REPORT.PDF
SCHEDULE H, PART V, LINE 11	A REVIEW OF THE FINDINGS FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMS SIGNIFICANT UNMET NEEDS IN THE FOLLOWING AREAS: - LIMITED HEALTH CARE ACCESS - INSUFFICIENT MENTAL HEALTH SERVICES - INCREASING RATES OF OBESITY - LACK OF DENTAL CARE - INSUFFICIENT COMMUNITY-BASED EDUCATION - INSUFFICIENT KNOWLEDGE OF AVAILABLE COMMUNITY RESOURCES IN KEEPING WITH TORRANCE MEMORIAL MEDICAL CENTER'S STRATEGIC MISSION, THE HOSPITAL USED THE FINDINGS OF THE 2013 CHNA TO PRIORITIZE SIGNIFICANT NEEDS. AN IMPLEMENTATION PLAN WAS SUBSEQUENTLY PREPARED FOR FISCAL YEAR 2014 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 2013 CHNA. PROGRAMS AND SERVICES ARE DESCRIBED FURTHER IN THE ATTACHED 2014 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 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 TORRANCE PREVENTION COMMUNITY COUNCIL COLLABORATION SIGNIFICANT NEED: INCREASING RATES OF OBESITY POLICY/PROGRAM/SERVICE TO ADDRESS NEED: LUNDQUIST CARDIOVASCULAR INSTITUTE DIABETES PREVENTION PROGRAM/YMCA PARTNERSHIP DIABETES EDUCATION PROGRAMS HEALTHY EVER AFTER 4 KIDS/YMCA PARTNERSHIP HEALTHY EVER AFTER/TUSD PARTNERSHIP SUPPORT GROUPS AMERICAN HEART ASSOCIATION/GO RED PARTNERSHIP MIRACLE OF LIVING/MIRACLE OF LIVING AT THE BEACH SIGNIFICANT NEED: LACK OF DENTAL CARE POLICY/PROGRAM/SERVICE TO ADDRESS NEED: HARBOR INTERFAITH SERVICES PARTNERSHIP SOUTH BAY CHILDREN'S HEALTH CENTER PARTNERSHIP SIGNIFICANT NEED: INSUFFICIENT COMMUNITY-BASED EDUCATION POLICY/PROGRAM/SERVICE TO ADDRESS NEED: 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 "EVERY 15 MINUTES" EVENT (NATIONAL EDUCATION PROGRAM) HARBOR INTERFAITH SERVICES PARTNERSHIP CONTINUING MEDICAL EDUCATION ACTIVITIES THELMA MCMILLEN CENTER AMERICAN HEART ASSOCIATION/GO RED PARTNERSHIP MIRACLE OF LIVING/MIRACLE OF LIVING AT THE BEACH SIGNIFICANT NEED: INSUFFICIENT KNOWLEDGE OF COMMUNITY-BASED RESOURCES POLICY/PROGRAM/SERVICE TO ADDRESS NEED: WELCOME BABY PROGRAM CANCER RESOURCE CENTER SPEAKER'S BUREAU SUPPORT GROUPS MANHATTAN BEACH MEDICAL ADVISORY BOARD HARBOR INTERFAITH SERVICES PARTNERSHIP THELMA MCMILLEN CENTER PULSE MAGAZINE FIVE OF THE SIX SIGNIFICANT NEEDS ARE STRONGLY ADDRESSED THROUGH ONGOING PROGRAMS AND PARTNERSHIPS. TO ADDRESS NEEDS RELATED TO LACK OF DENTAL CARE, THE HOSPITAL HAS PROVIDED AN ANNUAL DENTAL GRANT SINCE 2011 TO OUR COMMUNITY PARTNER, HARBOR INTERFAITH SERVICES (HIS), TO FUND DENTAL CARE FOR THEIR HOMELESS AND WORKING POOR CLIENTELE. HOWEVER, IN 2012 HIS REQUESTED TO RE-DIRECT THE DENTAL GRANT TO FUND THE FOOD PANTRY SUBSEQUENT TO FEDERAL BUDGET CUTS IN FEMA ALLOCATED TO THE EMERGENCY FOOD AND SHELTER PROGRAM. UNABLE TO LOCATE A REPLACEMENT FUNDING SOURCE, THE DENTAL FUNDS HAVE REMAINED ON DIVERSION TO THE FOOD PANTRY, WHOSE SERVICE DEMAND HAS INCREASED SUBSTANTIALLY SINCE 2012, AND WHICH FOR HIS REPRESENTS A HIGHER PRIORITY NEED. THE HOSPITAL IS CURRENTLY ASSESSING OPTIONS WITHIN ITS RESOURCES TO MORE SUBSTANTIALLY ADDRESS THE SIGNIFICANT NEED IDENTIFIED IN THE 2013 CHNA AS A LACK OF DENTAL CARE.
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 OCCURENCE OF A CATASTROPHIC MEDICAL EVENT.
SCHEDULE H, PART V, LINE 16B & 16C	http://www.torrancememorial.org/Patients/Billing/Financial_Assistance.aspx

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, SUBSIDIZED HEALTH SERVICES	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) PARTICIPATES IN VARIOUS COLLABORATIONS AND OFFERS AN EXTENSIVE ARRAY OF FREE AND LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. WE OFFER THE TLC (TORRANCE LOVES CHILDREN) PROGRAM, A SICK-CHILD CARE PROGRAM LICENSED BY THE DEPARTMENT OF SOCIAL SERVICES AND OPEN TO THE PUBLIC SO THAT PARENTS WITH A MILDLY ILL CHILD DO NOT HAVE TO MISS WORK. WE FURTHER SUPPORT CHILD CARE FOR VULNERABLE POPULATIONS VIA OUR PARTNERSHIP WITH HARBOR INTERFAITH SERVICES AND SUPPORT OF THEIR ANNUAL GALA WHICH BENEFITS CHILD CARE SERVICES FOR HOMELESS AND WORKING POOR CLIENTS SO THEY MAY STAY IN SCHOOL, COMPLETE THEIR VOCATIONAL TRAINING, OR HOLD DOWN A JOB. COMMUNITY SUPPORT FOR DISASTER READINESS IS PROVIDED TO THE PUBLIC THROUGH EDUCATIONAL PROGRAMS OF THE SPEAKER'S BUREAU, FREE CPR TRAINING, SUPPORT TO AREA SCHOOLS FOR RE-SUPPLY OR UPDATE OF DISASTER/EMERGENCY PROVISIONS AND BY HOSTING THE ONGOING MEETINGS AND RELAY PRACTICE ACTIVITIES OF THE SOUTH BAY HAM RADIO OPERATORS GROUP. IN ADDITION, WE CONTINUE TO OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. IN SUPPORT OF COMMUNITY HEALTH IMPROVEMENT WE CONDUCT ONGOING HEALTH SCREENINGS AT COMMUNITY HEALTH FAIRS AT NO COST. WE ESTABLISHED THE TORRANCE MEMORIAL LEARNING GARDEN IN COLLABORATION WITH THE CITY'S COMMUNITY GARDEN PROGRAM TO OFFER ONGOING CLASSES WHICH TEACH PARTICIPANTS HOW TO GROW HEALTHFUL, ORGANIC, SEASONAL PRODUCE AT HOME AND SIMULTANEOUSLY PROVIDE ADAPTIVE EXERCISE, HELPFUL ESPECIALLY TO SENIOR POPULATIONS. WE CONDUCT "KIDS N FITNESS," A PROGRAM OFFERED AT NO COST IN PARTNERSHIP WITH THE YMCA, TARGETING OVERWEIGHT CHILDREN AND THEIR PARENTS. RECENTLY, THIS CHILDREN'S NUTRITION AND EXERCISE PROGRAM EXPANDED INTO A SCHOOL-BASED PROGRAM CALLED "HEALTHY EVER AFTER" (HEA). IN HEA, A PEDIATRIC CLINICAL NUTRITIONIST USES A SCRIPTED CURRICULUM TO TRAIN PARENT DOCENTS TO TEACH 5 DIFFERENT NUTRITION LESSONS. HEA HAS BEEN EMBRACED BY TORRANCE UNIFIED SCHOOL DISTRICT AND IS BEING TAUGHT IN THE MAJORITY OF THE DISTRICT'S ELEMENTARY SCHOOLS. IN 2013, TMMC'S HEA PROGRAM WAS RECOGNIZED BY THE TORRANCE COUNCIL OF PTAS FOR OUTSTANDING SERVICE AND COMMUNITY LEADERSHIP. OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO AREA HIGH SCHOOLS SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. SUPPORTING EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS, FAMILY MEMBERS AND THE COMMUNITY, HOST ONGOING SUPPORT GROUPS IN PARTNERSHIP WITH NON-PROFIT SERVICE PROVIDERS, OFFER EDUCATION CLASSES, ENABLE FREE ACCESS TO HEALTH LECTURES VIA ON-DEMAND STREAMING MEDIA AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. WE SUPPORT THE NEEDS OF THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY BY STRONG COLLABORATION WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER ON THE WELCOME BABY PROGRAM. WELCOME BABY IS A COMPONENT OF BEST START - A MULTI-YEAR EFFORT CREATED BY FIRST 5 LA THAT AIMS TO SHAPE, STRENGTHEN AND SUPPORT L.A. COUNTY NEIGHBORHOODS BY BUILDING RESOURCES AND PROVIDING ACCESS TO ACTIVITIES THAT IMPROVE THE WELL-BEING, DEVELOPMENT AND CARE EXPERIENCED BY PREGNANT WOMEN, NEW PARENTS AND CHILDREN AGE 5 AND UNDER. ALSO THROUGH GRANT FUNDS DISBURSED TO HARBOR INTERFAITH SERVICES, WE PROVIDED RESOURCES FOR DENTAL CARE AND SUPPORT OF THE FOOD PANTRY. ADDITIONALLY, DOOR-TO-DOOR VAN TRANSPORTATION SERVICES, UTILIZED LARGELY BY SENIORS AND THE DISABLED, ARE PROVIDED AT A VERY LOW COST. 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 2013, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $1,005,190.
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 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 MEDICAL CENTER ADJUSTS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS AS COLLECTION TRENDS AND THE EFFECT OF OTHER ENVIRONMENTAL FACTORS, AS DISCUSSED ABOVE, BECOME KNOWN. 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 81% 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 (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 INDENTYING PRIORITIES, COMPARISONS ARE MADE TO NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2010 AND OTHER REGIONAL EXPERIENCES. ADDITIONALLY ON A TRI-ANNUAL 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, SPECIALY 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, ANDOTHER 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. BENEFITS.
SCHEDULE H, PART VI (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 200-350% 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 81% 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 2014, 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 $3,091,667.
SCHEDULE H, PART VI (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, WILMINTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 876,241 PERSONS, WITH 23 PERCENT OF THE POPULATION UNDER 18 YEARS, 63PERCENT AGE 18 TO 64, AND 14 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 32 PERCENT WHITE, 36 PERCENT HISPANIC, 18 PERCENT ASIAN/PACIFIC ISLANDER, 10 PERCENT BLACK AND 4 PERCENT ALL OTHER RACES. 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, 16 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 20 PERCENT HAVE GRADUATED HIGH SCHOOL AND 64 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $92,981 WITH 9 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 2013. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF PERSONS 65 YEARS AND OLDER, WHITE, 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 (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 25 SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, 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 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 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, INCREASE THE BLOOD SUPPLY, AND OCCUPATIONAL CENTERS, AND NURSING COLLEGES; - 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 (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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sally Eberhard
Board Member/Sr. VP Planning	$0	$354,731	$0	$60,849	$0	$259,891	$0	$65,047	$0	$18,207	$0	$758,725	$0	$259,891
Craig Leach
President/CEO & Asst Treasurer	$0	$459,143	$0	$113,034	$0	$0	$0	$186,525	$0	$17,833	$0	$776,535	$0	$0
William Larson
CFO	$0	$213,130	$0	$14,873	$0	$0	$0	$16,410	$0	$29,719	$0	$274,132	$0	$0
Margaret Berwald
Sr VP Nursing Services/CNO	$0	$257,188	$0	$28,470	$0	$0	$0	$82,518	$0	$22,434	$0	$390,610	$0	$0
Debra Kelley
VP Ancillary Support Services	$0	$244,591	$0	$17,201	$0	$0	$0	$30,434	$0	$18,092	$0	$310,318	$0	$0
Barbara Lequire
VP Nursing	$0	$218,629	$0	$14,873	$0	$0	$0	$30,947	$0	$15,568	$0	$280,017	$0	$0
John McNamara Fmr Board Mbr
SR VP Chief Medical Officer	$0	$322,684	$0	$55,435	$0	$0	$0	$61,391	$0	$7,953	$0	$447,463	$0	$0
Michael Thomas
VP Ancillary Support Services	$0	$271,266	$0	$19,036	$0	$0	$0	$29,682	$0	$18,113	$0	$338,097	$0	$0
Robin Camrin
VP Med Staff Svcs	$0	$217,998	$0	$14,873	$0	$0	$0	$27,791	$0	$10,344	$0	$271,006	$0	$0
Linda Dobie
VP Risk Management	$0	$209,677	$0	$20,068	$0	$0	$0	$22,697	$0	$35,410	$0	$287,852	$0	$0
Lois Michael
VP Human Resources	$0	$138,995	$0	$0	$0	$208,957	$0	$568	$0	$24,248	$0	$372,768	$0	$0
Bernadette Reid
VP Information Systems	$0	$217,562	$0	$20,068	$0	$0	$0	$23,861	$0	$16,572	$0	$278,063	$0	$0
Laura Schenasi
Exec. VP TMMC Foundation	$0	$230,249	$0	$57,658	$0	$0	$0	$20,560	$0	$32,153	$0	$340,620	$0	$0
HEATHER SHAY
VP ACCRED & CLIN QUALITY	$0	$216,541	$0	$14,873	$0	$0	$0	$15,316	$0	$17,850	$0	$264,580	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3	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 4A	LOIS MICHAEL RECEIVED A SEVERANCE PAYMENT OF $201,049 DURING 2014.
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 2014, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS: SALLY EBERHARD - $259,891

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF TORRANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	956000803	BondIssuerEIN
CUSIP	891380AR8	CUSIPNum
Bond Issued	2010-09-23	BondIssuedDt
Issue Price	$234,272,023	IssuePriceAmt
Purpose	REFUND 1992 BOND ISSUE	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$234,272,023	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$2,707,235	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$234,272,023	CapitalExpendituresAmt
Other Spent Proceeds	$34,800,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2014	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JOHN F GRAHAM	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SON OF PRESIDENT EMERITUS	RelationshipDescriptionTxt
Transaction	$50,688	TransactionAmt
Transaction	EMPLOYEE OF TMMC	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. OVER THE LAST DECADE, FIVE HOSPITALS HAVE CLOSED IN OUR SERVICE AREA, OR NEARBY, WHICH HAS SIGNIFICANTLY IMPACTED TORRANCE MEMORIAL. 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 THIS PROJECT. 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 ACCOUNT 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 200-350% 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 81 PERCENT 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 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 2014, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $3,091,667. 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 2012 WE LAUNCHED "HEALTHY EVER AFTER"; A PARTNERSHIP WITH TORRANCE UNIFIED SCHOOL DISTRICT AND DISTRICT FOOD SERVICES. "HEALTHY EVER AFTER" IS A FREE, STANDARDS-BASED NUTRITION EDUCATION PROGRAM WRITTEN BY THE HOSPITAL'S PEDIATRIC REGISTERED DIETICIAN AND TAUGHT TO ELEMENTARY STUDENTS BY PARENT DOCENTS. IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 188 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, FUNDING AN ANNUAL DENTAL GRANT AND OFFERING AN ANNUAL FLU SHOT CLINIC. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT THE FOOD PANTRY AND PROVIDED 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 2014, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $ 1,521,016. 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 2014, 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 2014, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $59,289,123. 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 2014, THIS COST WAS APPROXIMATELY $2,188,400. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $67,098,845 IN COMMUNITY BENEFIT EXPENSE IN 2013. 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, QUESTION 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, QUESTION 15A	FOR THE TAX YEAR 2014 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.
FORM 990, PART VI, QUESTION 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 PENSION LIABILITY ADJUSTMENT (60,265,092) CHANGE IN VALUE OF FOUNDATION 12,046,291 OTHER NON-OPERATING EXPENSE RECLASSES 189,135

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TORRANCE HEALTH ASSOCIATION
3330 LOMITA BOULVARD	TORRANCE	CA	90505	330073515	HEALTH SVCs	CA	501(c)(3)	11b	NA	false
TORRANCE MEMORIAL MED CTR HEALTHCARE FDN
3330 LOMITA BOULEVARD	TORRANCE	CA	90505	953528452	FUNDRAISING	CA	501(c)(3)	7	THA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TORRANCE MEMORIAL SURGICAL CENTER LLC
23560 CRENSHAW BLVD STE 104	TORRANCE	CA	90505	465259260	outpat surg svcs	CA	TMMC	Related	$24,358	$742,799	false	Yes (true)	0.69036
TORRANCE SURGERY CENTER LP
1A BURTON HILLS BLVD	NASHVILLE	TN	37215	330932093	SURGICAL SVCS	TN	NA	N/A			false	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TORRANCE MEMORIAL MED HEALTH CARE FOUNDATION
c	$10,000,000	ACTUAL
TORRANCE MEMORIAL MED HEALTH CARE FOUNDATION
n	$865,365	ACTUAL
TORRANCE MEMORIAL MED HEALTH CARE FOUNDATION
m	$128,155	FMV
TORRANCE HEALTH ASSOCIATION
k	$4,246,276	ACTUAL
TORRANCE HEALTH ASSOCIATION
q	$443,852	ACTUAL
TORRANCE HEALTH ASSOCIATION
p	$5,325,990	ACTUAL
TORRANCE HEALTH ASSOCIATION
j	$383,964	ACTUAL
TORRANCE MEMORIAL MED HEALTH CARE FOUNDATION
O	$911,645	ACTUAL