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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>TORR MULTI-SPEC ASC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>AMBULATORY SURGERY</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.3129</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.4269</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>EL SEGUNDO ENDOSCOPY CENTER LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>ENDOSCOPY CENTER</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.25</OrgProfitOrOwnershipPct>
        <OfcrEtcProfitOrOwnershipPct>0</OfcrEtcProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.75</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
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        <FacilityNum>1</FacilityNum>
        <BusinessName>
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        </BusinessName>
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          <AddressLine1Txt>3330 LOMITA BOULEVARD</AddressLine1Txt>
          <CityNm>TORRANCE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90505</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.TORRANCEMEMORIAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>930000076</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>TORRANCE MEMORIAL MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.TORRANCEMEMORIAL.ORG/ABOUT-US/COMMUNITY-BENEFIT/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.TORRANCEMEMORIAL.ORG/ABOUT-US/COMMUNITY-BENEFIT/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>450.0</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Torrance Memorial Medical Center. In partnership with Providence Little Company of Mary Medical Center Torrance and Providence Little Company of Mary Medical Center San Pedro, Torrance Memorial Medical Center conducted interviews with persons representing the broad interests of the community to obtain input on significant community health needs, barriers to care, and available resources. Input received from these community stakeholders was considered and incorporated into the identification and prioritization of significant health needs as part of the Community Health Needs Assessment (CHNA). Thirty-three (33) phone interviews were conducted during October and November of 2024. Community stakeholders were identified by the hospital partners and invited to participate in the CHNA process. Interview participants included individuals and representatives from organizations serving the South Bay area of Los Angeles County, including public health, education, government, law enforcement, and social service sectors. These individuals provided input on the health needs and priorities of the communities served by the hospitals. In accordance with regulatory expectations, input from medically underserved, low-income, and minority populations was obtained through interviews with representatives of organizations and agencies that serve these populations, including community-based organizations, safety-net providers, and social service agencies. These stakeholders provided perspectives on the unique health needs, barriers to care, and disparities experienced by the populations they represent. Stakeholders were invited by email to participate in phone interviews scheduled at their convenience. At the beginning of each interview, the purpose of the CHNA was explained, participants were assured that their responses would remain confidential, and consent to proceed was obtained. During the interviews, participants were asked to share their perspectives on key health issues, challenges, and barriers affecting the community, including those disproportionately impacting vulnerable populations.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - Los Angeles County Department of Public Health. Regional Health Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 3 - South Bay Cities Council of Governments. Senior Project Manager for Homeless and Senior Services</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 4 - City of Torrance. City Librarian</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 5 - Goodwill Industries. Vice President Workforce Development</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 6 - Volunteer Center South Bay/ Harbor/ Long Beach . President and Chief Executive Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 7 - Torrance Unified School District. Coordinator, Parent Community Engagement; Homeless Foster Liaison</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 8 - Connected to Lead. Founder &amp; Executive Director</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 9 - Harbor Interfaith Services. Executive Director</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 10 - City of Torrance. Deputy City Manager</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 11 - Boys and Girls Clubs of the Los Angeles Harbor. Chief Operating Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 12 - Lawndale Elementary School District. Director of Special Projects</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 13</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 13 - Harbor Community Health Centers. Chief Executive Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 14</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 14 - Rainbow Services . Chief Executive Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 15 - Torrance-South Bay YMCA. District Vice President</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 16 - Los Angeles Police Department. Captain, Harbor Division</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 17</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 17 - Friendship Foundation. Founder and Executive Director</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 18 - Adobe Communities. Resident Services Coordinator Lead</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 19 - Torrance Unified School District . Director, Communications</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 20</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 20 - LA Care. Manager, Community Resource Center</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 21</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 21 - Community's Child . Executive Director</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 22</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 22 - El Camino College. Executive Director, Marketing and Communications</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 23</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 23 - Venice Family Clinic/South Bay Family Healthcare. Chief Executive Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 24</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 24 - Adobe Communities . Resident Services Supervisor</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 25</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 25 - San Pedro Mental Health Center. Case Manager</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 26</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 26 - Open Paths Counseling Center. Executive Director</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 27</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 27 - NAMI South Bay Chapter. President</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 28</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 28 - WISE &amp; Healthy Aging. Vice President, Ombudsman Services</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 29</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 29 - EXP. Chief Executive Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 30</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 30 - Unihealth. President and Chief Operating Officer</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 31</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 31 - California Community Foundation. Director of Health Programs</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 32</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 32 - Forensic Nurse Specialists, Inc. . President</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 33</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 33 - Richstone Family Center. Therapist and Community Outreach Coordinator</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 34</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 34 - South Bay Children's Health Center. Director Mental Health</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Torrance Memorial Medical Center. For this CHNA's primary data collection, Torrance Memorial participated in a collaborative process for the stakeholder interviews, which included Providence Little Company of Mary Medical Center Torrance and Providence Little Company of Mary Medical Center San Pedro. Given that these partners share an overlapping service area, a collaborative effort increased primary data collection efficiency and reduced redundancies.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - TORRANCE MEMORIAL MEDICAL CENTER. Health needs were identified in Torrance Memorial Medical Center's (TMMC's) most recently conducted Community Health Needs Assessment (CHNA) and prioritized by community stakeholders. In accordance with Internal Revenue Service requirements, TMMC developed and adopted an implementation strategy that outlines how the hospital is addressing the significant health needs identified in the CHNA. The following Health Focus Areas and associated strategies reflect that implementation strategy, as well as TMMC's capacity to impact identified needs, the strength of community partnerships, and alignment with organizational strategic priorities. TMMC is addressing the significant health needs identified in the most recent CHNA as follows: Access to Care and Community Services (including preventive care, behavioral health, mental health, and substance use) TMMC is addressing this need through strategies and programs informed by CHNA findings, including: care transitions and patient supports; community benefit grants and in-kind support; community health workers providing short-term care coordination; financial assistance programs; health insurance enrollment support; health screenings; social work and case management; screening for social drivers of health with referral follow-up; services provided through the Thelma McMillen Recovery Center; naloxone distribution; clinical internships, preceptorships, and residency programs; and partnerships with workforce development and work-study programs. Chronic Disease (including overweight/obesity and food insecurity) In response to CHNA-identified chronic disease needs, TMMC implements the following strategies: support groups; community outreach and health education; Public Access Defibrillation Program; exercise and healthy lifestyle programs; Healthy Ever After; community benefit grants and in-kind support; community health worker follow-up; and food recycling and food recovery initiatives to address food insecurity. Housing and Homelessness To address housing instability and homelessness identified in the CHNA, TMMC supports: social work and case management services; community health worker follow-up; screening for social drivers of health with referral follow-up; care transitions and patient supports; homeless patient navigation services; convening of collaborative community networks; and provision of grants and in-kind community support. Health Needs the Hospital Will Not Address Significant health needs identified in the most recent CHNA that are not included as priority focus areas for 2025-2028 are Safety and Violence and Economic Security. While TMMC does not directly address these needs as primary focus areas, several existing programs and partnerships indirectly contribute to these issues. TMMC acknowledges the importance of these needs and will continue to explore opportunities, in collaboration with community partners, to support efforts that address them.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Torrance Memorial Medical Center. IF A PATIENT'S RESPONSIBILITY IS 10% OR MORE OF THE PATIENT'S 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Torrance Memorial Medical Center. ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TORRANCE MEMORIAL BREAST DIAG CENTER II</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>824 E CARSON ST</AddressLine1Txt>
            <CityNm>CARSON</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90266</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING AND DIAGNOSTICS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TORRANCE MEMORIAL BREAST DIAG CENTER III</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>855 MANHATTAN BEACH BLVD</AddressLine1Txt>
            <CityNm>MANHATTAN BEACH</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90266</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING AND DIAGNOSTICS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TORRANCE MEMORIAL BREAST DIAG CENTER IV</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>65 PENINSULA CENTER</AddressLine1Txt>
            <CityNm>ROLLING HILLS ESTATE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90274</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING AND DIAGNOSTICS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TORRANCE MEMORIAL SURGICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23560 CRENSHAW BLVD STE 104</AddressLine1Txt>
            <CityNm>TORRANCE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90505</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGICAL CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY MAY INCLUDE: - NO INSURANCE UNDER ANY GOVERNMENT-COVERAGE PROGRAM; OTHER THIRD-PARTY INSURER; OR INADEQUATE THIRD-PARTY INSURANCE COVERAGE - FAMILY INCOME BASED UPON TAX RETURNS AND RECENT PAY STUBS - FAMILY SIZE - QUALIFYING MONETARY ASSETS (CHECKING, SAVINGS, STOCKS, BONDS, MONEY MARKET AND SIMILAR INVESTMENTS)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL COMMUNITY BENEFIT REPORT AND PLAN IS FILED WITH THE STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H - Part II Community Building Activities Narrative Torrance Memorial Medical Center (TMMC) conducts community building activities intended to improve community health by strengthening workforce capacity, advancing economic opportunity, and addressing social determinants of health. In 2025, the medical center participated in the following initiatives: Community Health Worker Academy (Workforce Development) TMMC serves as an approved practicum site for the Community Health Worker Academy. The hospital provides supervised internship placements for approximately three to four Community Health Worker (CHW) interns annually. Interns receive training and practical experience in care coordination, health education, and resource navigation, with emphasis on reducing barriers to care and improving access for underserved populations. This initiative supports the development of a culturally competent community health workforce aligned with Community Health Needs Assessment (CHNA) priorities. Hospital expenses associated with supervision and training are fully offset by external grant funding, resulting in no net expense to the organization. The activity is reported under Other as a community building activity because it enhances community health infrastructure rather than providing direct clinical services. Verbum Dei Jesuit High School - Corporate Work Study Program (Workforce Development/Economic Support) Through partnership with Verbum Dei Jesuit High School's Corporate Work Study Program, TMMC supports workforce readiness and economic mobility for four high school students annually from historically underserved communities. Students work four days per month during the academic year in hospital departments, including health education and accounting, performing structured entry-level assignments. The program promotes educational attainment, skill development, mentorship, and exposure to healthcare and business career pathways. TMMC has participated as a corporate sponsor since 2018. This activity is reported under Other. First 5 LA - Welcome Baby Program (Community Support/Social Determinants of Health) Through June 2025, TMMC participated in First 5 LA's Welcome Baby Program, a grant-funded initiative providing non-clinical education, care coordination, and resource linkage to expectant and new parents residing in communities experiencing longstanding social and environmental inequities. Hospital-based liaisons supported families through in-hospital engagement and facilitated access to services including parent coaching, nurse home visitation, insurance enrollment assistance, and community resource navigation through the infant's first nine months of life. TMMC had served as a participating hospital partner since 2014, primarily supporting families from Wilmington. External funding concluded in June 2025, and the hospital's participation ended at that time. The program is reported as a community building activity because it addressed social determinants of health and strengthened family and community support systems rather than delivering direct patient care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME AS RESPONSE TO PART III, LINE 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>FOOTNOTE FROM THE CEDARS-SINAI HEALTH SYSTEM FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2025 FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HEALTH SYSTEM RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AND IMPLICIT PRICE CONCESSIONS AS DETERMINED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HEALTH SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. EXPLICIT PRICE CONCESSIONS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. IMPLICIT PRICE CONCESSIONS REPRESENT DIFFERENCES BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE HEALTH SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE 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, AND DOES NOT MEET THE PRESUMPTIVE ELIGIBILITY CRITERIA, 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 83% 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TORRANCE MEMORIAL MEDICAL CENTER: Line 16a URL: http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TORRANCE MEMORIAL MEDICAL CENTER: Line 16b URL: http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- TORRANCE MEMORIAL MEDICAL CENTER: Line 16c URL: http://www.torrancememorial.org/PATIENTS-VISITORS/BILLING-INSURANCE/HELP-PAYING-YOUR-BILL/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to conducting a triennial Community Health Needs Assessment (CHNA), Torrance Memorial Medical Center utilizes an ongoing, multi-faceted approach to assess the health care needs of the communities it serves. This approach includes routine analysis of internal hospital and clinical data, such as emergency department visits, inpatient admissions, and payer mix, to identify emerging health trends, access issues, and gaps in care. The hospital also utilizes publicly available data sources at the local, county, and state levels to track changes in demographics, disease prevalence, and social determinants of health. Torrance Memorial maintains ongoing engagement with community partners, including public health agencies, community-based organizations, and social service providers, through meetings, collaborative initiatives, and community coalitions. These interactions provide real-time qualitative insights into community health concerns, barriers to care, and unmet needs, particularly among medically underserved, low-income, and minority populations. Additional mechanisms for assessing community needs include feedback gathered through patient satisfaction surveys, community program evaluations, and direct input from hospital staff, including care management, social work, and community health personnel who work closely with vulnerable populations. Information gathered through these ongoing activities is reviewed and considered by hospital leadership and community benefit planning staff to inform program development, resource allocation, and implementation strategies between CHNA cycles. This continuous assessment process enables Torrance Memorial to respond to emerging health needs and adjust its community benefit activities in a timely manner, beyond the formal CHNA process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200%-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 83% 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 WEBSITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06.30.2025, 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 $5,941,601.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Torrance Memorial Medical Center is located at 3330 Lomita Boulevard, Torrance, California 90505. The hospital service area includes 24 ZIP Codes in 15 cities or neighborhoods as follows: Carson, El Segundo, Gardena, Harbor City, Hawthorne, Hermosa Beach, Lawndale, Lomita, Manhattan Beach, Palos Verdes Peninsula, Rancho Palos Verdes, Redondo Beach, San Pedro, Torrance, Wilmington. It comprises a significant portion of Los Angeles City Council District 15 and Service Planning Area 8 (South Bay) in Los Angeles County. The population for the Torrance Memorial service area is 881,953. Children and teens, ages 0-17, make up 21.9% of the population, 62.3% are adults, ages 18-64, and 15.8% of the population are senior adults, 65 and older. The service area has a lower percentage of young adults, 18 to 34, and a higher percentage of adults, 65 and older, compared to the county. In the service area, 37% of the population identifies as Hispanic or Latino residents, and non-Hispanic White residents make up 28.1% of the population. Asian residents comprise 19.8% of the population, and Black or African American residents make up 9.5% of the population. 4.5% of the population identifies as multiracial. The service area has a lower percentage of Hispanic or Latino individuals compared to the county (48.7%) and state (39.7%). In the service area, 9.8% of the population lives at or below 100% of the federal poverty level (FPL) and 23.5% of the population in the service area is considered low-income, living at or below 200% of FPL. According to the US Department of Housing and Urban Development, those who spend more than 30% of their income on housing are said to be "cost burdened." 41.4% of owner and renter occupied households in the service area spend 30% or more of their income on housing. This is below the county rate (46.8%), but similar to the state's (41%). In the hospital service area, 13.5% of adults, ages 25 and older, lack a high school diploma, which is lower than the county (19.7%) and state (15.6%) rates. 41.8% of area adults have a bachelor's degree or higher degree, which is higher than the county (34.6%) and state (35.9%) rates.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF TRUSTEES 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 TRUSTEES 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 AND PROMOTE 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, BURN, SUBSTANCE ABUSE, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING ONGOING SUPPORT GROUPS INCLUDING BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, OSTOMY, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, STROKE, AND SURGICAL WEIGHT LOSS; - PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, ANEMIA SCREENINGS AND PULMONARY FUNCTION SCREENINGS; - STAFFING VARIOUS CENTERS (HEALTH RESOURCE CENTER, CANCER RESOURCE CENTER, AND BREAST EXAMINATION TRAINING CENTER) FOR HEALTH INFORMATION AND ASSISTANCE; - PROVIDING HEALTH INFORMATION VIRTUALLY AND IN MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, SOCIAL MEDIA, LIVE STREAM AND A MEDICAL LIBRARY ACCESSIBLE TO THE PUBLIC; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR THE WORKING POOR AS WELL AS FOR PEOPLE EXPERIENCING HOMELESSNESS, AND VICTIMS OF DOMESTIC VIOLENCE; - 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE FEBRUARY 1, 2018, TORRANCE MEMORIAL MEDICAL CENTER ENTERED INTO AN AFFILIATION AGREEMENT WITH CEDARS-SINAI MEDICAL CENTER. BY COMING TOGETHER, THE NEW AFFILIATED HEALTH CARE SYSTEM, CEDARS-SINAI HEALTH SYSTEM, FOCUSES ON NEW OPPORTUNITIES FOR COORDINATION OF CARE AND RESOURCES BETWEEN THE TWO ORGANIZATIONS, JOINT PROGRAMS TO PROVIDE ACCESS TO MORE PEOPLE FOR NEEDED MEDICAL SERVICES AND ACCESS TO CLINICAL TRIALS AND THE LATEST DEVELOPMENTS IN MEDICAL RESEARCH. BY COMING TOGETHER IN THE CEDARS-SINAI HEALTH SYSTEM, OUR COLLECTIVE ABILITY TO SERVE THE REGION IS ENHANCED EVERY DAY. IN AUGUST 2021, CEDARS HEALTH SYSTEMS EXPANDED BY BECOMING THE SOLE CORPORATE MEMBER OF PASADENA HOSPITAL ASSOCIATION, LTD AND ITS AFFILIATES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>CA</ExplanationTxt>
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        <PersonNm>Zachary Gray</PersonNm>
        <TitleTxt>Sr VP Chief Medical Officer</TitleTxt>
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        <PersonNm>Shanna Hall</PersonNm>
        <TitleTxt>VP Nursing Services</TitleTxt>
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        <PersonNm>Bernadette Reid</PersonNm>
        <TitleTxt>SR VP INFORMATION TECHNOLOGY</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heather Shay</PersonNm>
        <TitleTxt>VP ACCRED &amp; QUALITY SERVICES</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>21558</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>563588</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Wright</PersonNm>
        <TitleTxt>Sr VP Chief Nursing Services</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>449538</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>137957</BonusRelatedOrganizationsAmt>
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        <PersonNm>Ingrid Cobb</PersonNm>
        <TitleTxt>VP Legal Affairs (current)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>361135</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Linda Dobie</PersonNm>
        <TitleTxt>VP Legal Affairs (retired)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>368786</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Laura Schenasi</PersonNm>
        <TitleTxt>EXEC VP TMMC FOUNDATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>399382</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gina Sulmeyer</PersonNm>
        <TitleTxt>Chief Medical Informatics Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>356303</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deborah A Griffin</PersonNm>
        <TitleTxt>Exec Dir Home Health/Hospice</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>321000</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE TORRANCE HEALTH ASSOCIATION AND TORRANCE MEMORIAL MEDICAL CENTER HAVE A COMMON BOARD, THE SAME PERSONS FOR BOTH ORGANIZATIONS USED THE METHOD CHECKED ON SCHEDULE J, PART I, LINE 3, TO DETERMINE THE COMPENSATION OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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 DISTRIBUTION OCCURS UPON A PARTICIPANT'S REACHING AGE 55 AND MAINTAINING EMPLOYMENT AS A KEY EMPLOYEE OF THA. DURING 2024, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO THEIR FULL VESTING IN THE PLAN: BERNADETTE REID - $51,069 THE CURRENT YEAR DISTRIBUTION IS REFLECTED IN COLUMN B (I) AND COLUMN F OF SCHEDULE J. THE AMOUNTS WERE REPORTED ON PRIOR YEARS FORM 990 AS DEFERRED COMPENSATION IN COLUMN C.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NameOfInterested>
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            <BusinessNameLine1Txt>William Stephen Larson</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of William Larson, Senior VP/Chief Finance Officer</RelationshipDescriptionTxt>
        <TransactionAmt>43181</TransactionAmt>
        <TransactionDesc>TMMC Warehouse employee</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TORRANCE MEMORIAL MEDICAL CENTER 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>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. IN 2018, TORRANCE MEMORIAL AFFILIATED WITH CEDARS-SINAI MEDICAL CENTER UNDER THE UMBRELLA OF CEDARS-SINAI HEALTH SYSTEM TO FURTHER ENHANCE ACCESS, COORDINATION AND QUALITY OF CARE, AND TO BRING MORE EXPERTISE IN THE AREAS OF NEUROSCIENCE, CANCER AND HEART FAILURE TO THE COMMUNITIES OF THE SOUTH BAY. MOST IMPORTANT TO OUR MISSION IS TO SECURE ACCESS TO ACUTE HOSPITAL SERVICES AND REMAIN STABLE WHERE OTHER HOSPITALS HAVE FAILED. 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 COST OR AT A FINANCIAL LOSS AND ARE DESIGNED TO IMPROVE COMMUNITY HEALTH. UPON RECOMMENDATION OF A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE, A COMMUNITY BENEFITS BUDGET IS SEPARATELY DEVELOPED AND INCLUDED IN THE ANNUAL BUDGET SUBMITTED TO THE BOARD FOR APPROVAL AND ITS PROGRESS IS MEASURED ACCORDINGLY. EACH YEAR, THE EXPENDITURES TOWARD COMMUNITY BENEFITS ARE ACCOUNTED FOR AND SUMMARIZED AS FOLLOWS: I) CHARITY CARE POLICY AND FINANCIAL ASSISTANCE TO THE UNINSURED. THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY. IN SUCH SITUATION, PATIENTS ARE OFFERED AN 83 PERCENT DISCOUNT OFF THE HOSPITAL BILL FOR FACILITY SERVICES AND 30 PERCENT FOR HOSPITAL BASED PHYSICIAN SERVICES. IN ADDITION, SERVICES AND SUPPLIES WITH COST IN EXCESS OF THE DISCOUNTED RATE ARE VALUED AT COST PLUS 5%. 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 FOR YEAR ENDED 06/30/2025, 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 $5,941,601. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2015 WE LAUNCHED "WELCOME BABY A PARTNERSHIP WITH PROVIDENCE LITTLE CO. OF MARY &amp; FIRST 5 LA. WELCOME BABY IS A FREE PROGRAM TARGETING PRE- AND POST-NATAL MOTHERS LIVING IN WILMINGTON TO PROMOTE OVERALL HEALTH DURING THE FIRST YEAR , ENSURE CHILDREN HAVE HEALTH COVERAGE AND RECEIVE CONSISTENT CARE, INCREASE BREASTFEEDING RATES, AND ENSURE NEW PARENTS HAVE A SAFE HOME ENVIRONMENT IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 100 AEDS (DEFIBRILLATOR DEVICES USED FOR HEART ATTACK VICTIMS) IN ALL PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. IN SUPPORT OF EDUCATION, OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO LOCAL HIGH SCHOOLS AND SEVERAL MIDDLE SCHOOLS IN THE COMMUNITY TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. WE SUPPORT A HOMELESS SHELTER, HARBOR INTERFAITH SERVICES, WITH ANNUAL SUPPORT TO THE FOOD PANTRY. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT HOLIDAY GIFTS TO THOSE IN NEED. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. SUPPORTING LOCAL SCHOOLS AND EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS, 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. FOR THE YEAR ENDED 06/30/2025, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $7,700,690. 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. FOR THE YEAR ENDED 06/30/2025, 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 AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (TO WHOM WE ALSO SUBMIT A COMMUNITY BENEFITS REPORT), WE HAVE CALCULATED THE SUBSIDY OF PROVIDING CARE TO MEDICARE BENEFICIARIES. FOR THE YEAR ENDED 06/30/2025, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDICAID AND MEDICARE PATIENTS WAS APPROXIMATELY $148,202,996. 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. FOR THE YEAR ENDED 06/30/2025, THIS COST WAS APPROXIMATELY $3,761,056. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $57,081,219 IN COMMUNITY BENEFIT EXPENSE FOR THE YEAR ENDED 06/30/2025. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF TORRANCE MEMORIAL MEDICAL CENTER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>CEDARS SINAI HEALTH SYSTEM IS THE SOLE MEMBER OF TORRANCE HEALTH ASSOCIATION AND RESERVES THE RIGHT TO APPROVE TRUSTEES TO THE TORRANCE HEALTH ASSOCIATION BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TRUSTESS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES 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). KEY DELIBERATIONS OF THE COMPENSATION RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMPENSATION SUBCOMMITTEE ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE PROCESS WAS LAST COMPLETED IN SEPTEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME AS FORM 990, PART VI, LINE 15A RESPONSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a, Column (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>TORRANCE HEALTH ASSOCIATION (THA) pays all executive employees of TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC). The hours on the return for the organization are the hours worked for THA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>All other programs - Total Revenue: 4519489, Related or Exempt Function Revenue: 2329490, Unrelated Business Revenue: 2189999, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Minimum Pension Liability - 2833238; Equity Transfer to THA (Parent) - -24000000; Change in Scholarship Funds - 93408; Change in Temp Restricted Interest of TMMCF - 26274331; Total - 5200977;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Foreign activity relates solely to passive investments; no program services or grants conducted outside the U.S.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>6500 WILSHIRE BLVD 19TH FLOOR</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>8700 BEVERLY BLVD</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CEDARS-SINAI MARINA HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>4650 LINCOLN BLVD</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KERLAN-JOBE ORTHOPAEDIC FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>6801 PARK TERRACE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SANTA MONICA ORTHO &amp; SPORTS MED RSCH FDN</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 West California Blvd</AddressLine1Txt>
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          <AddressLine1Txt>100 West California Blvd</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CEDARS SINAI HEALTH VENTURES</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TORRANCE MEMORIAL SURG CTR LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>23560 CRENSHAW BLVD</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CS-BH ASC HOLDINGS LLC</BusinessNameLine1Txt>
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        <USAddress>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ENDOSCOPY CTR OF SANTA MONICA LLC</BusinessNameLine1Txt>
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        <EIN>113652210</EIN>
        <PrimaryActivitiesTxt>ENDOSCOPY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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        <PrimaryActivitiesTxt>MGMT OF AMB SURG</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>90210 ASC VENTURE LLC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TIA-CEDARS MANAGEMENT SERVICES ORGANIZATION LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>548 MARKET ST</AddressLine1Txt>
          <AddressLine2Txt>SUITE 45295</AddressLine2Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94104</ZIPCd>
        </USAddress>
        <EIN>884206382</EIN>
        <PrimaryActivitiesTxt>INVESTMENT IN HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CSMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>K HEALTH-CEDARS-MANAGEMENT SERVICES ORGANIZATION LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6500 WILSHIRE BLVD</AddressLine1Txt>
          <AddressLine2Txt>STE 2250</AddressLine2Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90048</ZIPCd>
        </USAddress>
        <EIN>932305005</EIN>
        <PrimaryActivitiesTxt>HEALTH MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CSMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PASADENA ASC VENTURE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6500 WILSHIRE BLVD 19TH FLOOR</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90048</ZIPCd>
        </USAddress>
        <EIN>991582374</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY FOR AMBULATORY SURGERY CENTERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CSMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CONGRESS SERVICES CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 WEST CALIFORNIA BLVD</AddressLine1Txt>
          <CityNm>PASADENA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91105</ZIPCd>
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        <EIN>953978299</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GRAVIDAS DIAGNOSTICS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>700 N SAN VICENTE BLVD STE G-700</AddressLine1Txt>
          <CityNm>WEST HOLLYWOOD</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90069</ZIPCd>
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        <EIN>872085657</EIN>
        <PrimaryActivitiesTxt>MEDICAL EQUIPMENT AND SUPPLIES MANUFACTURING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CEDARS SINAI INTELLECTUAL PROPERTY CO</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CORONET VENTURES (SINGAPORE) PTE LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>112 ROBINSON ROAD 04-02</AddressLine1Txt>
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          <CountryCd>SN</CountryCd>
          <ForeignPostalCd>068902</ForeignPostalCd>
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        <PrimaryActivitiesTxt>HEALTHCARE AND BIOMEDICAL INNOVATION INVESTMENTS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CSMC</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THIRD STREET INSURANCE COMPANY (SAC) LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX HM 1024</AddressLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Torrance Health Association</BusinessNameLine1Txt>
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</Return>