TORRANCE MEMORIAL MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TORRANCE MEMORIAL MEDICAL CENTER (EIN 95-1644042)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-16
IRS object ID: 202301359349318930
Schema version: 2021v4.2
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 F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-16T00:04:03+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

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	2021-07-01	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)
Business Name Control	TORR	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William Larson	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2023-05-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	WILLIAM	PersonFirstNm
Person Last	LARSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

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	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRAIG LEACH	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)
Gross Receipts	$1,055,239,065	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4151	TotalEmployeeCnt
Total Volunteers	733	TotalVolunteersCnt
Total Gross UBI	$1,745,705	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$201,098	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$32,593,256	PYContributionsGrantsAmt
CY Contributions Grants	$35,278,803	CYContributionsGrantsAmt
PY Program Service Revenue	$701,371,615	PYProgramServiceRevenueAmt
CY Program Service Revenue	$784,305,240	CYProgramServiceRevenueAmt
PY Investment Income	$12,085,582	PYInvestmentIncomeAmt
CY Investment Income	$17,314,026	CYInvestmentIncomeAmt
PY Other Revenue	$3,838,186	PYOtherRevenueAmt
CY Other Revenue	$1,482,108	CYOtherRevenueAmt
PY Total Revenue	$749,888,639	PYTotalRevenueAmt
CY Total Revenue	$838,380,177	CYTotalRevenueAmt
PY Grants And Similar Paid	$99,410	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$165,950	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$397,683,716	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$445,352,352	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,587,245	CYTotalFundraisingExpenseAmt
PY Other Expenses	$314,320,862	PYOtherExpensesAmt
CY Other Expenses	$323,841,346	CYOtherExpensesAmt
PY Total Expenses	$712,103,988	PYTotalExpensesAmt
CY Total Expenses	$769,359,648	CYTotalExpensesAmt
PY Revenues Less Expenses	$37,784,651	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$69,020,529	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,308,904,790	TotalAssetsBOYAmt
Total Assets EOY	$1,248,339,939	TotalAssetsEOYAmt
Total Liabilities BOY	$651,188,147	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$559,972,054	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$657,716,643	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$688,367,885	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$692,855,015	ExpenseAmt
Grant	$165,950	GrantAmt
Revenue	$785,625,786	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$692,855,015	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
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	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	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	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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	281	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4151	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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3103259110	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Craig Leach
President/CEO	20.0	22.0	Yes (X)	Yes (X)	$0	$1,184,933	$244,358
Eric Milefchik MD
Vice Chairman	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Greg Geiger
Chairman	1.0	9.0	Yes (X)	Yes (X)	$0	$0	$0
Sherry Kramer
Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
William Collier Esq
Treasurer	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
Amir Kaviani MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Donna Duperron
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Mary Harris
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Richard Lucy
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Susan Welch
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Tracy Underwood
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
Zac Gray MD
Board Member	1.0	1.0	Yes (X)		$0	$0	$0
William Larson
Chief Financial Officer	20.0	20.0		Yes (X)	$0	$410,795	$50,485
Debra Kelley
VP Ancillary Support Services	10.0	0.0			$0	$329,052	$46,254	Yes (X)
Derek Berz
SR VP Chief Administrative Officer	40.0	0.0			$0	$571,826	$112,640	Yes (X)
Keith Hobbs
Executive VP	20.0	20.0			$0	$708,905	$96,371	Yes (X)
Mary Wright
Sr VP Chief Nursing Services	40.0	0.0			$0	$532,720	$93,021	Yes (X)
Shanna Hall
VP Nursing Services	40.0	0.0			$0	$411,202	$30,335	Yes (X)
Bernadette Reid
VP Information Services	40.0	0.0			$0	$416,624	$39,170		Yes (X)
Heather Shay
VP Accred Quality Services	40.0	0.0			$0	$415,966	$43,185		Yes (X)
John McNamara
Chief Medical Officer	18.0	0.0			$0	$588,827	$68,530		Yes (X)
Laura Schenasi
Exec VP TMMC Foundation	40.0	0.0			$0	$397,680	$45,987		Yes (X)
Linda Dobie
VP Risk Management	40.0	0.0			$0	$381,502	$59,981		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,350,032	TotReportableCompRltdOrgAmt
Total Other Compensation	$930,318	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1217	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
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	IT SERVICES	$9,348,005
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	FOOD SERVICES	$3,926,153
EMCOR SERVICES INC
2 CROMWELL	IRVINE	CA	92618	HVAC SYSTEM MAINTENANCE	$3,197,994
SPECIALTYCARE CARDIOVASCULAR R
214 CENTERVIEW DR SUITE 100	BRENTWOOD	TN	37027	MED PURCHASED SVCS	$2,618,640
MAYO COLLABORATIVE SERVCS INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	MED PURCHASED SVCS	$2,049,740

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,031,450	RelatedOrganizationsAmt
Government Grants	$5,421,294	GovernmentGrantsAmt
All Other Contributions	$14,826,059	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$35,278,803	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	622110	$501,699,200	$501,267,196	$432,004
MEDICARE REVENUE	622110	$150,401,849	$150,401,849
PREMIUM REVENUE	622110	$90,597,211	$90,597,211
MEDI-CAL REVENUE	622110	$21,438,824	$21,438,824
PERIODIC BENEFIT	622110	$15,826,438	$15,826,438

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,341,718	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,028,017	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,313,701	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$784,305,240	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,030,434	TotalRevenueColumnAmt
Exclusion	$7,030,434	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$209,535	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$47,973	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$161,562	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,562	TotalRevenueColumnAmt
Exclusion	$161,562	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$227,094,507	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$216,810,915	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,283,592	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,283,592	TotalRevenueColumnAmt
Exclusion	$10,283,592	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATES REFUNDS	900099	$429,470	$429,470
MANAGEMENT FEES	900099	$891,076	$891,076

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,320,546	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$838,380,177	TotalRevenueColumnAmt
Related Or Exempt Func Income	$783,880,081	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,745,705	UnrelatedBusinessRevenueAmt
Exclusion	$17,475,588	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$165,950	TotalAmt
Program Services	$165,950	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	$2,260,766	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,260,766	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$327,761,666	TotalAmt
Program Services	$301,659,032	ProgramServicesAmt
Management And General	$25,040,213	ManagementAndGeneralAmt
Fundraising	$1,062,421	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,391,250	TotalAmt
Program Services	$16,810,635	ProgramServicesAmt
Management And General	$1,521,409	ManagementAndGeneralAmt
Fundraising	$59,206	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$73,548,296	TotalAmt
Program Services	$67,227,272	ProgramServicesAmt
Management And General	$6,084,254	ManagementAndGeneralAmt
Fundraising	$236,770	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,390,374	TotalAmt
Program Services	$21,380,115	ProgramServicesAmt
Management And General	$1,934,960	ManagementAndGeneralAmt
Fundraising	$75,299	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	$112,268	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$112,268	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$327,131	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$327,131	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$110,675	TotalAmt
Program Services	$110,675	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	$729,274	TotalAmt
Program Services	$729,274	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,422,329	TotalAmt
Program Services	$33,041,141	ProgramServicesAmt
Management And General	$6,381,188	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$34,306,439	TotalAmt
Program Services	$27,102,087	ProgramServicesAmt
Management And General	$7,204,352	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,207,285	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,207,285	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	$6,022,632	TotalAmt
Program Services	$4,790,167	ProgramServicesAmt
Management And General	$1,078,916	ManagementAndGeneralAmt
Fundraising	$153,549	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$81,777	TotalAmt
Program Services	$76,676	ProgramServicesAmt
Management And General	$5,101	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	$48,664	TotalAmt
Program Services	$42,115	ProgramServicesAmt
Management And General	$6,549	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,798,992	TotalAmt
Program Services	$5,798,992	ProgramServicesAmt
Management And General	$0	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	$29,255,421	TotalAmt
Program Services	$23,008,170	ProgramServicesAmt
Management And General	$6,247,251	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,848,170	TotalAmt
Program Services	$4,848,170	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$125,884,624	$125,884,624	$0	$0
HOSPITAL FEE	$34,432,346	$34,432,346	$0	$0
PHYSICIAN FEES	$23,169,609	$23,169,609	$0	$0
REPAIRS AND MAINTENANCE	$2,650,207	$2,091,060	$559,147	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,433,503	TotalAmt
Program Services	$486,905	ProgramServicesAmt
Management And General	$946,598	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$769,359,648	TotalAmt
Program Services	$692,855,015	ProgramServicesAmt
Management And General	$74,917,388	ManagementAndGeneralAmt
Fundraising	$1,587,245	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,845,191	BOYAmt
EOY	$2,535,287	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,374,142	BOYAmt
EOY	$3,407,150	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	$99,439,777	BOYAmt
EOY	$118,036,394	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	$14,556,161	BOYAmt
EOY	$13,024,551	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$65,154,987	BOYAmt
EOY	$91,548,672	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$729,012,907	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$141,448,542	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$599,465,830	BOYAmt
EOY	$587,564,365	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$342,852,883	BOYAmt
EOY	$250,603,566	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$32,192,757	BOYAmt
EOY	$38,222,297	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$119,593,523	BOYAmt
EOY	$116,785,467	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,429,539	BOYAmt
EOY	$26,612,190	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,308,904,790	BOYAmt
EOY	$1,248,339,939	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$127,011,343	BOYAmt
EOY	$151,458,946	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	$139,384,495	BOYAmt
EOY	$0	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	$124,655,000	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	$260,137,309	BOYAmt
EOY	$408,513,108	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$651,188,147	BOYAmt
EOY	$559,972,054	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$535,979,487	BOYAmt
EOY	$569,431,661	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,737,156	BOYAmt
EOY	$118,936,224	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$657,716,643	BOYAmt
EOY	$688,367,885	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,308,904,790	BOYAmt
EOY	$1,248,339,939	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$69,020,529	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$50,492,518	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$12,123,231	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

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)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$110,675	OtherActivitiesAmt
Total Lobbying Expenditures	$110,675	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 1i LOBBYING ACTIVITIES	FormAndLineReferenceDesc
Explanation	DURING 2022 TMMC PAID THE CALIFORNIA HOSPITAL ASSOCIATION FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,412,853	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$997,505	InvestmentEarningsOrLossesAmt
Other Expenditures	$360,000	OtherExpendituresAmt
End Year Balance	$9,055,348	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,176,142	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,596,711	InvestmentEarningsOrLossesAmt
Other Expenditures	$360,000	OtherExpendituresAmt
End Year Balance	$10,412,853	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,251,585	BeginningYearBalanceAmt
Investment Earnings Or Losses	$284,557	InvestmentEarningsOrLossesAmt
Other Expenditures	$360,000	OtherExpendituresAmt
End Year Balance	$9,176,142	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,466,459	BeginningYearBalanceAmt
Investment Earnings Or Losses	$265,126	InvestmentEarningsOrLossesAmt
Other Expenditures	$480,000	OtherExpendituresAmt
End Year Balance	$9,251,585	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,576,271	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$19,812	InvestmentEarningsOrLossesAmt
Other Expenditures	$90,000	OtherExpendituresAmt
End Year Balance	$9,466,459	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.333	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.667	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	$35,638,723	OtherCostOrOtherBasisAmt
Book Value	$35,638,723	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$566,838,614	OtherCostOrOtherBasisAmt
Depreciation	$74,372,093	DepreciationAmt
Book Value	$492,466,521	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,556,810	OtherCostOrOtherBasisAmt
Depreciation	$67,076,449	DepreciationAmt
Book Value	$42,480,361	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,978,760	OtherCostOrOtherBasisAmt
Book Value	$16,978,760	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$587,564,365	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN NET ASSETS OF TMF	Desc
Book Value	$116,785,467	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$116,785,467	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
MINIMUM PENSION LIABILITY
RISK POOL LIABILITIES	$91,539,750
SELF-INSURANCE, WC Med Mal	$8,965,000
THIRD PARTY PAYABLES	$9,415,925
DUE TO AFFILIATES	$29,589,291
LT OPERATING LEASE	$10,320,911
ST LEASE LIABILITIES	$956,251
Bond Payable 2021A - INTERCO	$257,725,980

Field	Value	IRS element (for citing)
Total Liability	$408,513,108	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

THE EARNINGS OF THE ENDOWMENT MAY BE USED TO FUND FUTURE CARDIOVASCULAR HEALTH RELATED PROJECTS AND CHEMICAL DEPENDENCY PROGRAMS.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE HEALTH SYSTEM HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE HEALTH SYSTEM IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HEALTH SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$22,352,102	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$22,352,102	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$22,352,102	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN-Accrual	ExplanationTxt

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	450	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
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	$5,810,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,810,382	NetCommunityBenefitExpnsAmt
Total Expense	0.0075	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,043,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,897,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,145,346	NetCommunityBenefitExpnsAmt
Total Expense	0.0352	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,853,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,897,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,955,728	NetCommunityBenefitExpnsAmt
Total Expense	0.0427	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,941,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,941,026	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,845,178	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,845,178	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,183,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,183,898	NetCommunityBenefitExpnsAmt
Total Expense	0.0028	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,235	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,225,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,225,337	NetCommunityBenefitExpnsAmt
Total Expense	0.0094	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$91,078,954	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,897,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,181,065	NetCommunityBenefitExpnsAmt
Total Expense	0.0521	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,117	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,117	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,230	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$100,230	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$130,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,347	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,658,882	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,966,356	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$306,002,158	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$400,223,587	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$94,221,429	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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TORRANCE SURG CENTER
AMBULATORY SURGERY	0.3634	0.4152
TORR MULTI-SPEC ASC
AMBULATORY SURGERY	0.3129	0.4269

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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	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	www.torrancememorial.org/about-us/community-benefits	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.torrancememorial.org/about-us/community-benefit	StrategyWebsiteURLTxt
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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.0	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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/	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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Torrance Memorial Medical Center. COMMUNITY INPUT WAS OBTAINED FROM INTERVIEWS WITH COMMUNITY STAKEHOLDERS FROM COMMUNITY AGENCIES AND ORGANIZATIONS THAT REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) POPULATIONS. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. FOR THIS CHNA'S PRIMARY DATA COLLECTION, TORRANCE MEMORIAL WORKED IN PARTNERSHIP WITH 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 REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY. THIRTY-SEVEN (37) PHONE INTERVIEWS WERE CONDUCTED DURING NOVEMBER 2021 TO JANUARY 2022. COMMUNITY STAKEHOLDERS WERE IDENTIFIED EQUALLY BY THE HOSPITAL PARTNERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE IDENTIFIED HEALTH NEEDS (I.E.; WHAT MAKES EACH HEALTH NEED A SIGNIFICANT ISSUE IN THE COMMUNITY? WHAT ARE THE CHALLENGES PEOPLE FACE IN ADDRESSING THESE NEEDS?), ALONG WITH IDENTIFYING KNOWN RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS. TORRANCE MEMORIAL ALSO CONDUCTED SURVEYS WITH STAFF MEMBERS OF AREA SCHOOLS TO OBTAIN INPUT ON THE UNMET NEEDS OF STUDENTS AND THEIR FAMILIES. THE SURVEY LINK WAS SENT TO THE HEALTH CARE AND MENTAL HEALTH CARE STAFF WHO WORK AT LOCAL SCHOOLS WITH AN EMAIL INTRODUCTION TO EXPLAIN THE PURPOSE OF THE SURVEY AND ASSURE PARTICIPANTS THE SURVEY WAS VOLUNTARY, AND THEIR RESPONSES WOULD BE CONFIDENTIAL. THE SURVEYS WERE COLLECTED FROM JANUARY 24 TO FEBRUARY 15, 2022. DURING THIS TIME, 24 SCHOOL STAFF MEMBERS COMPLETED THE SURVEY. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: UNMET NEEDS OF STUDENTS UNMET NEEDS OF FAMILIES PRIORITY RANKING OF COMMUNITY NEEDS HEALTH OR SOCIAL SERVICE NEEDS THAT ARE NOT EASILY ACCESSIBLE IMPACT OF COVID-19 AREAS FOR COLLABORATION AND COORDINATION COMMUNITY STAKEHOLDER INTERVIEWEES TITLE/ORGANIZATION DIRECTOR OF COMMUNITY SERVICES, BEACH CITIES HEALTH DISTRICT CHIEF STRATEGY OFFICER, EXECUTIVE DIRECTOR BEHAVIORAL HEALTH SERVICES, INC., NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF THE SOUTH BAY (NCADD) CHIEF EXECUTIVE OFFICER, WILMINGTON COMMUNITY CLINIC PRESIDENT AND CHIEF EXECUTIVE OFFICER, NATIONAL HEALTH FOUNDATION CONSULTING PEDIATRICIAN, COMMUNITY'S CHILD DEVELOPMENT DIRECTOR, SOUTH BAY CHILDREN'S HEALTH CENTER FOUNDER AND CHIEF EXECUTIVE OFFICER, SOUTH BAY VILLAGE PROGRAM EXECUTIVE DIRECTOR, WILMINGTON YMCA INTERIM PRESIDENT, LOS ANGELES HARBOR COLLEGE WORKFORCE DEVELOPMENT, GOODWILL INDUSTRIES DIRECTOR OF COMMUNITY SERVICES, CITY OF LAWNDALE POLICE OFFICER, LOS ANGELES POLICE DEPARTMENT CHIEF EXECUTIVE OFFICER, EXP THE OPPORTUNITY ENGINE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SOUTH BAY FAMILY HEALTH CARE EXECUTIVE DIRECTOR, HARBOR INTERFAITH SERVICES EXECUTIVE DIRECTOR, CHILD LANE ASSISTANT SUPERINTENDENT, BUSINESS SERVICES LAWNDALE ELEMENTARY SCHOOL DISTRICT CHIEF EXECUTIVE OFFICER, BOYS GIRLS CLUBS OF THE LOS ANGELES HARBOR COMMUNITY ACTIVIST, CO-FOUNDER OF HEALTHCARE AND ELDER LAW PROGRAMS CORPORATION (HELP); CO-FOUNDER OF CARING HOUSE EXECUTIVE DIRECTOR, YMCA OF METROPOLITAN LOS ANGELES ADMINISTRATOR, SAN PEDRO COMMUNITY OF SCHOOLS LOS ANGELES UNIFIED SCHOOL DISTRICT, SAN PEDRO COMMUNITY OF SCHOOLS ADMINISTRATIVE PROGRAM DIRECTOR, MYCHAL'S LEARNING PLACE PRESIDENT AND CHIEF EXECUTIVE OFFICER, VOLUNTEER CENTER SOUTH BAY-HARBOR-LONG BEACH MANAGER, COMMUNITY RESOURCE CENTER, WILMINGTON BLUE SHIELD PROMISE/L.A. CARE HEALTH PLAN FOUNDER AND EXECUTIVE DIRECTOR, COMMUNITY'S CHILD HEALTHCARE INTEGRATION COORDINATOR, LOS ANGELES HOMELESS SERVICES AGENCY (LAHSA) EXECUTIVE DIRECTOR, OFFICE OF SAMOAN AFFAIRS CHIEF EXECUTIVE OFFICER, SOUTH BAY CHILDREN'S HEALTH CENTER CHIEF CLINICAL AND PROGRAMS OFFICER, RICHSTONE FAMILY CENTER PUBLIC HEALTH OFFICER, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH PRODUCT SOLUTIONS, L.A. CARE HEALTH PLAN MSG SENIOR ASSISTED LIVING COORDINATOR, HUMAN SERVICES CITY OF CARSON PRESIDENT AND CHIEF OPERATING OFFICER, UNIHEALTH FOUNDATION SENIOR PROGRAM OFFICER, HEALTH CALIFORNIA COMMUNITY FOUNDATION MLIS CITY LIBRARIAN, CITY OF TORRANCE PASTOR, SAN PEDRO UNITED METHODIST CHURCH DEPUTY DIRECTOR AND CHIEF OPERATIONS OFFICER, VENICE FAMILY CLINIC
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Torrance Memorial Medical Center. FOR THIS CHNA'S PRIMARY DATA COLLECTION, TORRANCE MEMORIAL WORKED IN PARTNERSHIP WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO. GIVEN THAT THESE HOSPITALS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Torrance Memorial Medical Center. THE HOSPITAL EXAMINED THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AND PRIORITIZED THEM WITH COMMUNITY STAKEHOLDER INPUT THROUGH INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND AGENCIES AND SURVEYS WITH STAFF AT LOCAL SCHOOLS. THESE STAKEHOLDERS PROVIDED INPUT ON THE ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. TORRANCE MEMORIAL WILL ADDRESS THE FOLLOWING HEALTH NEEDS: ACCESS TO CARE (INCLUDING MENTAL HEALTH AND PREVENTIVE CARE CHRONIC DISEASES (INCLUDING OVERWEIGHT AND OBESITY AND FOOD INSECURITY) HOUSING AND HOMELESSNESS SUBSTANCE USE ACCESS TO CARE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: FINANCIAL ASSISTANCE FOR THE UNINSURED OR UNDERINSURED; COMMUNITY HEALTH WORKER PROGRAM; HEALTH SCREENINGS AND VACCINATIONS; CASE MANAGEMENT AND SOCIAL WORK; SUBSIDIZED MENTAL HEALTH CARE; WELCOME BABY PROGRAM; CHERISHED FUTURES PROGRAM; GRANTS AND IN-KIND COMMUNITY SUPPORT. CHRONIC DISEASE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: DIABETES PREVENTION PROGRAM; SUPPORT GROUPS; COMMUNITY OUTREACH AND EDUCATION; PUBLIC ACCESS DEFIBRILLATION PROGRAM; EXERCISE AND HEALTHY LIFESTYLE PROGRAMS; TORRANCE MEMORIAL LEARNING GARDEN; HEALTHY EVER AFTER; YMCA WEIGHT LOSS PROGRAM; GRANTS AND IN-KIND COMMUNITY SUPPORT. HOUSING AND HOMELESSNESS IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: CONTINUUM OF CARE CONNECTIONS TO RECUPERATIVE CARE; INFORMATION AND REFERRAL; COLLABORATIVE COMMUNITY NETWORK VIA THE SOUTH BAY COALITION TO END HOMELESSNESS' HOSPITAL SUB-COMMITTEE; ADVOCACY; GRANTS AND IN-KIND COMMUNITY SUPPORT. SUBSTANCE USE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: COMMUNITY EDUCATION AND OUTREACH; SUPPORT GROUPS; YOUTH PROGRAMS; DRUG TAKE BACK EVENTS; PROFESSIONAL EDUCATION PROGRAM. HEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS SINCE TORRANCE MEMORIAL CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, TORRANCE MEMORIAL WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING: ECONOMIC INSECURITY AND DENTAL CARE.
Schedule H, Part V, Section B, Line 13 Facility , 1	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.
Schedule H, Part V, Section B, Line 13 Facility , 1	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.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
TORRANCE MEMORIAL BREAST DIAG CENTER II
824 E CARSON ST	CARSON	CA	90266	IMAGING AND DIAGNOSTICS CENTER
TORRANCE MEMORIAL BREAST DIAG CENTER III
855 MANHATTAN BEACH BLVD	MANHANTTAN BEACH	CA	90266	IMAGING AND DIAGNOSTICS CENTER
TORRANCE MEMORIAL BREAST DIAG CENTER IV
65 PENINSULA CENTER	ROLLING HILLS ESTATE	CA	90274	IMAGING AND DIAGNOSTICS CENTER
TORRANCE MEMORIAL SURGICAL CENTER
23560 CRENSHAW BLVD STE 104	TORRANCE	CA	90505	SURGICAL CENTER
TORRANCE SURGERY CENTER
23451 MADISON STREET STE 340	TORRANCE	CA	90505	SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	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)
Schedule H, Part VI, Line 7	THE ANNUAL COMMUNITY BENEFIT REPORT AND PLAN IS FILED WITH THE STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION.
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 I, Line 7 Costing Methodology used to calculate financial assistance	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 II Community Building Activities	Torrance Memorial Medical Center (TMMC, Torrance Memorial or medical center) is involved in community building activities to additionally promote the health of the communities it serves. In FY22 the medical center participated in two key programs. Verbum Dei Jesuit's Corporate Work Study Program, and First 5 LA's Welcome Baby Program. Through grant-partnership with Verbum Dei Jesuit's Corporate Work Study Program (CWSP), the medical center advances racial equity and opportunity for four (4) high-school aged youth living in culturally and linguistically diverse communities of color. Our student associates each work four (4) days per month for the duration of the school year in either the health education or accounting departments and perform entry-level skilled tasks. Student associates gain professional work experience and marketable skills before entering college. They create positive relationships within the medical center's professional community, develop a network of business contacts, develop newfound awareness of careers they may not have otherwise considered, and gain exposure to a wide range of career opportunities that inform their college decisions. Medical center staff serve as educators, mentors as co-workers to each student. Torrance Memorial has been a CWSP corporate sponsor since 2018. The medical center receives grant-funding to participate in First 5 LA's Welcome Baby Program (WBP). WBP offers free support, information, and resources to moms during pregnancy and after baby goes home. It was created by First 5 LA and aims to strengthen and support families with young children living in L.A. County neighborhoods that have faced historic disenfranchisement and oppression through social and environmental factors that aggravate chronic family stressors such as violence and poverty. Specifically, WBP builds access to activities that improve the well-being, development and care experienced by pregnant women, new parents and children aged 5 and under. WBP liaisons work on TMMC's mother-baby unit to help new moms with breastfeeding, and coordinate WBP services for families newly enrolled in the program. WBP services include: personal parent coach during pregnancy and until baby reaches 9 months of age, in-hospital visit, personal registered nurse home visit, assistance coordinating health insurance coverage and doctor's appointments for baby, mom-and baby-friendly items, and ongoing connections to resources. Torrance Memorial has been a Welcome Baby hospital partner since 2014, primarily serving families from Wilmington.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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, Line 3 Bad Debt Expense Methodology	SAME AS RESPONSE TO PART III, LINE 2
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	FOOTNOTE FROM THE CEDARS-SINAI HEALTH SYSTEM FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2022 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.
Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs	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, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- TORRANCE MEMORIAL MEDICAL CENTER: Line 16a URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- TORRANCE MEMORIAL MEDICAL CENTER: Line 16b URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- TORRANCE MEMORIAL MEDICAL CENTER: Line 16c URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	Torrance Memorial conducted a Community Health Needs Assessment (CHNA), which was adopted in May 2022. The CHNA complied with state and federal regulations guiding tax-exempt hospitals, assessing the significant health needs for the hospital's service area. Torrance Memorial's CHNA utilized primary and secondary data to identify needs, and community stakeholder input to prioritize them. Secondary data includes demographic and health data collected from a variety of local, county and state sources to present community demographics and social determinants of health, as well as a broad range of health indicators. Initially, significant health needs were identified through a review of this secondary health data. Primary data was collected through thirty-seven (37) phone interviews conducted during November 2021 to January 2022. Torrance Memorial also conducted surveys with health and psychology staff members of area schools to obtain input on the unmet needs of students and their families. The surveys were available in an electronic format through a SurveyMonkey link. After identifying the significant health needs, and prioritizing them with input from community stakeholders, an Implementation Strategy was developed to describe the actions the hospital intends to take, including programs and resources it plans to commit, the anticipated impacts of these actions, and planned collaboration between the hospital and other organizations.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE MEDICAL CENTER HAS LOING MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THA 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 TEH FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06.30.2022, 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 $5,810,382.
Schedule H, Part VI, Line 4 Community information	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 881,149. Children and youth, ages 0-17, make up 22.5% of the population, 62.3% are adults, ages 18-64, and 15.2% of the population are seniors, ages 65 and older. The service area has a lower percentage of young adults, 18 to 34, and a higher percentage of adults, 45 and older, than the county. In the service area, 36.7% of the population is Hispanic/Latino, 29.7% are White, 19.1% are Asian, 9.7% are Black/African American and the remaining 4.8% are American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, other race/ethnicity, or multiple races. There is a higher percentage of Whites, Black/African American and Asian, and a lower percentage of Hispanic/Latino in the service area than found at the county level. English is the predominant language spoke in the home (53.5%). 28.1% of the population speaks Spanish in the home, and 12.4% of the population speaks an Asian language. In the service area, 10.7% of the population lives at or below 100% of the federal poverty level (FPL) and 26.2% 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." In the service area, 41.5% of households spend 30% or more of their income on housing. In the county, 47.3% of households are "cost-burdened." Among service area adults, ages 25 and older, 14.4% lack a high school diploma. 18.7% of adults are high school graduates and 47.2% of area adults are college graduates.
Schedule H, Part VI, Line 5 Promotion of community health	TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP, CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD". A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. TMMC HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION AND PROMOTE WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. WHILE MANY OF THE KEY PROGRAMS AND ACTIVITIES REMAIN OR REDUCED IN FY'22 DUE TO COVID, THEY REMAIN CENTRAL TO OUR COMMUNITY HEALTH STRATEGY AND AS SUCH SHALL BE RESUMED APPROPRIATELY. PRIMARY ACTIVITIES INCLUDE: - CONDUCTING HEALTH EDUCATION CLASSES ON TOPICS SUCH AS: VACCINATION SAFETY, HEART HEALTH AND STROKE, SMOKING CESSATION, CANCER, NUTRITION, WEIGHT LOSS, DIABETES, MEDICATION SAFETY, RESPIRATORY PROBLEMS, FALL PREVENTION, BURN, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING ONGOING SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, FIBROMYALGIA, OSTOMY, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, STROKE, PARKINSON'S DISEASE AND SURGICAL WEIGHT LOSS; - PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, FLU SHOTS, ANEMIA SCREENINGS AND PULMONARY FUNCTION SCREENINGS; - STAFFING VARIOUS CENTERS (HEALTH RESOURCE CENTER, CANCER RESOURCE CENTER, 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 HOMELESS, 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.
Schedule H, Part VI, Line 6 Affiliated health care system	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.
Schedule H, Part VI, Line 7 State filing of community benefit report	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
VENICE FAMILY CLINIC
905 VENICE BLVD	VENICE	CA	90291	952769432	501(C)3	$50,000	MENTAL HEALTH SVCS
THE VOLUNTEER CENTER
1230 CRAVENS AVE	TORRANCE	CA	90501	952301600	501(C)3	$25,000	Mental Health Svcs
HARBOR INTERFAITH SERVICE
670 W 9TH STR	San Pedro	CA	90731	330031099	501 (C) 3	$22,000	EMPOWER HOMELESS PRO
CARING HOUSE
2842 EL DORADO STR	TORRANCE	CA	90503	202201206	501 (C) 3	$15,000	END OF LIFE CARE

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	GRANT FUNDS ARE AWARDED TO NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSION AND TARGET POPULATION SERVED ALIGN WITH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHECK IS ACCOMPANIED WITH A LETTER STATING THAT THE DONATION IS TO BE USED FOR A SPECIFIC PROGRAM OR SERVICE. SOMETIMES A MEMORANDUM OF UNDERSTANDING, SIGNED BY BOTH ORGANIZATION, PRECEDES THE GRANT, SPECIFYING PURPOSE OF THE GRANT, AS WELL AS A REQUIRED OUTCOME REPORTING PERIOD.	ExplanationTxt

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	false	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 (12 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
Craig Leach
President/CEO	$0	$799,402	$0	$366,236	$0	$19,295	$0	$224,544	$0	$19,814	$0	$1,429,291	$0	$19,295
William Larson
Chief Financial Officer	$0	$348,485	$0	$62,310	$0	$0	$0	$22,475	$0	$28,010	$0	$461,280	$0	$0
Derek Berz
SR VP Chief Administrative Officer	$0	$418,974	$0	$152,853	$0	$0	$0	$89,201	$0	$23,439	$0	$684,467	$0	$0
Shanna Hall
VP Nursing Services	$0	$348,892	$0	$62,310	$0	$0	$0	$11,600	$0	$18,735	$0	$441,538	$0	$0
Keith Hobbs
Executive VP	$0	$429,012	$0	$279,893	$0	$0	$0	$77,271	$0	$19,099	$0	$805,276	$0	$0
Debra Kelley
VP Ancillary Support Services	$0	$236,311	$0	$56,229	$0	$36,512	$0	$34,075	$0	$12,179	$0	$375,306	$0	$0
Mary Wright
Sr VP Chief Nursing Services	$0	$390,358	$0	$142,362	$0	$0	$0	$73,571	$0	$19,450	$0	$625,742	$0	$0
Linda Dobie
VP Risk Management	$0	$324,015	$0	$57,486	$0	$0	$0	$31,175	$0	$28,806	$0	$441,483	$0	$0
John McNamara
Chief Medical Officer	$0	$347,035	$0	$151,834	$0	$89,958	$0	$63,596	$0	$4,934	$0	$657,357	$0	$55,052
Bernadette Reid
VP Information Services	$0	$354,314	$0	$62,310	$0	$0	$0	$22,475	$0	$16,695	$0	$455,794	$0	$0
Laura Schenasi
Exec VP TMMC Foundation	$0	$328,130	$0	$69,550	$0	$0	$0	$25,375	$0	$20,612	$0	$443,667	$0	$0
Heather Shay
VP Accred Quality Services	$0	$353,655	$0	$62,310	$0	$0	$0	$28,275	$0	$14,910	$0	$459,151	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

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.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

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 60 AND MAINTAINING EMPLOYMENT AS A KEY EMPLOYEE OF THA. DURING 2021, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO THEIR PARTIAL OF FULL VESTING IN THE PLAN: JOHN MCNAMARA - $55,052 CRAIG LEACH - $19,295

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, 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.
Form 990, Part III, Line 1	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.
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. 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 06/30/2022, 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 $5,810,382. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2015 WE LAUNCHED "WELCOME BABY A PARTNERSHIP WITH PROVIDENCE LITTLE CO. OF MARY FIRST 5 LA. WELCOME BABY IS A FREE PROGRAM TARGETING PRE- AND POST-NATAL MOTHERS LIVING IN WILMINGTON TO PROMOTE OVERALL HEALTH DURING THE FIRST 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 06/30/2022, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $7,225,337. 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 06/30/2022, 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 06/30/2022, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $121,366,774. 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 06/30/2022, THIS COST WAS APPROXIMATELY $2,183,898. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $40,181,064 IN COMMUNITY BENEFIT EXPENSE FOR THE YEAR ENDED 06/30/2022. 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 Classes of members or stockholders	TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF TORRANCE MEMORIAL MEDICAL CENTER
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF TORRANCE MEMORIAL MEDICAL CENTER
Form 990, Part VI, Line 11b Review of form 990 by governing body	DESCRIBE THE PROCESS USED TO REVIEW FORM 990 WITH OUR TAX ADVISORS. 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.
Form 990, Part VI, Line 12c Conflict of interest policy	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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	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 2021.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SAME AS FORM 990, PART VI, LINE 15A RESPONSE
Form 990, Part VI, Line 19 Required documents available to the public	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 VIII, Line 2f Other Program Service Revenue	- Total Revenue: 4341718, Related or Exempt Function Revenue: 3028017, Unrelated Business Revenue: 1313701, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Change in Minimum Pension Liability - 38924161; Equity Transfer to THA (Parent) - -23999996; Change in Temp Restricted Interest of TMMCF - -2810322; Change in Perm Restricted Interest of TMMCF - 2266; Change in Scholarship Funds - 7124; Miscellaneous - -2;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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 BLVD	TORRANCE	CA	90505	330073515	HEALTH SRVCS	CA	501(c)(3)	Type II	CSHS	Yes (true)
TORRANCE MEMORIAL MED CTR HEALTHCARE FDN
3330 LOMITA BLVD	TORRANCE	CA	90505	953528452	FUNDRAISING	CA	501(c)(3)	7	THA	Yes (true)
CALIFORNIA HEART CENTER FOUNDATION
15821 VENTURE BLVD STE 520	ENCINO	CA	91436	954772979	RESEARCH	CA	501(c)(3)	7	CSMC	Yes (true)
CEDARS SINAI HEALTH SYSTEM
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	300990905	HEALTHCARE	CA	501(c)(3)	Type III-FI	NA	false
CEDARS-SINAI MEDICAL CARE FOUNDATION
6500 WILSHIRE BLVD 15TH FLOOR	LOS ANGELES	CA	90048	954457756	FUNDRAISING	CA	501(c)(3)	Type I	CSMC	Yes (true)
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	951644600	HOSPITAL	CA	501(c)(3)	3	CSHS	Yes (true)
CFHS HOLDINGS INC
4650 LINCOLN BLVD	MARINA DEL REY	CA	90292	201645949	HEALTHCARE	CA	501(c)(3)	3	CSMC	Yes (true)
KERLAN-JOBE ORTHOPAEDIC FOUNDATION
6801 PARK TERRANCE	LOS ANGELES	CA	90045	954707606	RESEARCH	CA	501(c)(3)	7	CSMCF	Yes (true)
SANTA MONICA ORTHO SPORTS MED RSCH FDN
2020 SANTA MONICA BLVD 4TH FLR	SANTA MONICA	CA	90404	954789926	RESEARCH	CA	501(c)(3)	PF	CSMCF	Yes (true)
CEDARS SINAI INTELLECTUAL PROPERTY CO
8700 BEVERLY BLVD	LOS ANGELES	CA	90048	871097792	HEALTHCARE	CA	501(c)(3)	Type I	CSMC	Yes (true)
Pasadena Hospital Association Ltd
100 West California Blvd	Pasadena	CA	91105	951644036	Health Services	CA	501(c)(3)	3	CSHS	Yes (true)
Huntington Medical Foundation
100 West California Blvd	Pasadena	CA	91105	954434428	Health Services	CA	501(c)(3)	3	PHA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TORRANCE MEMORIAL SURG CTR LLC
23560 CRENSHAW BLVD	STE 104	TORRANCE	CA	90505	465259260	OUTPAT SURG S	CA	TMMC	Related	$605,675	$953,707	false	$0	false	0.5659
3565 DEL AMO ASSOCIATES
2175 PARK PLACE		EL SEGUNDO	CA	90245	330554737	RENT REAL ESTATE	CA	NA	N/A			false		false
CS-BH ASC HOLDINGS LLC
200 N ROBERTSON BLVD 101		BEVERLY HILLS	CA	90211	812246488	HOLDING COMPANY	CA	NA	N/A			false		false
ENDOSCOPY CTR OF SANTA MONICA
12400 WILSHIRE BLVD STE 100		LOS ANGELES	CA	90025	113652210	ENDOSCOPY	CA	NA	N/A			false		false
INTL SPINE ORTHOPEDIC INST
26-3738893		OVERLAND PARK	KS	66210	263738893	SPINE/ORTHOPEDIC	CA	NA	N/A			false		false
ISS ASC HOLDINGS LLC
27271 LAS RAMBLAS STE 350		MISSION VIEJO	CA	92691	471890805	HEALTHCARE	CA	NA	N/A			false		false
SANTA MONICA IMAGING GROUP LLC
200 N ROBERTSON BLVD 101		BEVERLY HILLS	CA	90211	820760657	IMAGING CENTER	CA	NA	N/A			false		false
90210 ASC VENTURE LLC
450 N ROXBURY DR	STE 602	BEVERLY HILLS	CA	90210	134341801	AMB.SURGERY CNTR	CA	NA	N/A			false		false
Huntington Ambulatory Surgery Center LLC
625 S Fair Oaks Ave	No 380	Pasadena	CA	91105	273922007	Ambulatory Surgery Center	CA	NA	N/A			false		false
ABCENTRA LLC
2390 CRENSHAW BLVD	202	TORRANCE	CA	90501	202327127	RESEARCH AND DEVELOPMENT	DE	CEDARS-SINAI MEDICAL CENTER	Related			false		false
TIA-CEDARS MANAGEMENT SERVICES ORGANIZATION LLC
548 MARKET ST	SUITE 45295	SAN FRANCISCO	CA	94104	884206382	INVESTMENT IN HEALTHCARE SERVICES	CA	CEDARS-SINAI MEDICAL CENTER	Related			false		false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CENTINELA FREEMAN HOLDINGS INC
4650 LINCOLN BLVD	MARINA DEL REY	CA	90292	593811890	R/E HOLDINGS	CA	NA	C Corporation	Yes (true)
OPTIMATRIX HEALTH SOLUTIONS INC
6500 WILSHIRE BLVD 9TH FLR	LOS ANGELES	CA	90048	954522779	INACTIVE	CA	NA	C Corporation	Yes (true)
OTOHARMOMICS CORPORATION
411 SW 6TH AVE	PORTLAND	OR	97204	461119421	INACTIVE	DE	NA	C Corporation	Yes (true)
CONGRESS SERVICES CORPORATION
100 WEST CALIFORNIA BLVD	PASADENA	CA	91105	945397829	MANAGEMENT SERVICES	CA	NA	C Corporation	Yes (true)
GRAVIDAS DIAGNOSTICS INC
8721 BEVERLY BLVD	LOS ANGELES	CA	90048	872085657	MEDICAL EQUIPMENT AND SUPPLIES MANUFACTURING	DE	CEDARS SINAI INTELLECTUAL PROPERTY CO	C Corporation	Yes (true)

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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	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	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Torrance Memorial Medical Center HCare Foundation
C	$15,031,450	ACTUAL
Torrance Memorial Medical Center HCare Foundation
M	$894,836	actual
Torrance Memorial Medical Center HCare Foundation
N	$153,676	ACTUAL
Torrance Memorial Medical Center HCare Foundation
O	$1,277,107	ACTUAL
Torrance Health Association
A	$1,275,324	Actual
Torrance Health Association
Q	$435,098	Actual
Torrance Health Association
P	$7,870,895	Actual
Torrance Health Association
J	$1,285,980	Actual
Torrance Health Association
J	$116,063	Actual
Torrance Health Association
R	$23,999,996	Actual
Cedars-Sinai Medical Center
R	$502,576	Actual
CEDARS-SINAI MEDICAL CENTER
Q	$7,000,000	ACTUAL
CEDARS-SINAI MEDICAL CENTER
R	$3,353,712	ACTUAL