2022-05-16T08:45:40-05:00 2021-06-30 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2020-07-01 951644042 Torrance Memorial Medical Center % CARI CARVER CONTROLLER TORR 3103259110 3330 LOMITA BOULEVARD TORRANCE CA 90505 WILLIAM LARSON CFO 3103259110 2022-05-13 true WILLIAM LARSON 999009999 KARA ADAMS P00023315 9497942300 2 2020 2022-09-23 18:48:47Z CRAIG LEACH 3330 LOMITA BOULEVARD TORRANCE CA 90505 967230308 false X WWW.TORRANCEMEMORIAL.ORG X 1925 CA SEE SCHEDULE O 12 10 3997 658 1526947 72406 50543665 32593256 649559701 701371615 6542019 12085582 3417306 3838186 710062691 749888639 126245 99410 0 0 379188189 397683716 0 0 1544571 308886213 314320862 688200647 712103988 21862044 37784651 1300118916 1308904790 753850860 651188147 546268056 657716643 X SEE SCHEDULE O false false 631086838 99410 705143577 SEE SCHEDULE O 631086838 true true false true false false false false false true true false true false true true false true false false true false false false 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OPERATING LEASE 11277169 ST LEASE LIABILITIES 1235306 260137309 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE EARNINGS OF THE ENDOWMENT MAY BE USED TO FUND FUTURE CARDIOVASCULAR HEALTH RELATED PROJECTS AND CHEMICAL DEPENDENCY PROGRAMS. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC740) FOOTNOTE THE 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 2017. 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X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PT V,SEC C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, LINE 5 Needs Assessment Process Interviews, a survey, and a focus group were used to gather input from persons who represent the broad interests of the community served by the hospital. These individuals include those with special knowledge or expertise in public health. Interviews Twenty-five (25) interviews were completed from January through March 2019. Community stakeholders identified by the hospital were contacted and asked to participate in the needs assessment. Interviewees included individuals who are leaders and/or representatives of the medically underserved, low-income, and minority populations or from other agencies that have current data or other information relevant to the health needs of the community. Input was obtained from the Los Angeles County Department of Public Health. Interview questions focused on the following topics: most significant health issues in the community; social, cultural, behavioral, environmental or medical factors contributing to poor health in the community; who is most affected by the significant needs; effective strategies or actions for addressing the needs; services most challenging to access; potential resources to address the identified health needs, such as services, programs and/or community efforts; potential area for coordination or collaboration to address community health needs; and an open question for additional comments and concerns. Interviews were conducted with the community stakeholders. School Survey Survey respondents: RNs, LVNs, school health assistants, and counselors Date of survey: Feb 20 - March 10, 2019 # of respondents: 78 A survey was developed to capture input from local school staff members on student and family health and social needs. The survey was available in an electronic format through a Survey Monkey link, and in a paper copy format. The hospital distributed the electronic survey link to school and school district office health staff (RNs, LVNs, health aides and counselors). The electronic survey was available from January 20 through February 10, 2019. The paper version of the survey was distributed to school nurses at an in-person meeting held at the hospital on February 12, 2019. Survey questions focused on the following topics: unmet needs of students and families; health or social services challenging to access or missing in the community; areas for collaboration; and ranking of importance of identified health needs. Focus Group The South Bay Coalition to End Homelessness worked in partnership with Kaiser Permanente - South Bay Medical Center, Providence Little Company of Mary (San Pedro and Torrance), and Torrance Memorial Medical Center, to convene a focus group of representatives from organizations that are knowledgeable about homelessness issues in the South Bay. Focus group questions focused on the following topics: factors or conditions that cause or contribute to homelessness; who is most affected by homelessness; how homelessness affects the health of the community; effective strategies or actions for addressing homelessness; how Measure H and Measure HHH have affected homelessness in your community; and an open question for additional comments. Focus Group on Homelessness Focus Group Date: January 31, 2019, 20 participants from the following agencies. Beach Cities Health District Beacon Light Mission/Doors of Hope Women's Shelter Center for the Pacific Asian Family Century Villages Community's Child Doors of Hope Women's Shelter El Camino College Harbor Interfaith Services LINC Housing Corporation Los Angeles Homeless Services Authority Mental Health America of Los Angeles NAMI South Bay PATH Rainbow Services, Ltd Salvation Army Torrance, Stillman Sawyer Family Services Center San Pedro United Methodist Church South Bay Coalition to End Homelessness Torrance Unified School District SCHEDULE H, PART V, LINE 7A CHNA WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/CHNAFY19 SCHEDULE H, PART V, LINE 11 The following significant health needs were determined. - Access to care - Chronic Disease - Homelessness - Substance Use and Misuse - COVID-19 Response Addressing Priority Health Needs In FY21, Torrance Memorial engaged in activities and programs that addressed the priority health needs identified in the 2019-2022 Implementation Strategy. Torrance Memorial has committed to community benefit efforts that address access to care, chronic diseases, homelessness, and substance use and misuse. Selected activities and programs that highlight our commitment to the community are detailed below. Access to Care Access to care is a key determinant of health that provides preventive measures and disease management, reducing the likelihood of hospitalizations and emergency room admissions. Routine health care includes screenings, check-ups, and counseling to prevent illness, disease, or other health problems. Individuals, who receive services in a timely manner, have a greater opportunity to prevent or detect disease during earlier, treatable stages. Response to Need Financial Aid, Insurance Assistance and Transportation Provided financial assistance through free and discounted care for health care services, consistent with Torrance Memorial's financial assistance policy. To address health care access, the hospital also offered information and health insurance enrollment assistance. The hospital continued to provide transportation support for patients with transportation challenges. Health Education and Outreach . In FY21, due to COVID-19, Torrance Memorial moved community education classes online. Zoom lectures included topics on Managing Anxiety, Advance Care Planning, Weight Management, COVID-19, and various Cancer topics . Partnered with Providence Little Company of Mary and First 5 LA's Welcome Baby program targeting pre- and post-natal mothers living in Wilmington to promote overall health during the first year of life, ensure children have health coverage and receive consistent healthcare, increase breastfeeding rates, and ensure new parents have a safe home environment . Offered the ADVANTAGE Program, a network of free and low-cost programs and services for adults over age 50 Clinical Services . Torrance Memorial practitioners administered COVID-19 vaccines to community members . The vaccine team partnered with the Torrance Fire Department to coordinate vaccine distribution to homebound community members who were medically frail, at most risk for COVID-19 and unable to travel to vaccine sites . Provided psychiatric assessments by an emergency response team and funded subsequent psychiatric hospitalizations and other patient discharge support Chronic Diseases Chronic diseases are long-term medical conditions that tend to progressively worsen. Chronic diseases, such as cancer, heart disease, diabetes and lung disease, are major causes of disability and death. Chronic diseases are also the major causes of premature adult deaths. Response to Need - Health Education and Outreach . Conducted online events in collaboration with the South Bay Survivorship Consortium serving survivors and loved ones to provide education and resource information to community members . Provided on-line low-cost senior exercise classes . Maintained free, public access to cancer, heart disease, lung disease and eating disorders support groups via online live-stream and on-demand viewing. Community members and caregivers participated in support groups . Miracle of Living series offered eight virtual presentations on a variety of topics. . To support chronic disease management and weight control during the pandemic, Torrance Memorial created online and on-demand classes. Worked with the Torrance South-Bay YMCA "Healthy Ever After" program for children (ages 6-13) and their parents/guardians and provided age-specific nutrition education and counseling Screening . Provided low dose lung cancer screening Homelessness Homelessness is a prevalent issue in our communities. Those experiencing homelessness face higher death rates from treatable diseases than the general population. To help save lives, we engage in strategic problem-solving through the regional collaborative, South Bay Coalition to End Homelessness Response to Need Homeless Patient Navigator Program Provided psychiatric assessments by an emergency response team and funded subsequent psychiatric hospitalizations, and other patient discharge support, as appropriate Community Sponsorships Financially supported Harbor Interfaith Service's homeless services programs and Caring House, an outpatient hospice care home Substance Use and Misuse Substance misuse is the harmful pattern of using substances - including tobacco, alcohol, illicit drugs, and prescription drugs - in amounts or with methods, which are harmful to themselves or others. Response to Need - Health Education and Outreach . A variety of health education events addressed substance use topics, including (partial listing): dealing with depression and anxiety, opiates and addiction, and chronic pain management . Provided smokers with smoking cessation classes, online group guidance and support to quit smoking . Served on several drug task forces in area school districts Addiction Services For those coping with addiction issues of their own or in their families, access to free self-help support groups were offered and included: . Alcoholics Anonymous . Marijuana Anonymous . Narcotics Anonymous . Nicotine Anonymous COVID-19 Response Torrance Memorial administered over 16,000 vaccines. The team partnered with the Torrance Fire Department to coordinate vaccine distribution to approximately 200 homebound community members who were medically frail, at most risk for COVID-19, and unable to travel to vaccine sites. Through an ongoing study of clinic operations, the vaccine team implemented process enhancements that increased vaccine capacity from 70 people per hour to 100 people per hour. In addition to expanding our ability to vaccinate more community members, the increased capacity promoted efficiency and patient-centered care and reduced waste. In addition, Torrance Memorial hosted numerous COVID-19 virtual educational seminars in FY21. Classes were offered in English and Spanish and included: . COVID-10 Convalescent Plasma . COVID-19 Vaccination Q&A . COVID-19 What to Know Now Health needs the hospital will not address Health needs were identified in the CHNA and subsequently prioritized by community stakeholders. From the prioritized health needs, Torrance Memorial Medical Center chose health focus areas based on criteria taking into account the medical center's capacity to impact community needs, the strength of community partnerships and the alignment with organization strategic planning efforts. There was a significant health need identified in the CHNA that did not meet the criteria for developing and implementing a health focus area and, as a result, is not addressed in the Implementation Strategy. This is not intended to minimize the importance of this health need; It is a reality of having a strategic focus on effectiveness to improve community health. The health need identified in the CHNA but not included in the health focus areas for the Implementation Strategy is dental care. The medical center will continue to look for opportunities to address community needs where we can make a meaningful contribution. SCHEDULE H, PART V, LINE 13B 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, LINE 13H ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT. SCHEDULE H, PART V, LINE 16A FAP WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANC IAL-ASSISTANCE/ SCHEDULE H, PART V, LINE 16B FAP APPLICATION WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANC IAL-ASSISTANCE/ SCHEDULE H, PART V, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANC IAL-ASSISTANCE/ 5 TORRANCE MEMORIAL BREAST DIAG CENTER II 824 E CARSON ST CARSON CA 90745 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL BREAST DIAG CENTER III 855 MANHATTAN BEACH BLVD MANHANTTAN BEACH CA 90266 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL BREAST DIAG CENTER IV 65 PENINSULA CENTER ROLLING HILLS ESTATES CA 90274 IMAGING AND DIAGNOSTICS CENTER TORRANCE MEMORIAL SURGICAL CENTER 23560 CRENSHAW BLVD STE 104 TORRANCE CA 90505 SURGICAL CENTER TORRANCE SURGERY CENTER 23451 MADISON STREET STE 340 TORRANCE CA 90505 SURGICAL CENTER 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 I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED FROM THE RESPECTIVE WORKSHEETS LOCATED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE AMOUNTS IN THE TABLE FOR CHARITY CARE AT COST, UNREIMBURSED MEDICAID, AND UNREIMBURSED COSTS FROM OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE OTHER BENEFITS LOCATED ON 7E THROUGH 7I WERE DERIVED FROM GENERAL LEDGER ACCOUNTS AND ESTIMATES. SCHEDULE H, PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES TORRANCE MEMORIAL MEDICAL CENTER (TMMC OR TORRANCE MEMORIAL) IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. TORRANCE MEMORIAL CONTINUALLY SEEKS TO ENGAGE IN COMMUNITY BUILDING ACTIVITIES WHICH SUPPORT OR PROVIDE LEADERSHIP TRAINING FOR THE COMMUNITY, ENHANCE THE WORKFORCE, ENCOURAGE COALITION BUILDING, OR PROVIDE ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT. CURRENT ACTIVITIES INCLUDE A LONGSTANDING LEADERSHIP ROLE WITH THE SOUTH BAY SURVIVORSHIP CONSORTIUM, CO-ORGANIZING THE HOSPITAL SUBCOMMITTEE OF THE SOUTH BAY COALITION TO END HOMELESSNESS. IN FY'21 SEVERAL COMMUNITING BUILDING ACTIVITIES WERE POSTPONED AND INCLUDE, COORDINATING AND HOSTING ANNUAL CLERGY NETWORKING MEETINGS, AND CONDUCTING SOUTH BAY HEALTH RESOURCES PARTNERSHIP EVENTS FOR THE BENEFIT OF AREA NON-PROFIT SERVICE ORGANIZATIONS. HOSTING LEADERSHIP TORRANCE AND JUNIOR LEADERSHIP TORRANCE EVENTS WHICH PROVIDE OPPORTUNITIES FOR EMERGING COMMUNITY LEADERS TO MEET WITH AN INFLUENTIAL MEMBER OF THE MEDICAL CENTER TO LEARN ABOUT THEIR AREAS OF RESPONSIBILITY WITH A FOCUS ON DEVELOPING EFFECTIVE LEADERSHIP SKILLS WERE LIKEWISE IMPACTED DUE TO COVID. TMMC CONTINUES EFFORTS TO ASSIST IN ECONOMIC DEVELOPMENT BY WORKING WITH LOCAL SMALL BUSINESSES TO PROVIDE SERVICES TO THE MEDICAL CENTER, INCLUDING THE OPERATION OF THE UNIFORM PROGRAM AS WELL AS THE PRODUCTION OF A SUBSTANTIAL PORTION OF THE MEDICAL CENTER'S MARKETING AND COMMUNICATIONS MATERIALS. WE PROVIDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY BY PARTICIPATING IN VARIOUS HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND CALIFORNIA HOSPITAL ASSOCIATION (CHA) COMMUNITY BENEFIT COMMITTEES TO PROVIDE INPUT ON NON-PROFIT HOSPITALS' KEY COMMUNITY BENEFIT INITIATIVES, WITH AN EMPHASIS ON COLLABORATION AND BEST-PRACTICE. ENVIRONMENTAL IMPROVEMENT ACTIVITIES INCLUDE PROMOTING AND VOLUNTEERING AT ONGOING PRESCRIPTION DRUG TAKE BACK DAYS. THESE EVENTS ARE CONDUCTED IN COLLABORATION WITH LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY PARTNERS AND RESULT IN SAFE DISPOSAL OF UNUSED OR EXPIRED MEDICATIONS AND SHARPS. SCHEDULE H, PART III, SECTION A, LINES 2 & 3 BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 FOOTNOTE FROM THE CEDARS-SINAI HEALTH SYSTEM FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2021 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, SECTION B, LINE 8 TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H. SCHEDULE H, PART III, SECTION C, LINE 9B 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 VI, LINE 2 NEEDS ASSESSMENT THE COMMUNITY NEEDS ASSESSMENT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE HOSPITAL USES THE FINDINGS IN THE PREPARATION OF COMMUNITY BENEFIT PLANS FOR THE NEXT THREE FISCAL YEARS. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH-RELATED DATA AND INTERVIEWS WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES. TO ASSIST WITH IDENTIFYING PRIORITIES, COMPARISONS ARE MADE TO NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2020 AND OTHER REGIONAL EXPERIENCES. ADDITIONALLY, ON A TRIENNIAL BASIS, TORRANCE MEMORIAL MEDICAL CENTER CONDUCTS AN INVENTORY OF HEALTH, EDUCATION AND SOCIAL SERVICES RESOURCES WHICH ARE AVAILABLE IN THE SERVICE AREA TO BETTER ADDRESS SIGNIFICENT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE INVENTORY INCLUDES: MEDICAL HOSPITALS, ACUTE CARE SERVICES INCLUDING EMERGENCY ROOMS, END-OF-LIFE CARE FACILITIES; OTHER HEALTH CARE SERVICES SUCH AS MENTAL HEALTH, DENTAL CARE, FREE CLINICS, CRISIS LINES, SUBSTANCE ABUSE TREATMENT PROGRAMS, SOCIAL SERVICE PROVIDERS TO ALLEVIATE HOMELESS, POVERTY, FOOD INSECURITY, AND INCREASE ACCESS TO PUBLIC PROGRAMS THROUGH BENEFIT ENROLLMENT. IN FISCAL YEAR 2007, THE MEDICAL CENTER INITIATED AND CONTINUES TO REGULARLY CONVENE A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE AND INCREASED THE INVOLVEMENT OF SENIOR MANAGEMENT IN SETTING PRIORITIES AND MONITORING PROGRESS FOR HOSPITAL COMMUNITY BENEFITS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 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 WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06/30/2021, 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 $4,741,352. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION COMMUNITY INFORMATION TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DEFINES ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND COMMUNITIES: - TORRANCE AND LOMITA - BEACH CITIES OF EL SEGUNDO, HERMOSA, MANHATTAN, AND REDONDO BEACH - PALOS VERDES - GARDENA, HAWTHORNE AND LAWNDALE - HARBOR CITY, WILMINGTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO THERE ARE 7 OTHER HOSPITALS WITHIN THE SERVICE AREA. TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 884,538 PERSONS, WITH 23.0 PERCENT OF THE POPULATION UNDER 18 YEARS, 63.0 PERCENT AGE 18 TO 64, AND 14.0 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 31.3 PERCENT WHITE, 36.5 PERCENT HISPANIC, 17.9 PERCENT ASIAN/PACIFIC ISLANDER, 9.3 PERCENT AFRICAN-AMERICAN, 0.9 PERCENT OTHER SINGLE RACE AND 4.2 PERCENT OTHER MIXED-RACE. OF THOSE AT LEAST FIVE YEARS OF AGE, 54.7 PERCENT SPEAK ENGLISH ONLY, 27.9 PERCENT SPEAK SPANISH, 12.4 PERCENT SPEAK ASIAN/PI LANGUAGE, AND 5 PERCENT SPEAK OTHER LANGUAGES. OF THOSE PERSONS AT LEAST 25 YEARS AND OLDER, 15.1 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 19.3 PERCENT HAVE GRADUATED HIGH SCHOOL AND 65.6 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $102,046 WITH 12.6 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA BELOW 100% OF THE POVERTY LEVEL. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2019. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF PERSONS 65 YEARS AND OLDER, BLACK AND ASIAN RESIDENTS; PERSONS SPEAKING ENGLISH AND ASIAN OR PACIFIC ISLAND LANGUAGES AT HOME, AND ADULTS WITH SOME COLLEGE TO A PROFESSIONAL DEGREE. 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 WERE POSTPPONED OR REDUCED IN FY'21 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, 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; -PARTICIPATING IN HEALTH FAIRS, PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, FLU SHOTS, ANEMIA SCREENINGS AND PULMONARY FUNCTION SCREENINGS; - STAFFING VARIOUS CENTERS (HEALTH RESOURCE CENTER, CANCER RESOURCE CENTER, BREAST EXAMINATION TRAINING CENTER AND IMAGE ENHANCEMENT CENTER) FOR HEALTH INFORMATION AND ASSISTANCE; - PROVIDING HEALTH INFORMATION IN VIRTUALLY AND IN MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, CABLE TELEVISION PROGRAMMING, 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE ANNUAL COMMUNITY BENEFIT REPORT AND PLAN IS FILED WITH THE STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION (FORMERLY, THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.) true HARBOR INTERFAITH SERVICE 670 W 9TH STREET SAN PEDRO CA 90731 330031099 501(C)(3) 22000 EMPOWER HOMELESS PROGRAM CARING HOUSE 2842 EL DORADO STREET TORRANCE CA 90503 202201206 501(C)(3) 15000 2 0 SCHEDULE I, PART I, LINE 2 GRANT FUNDS ARE AWARDED TO NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSION AND TARGET POPULATION SERVED ALIGN WITH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHECK IS ACCOMPANIED WITH A LETTER STATING THAT THE DONATION IS TO BE USED FOR OR A SPECIFIC PROGRAM OR SERVICE. SOMETIMES A MEMORANDUM OF UNDERSTANDING, SIGNED BY BOTH ORGANIZATIONS, PRECEDES THE GRANT, SPECIFYING PURPOSE OF THE GRANT, AS WELL AS A REQUIRED OUTCOME REPORTING PERIOD. X X X X X false true false false false false false false false DEREK BERZ SR VP CHIEF ADMIN OFFICER 0 390524 0 98147 0 0 0 71869 0 23952 0 584492 0 0 CRAIG LEACH PRESIDENT/CEO/ASSIST TREASURER 0 772546 0 252909 0 1340231 0 283149 0 20282 0 2669117 0 1340231 WILLIAM LARSON CFO 0 285177 0 32185 0 0 0 13266 0 33286 0 363914 0 0 DEBRA KELLY VP ANCILLARY SUPPORT SERVICES 0 288395 0 33398 0 0 0 18996 0 20208 0 360997 0 0 JOHN MCNAMARA CMO 0 427742 0 102233 0 58966 0 77140 0 8760 0 674841 0 58966 HEATHER SHAY VP ACCRED & QUALITY SERVICES 0 289964 0 32185 0 0 0 16577 0 15187 0 353913 0 0 ROBIN CAMRIN VP MED STAFF SERVICES 0 274543 0 30106 0 0 0 18630 0 11619 0 334898 0 0 LINDA DOBIE VP RISK MANAGEMENT 0 286981 0 32185 0 0 0 16577 0 33594 0 369337 0 0 BERNADETTE REID VP INFORMATION SERVICES 0 290275 0 32185 0 0 0 13266 0 17478 0 353204 0 0 LAURA SCHENASI EXEC VP TMMC FOUNDATION 0 318677 0 77148 0 0 0 13397 0 27910 0 437132 0 0 SALLY EBERHARD PART YEAR BOARD MEMBER/SR VP TMHS 0 194781 0 0 0 49310 0 5843 0 0 0 249934 0 49310 SHANNA HALL VP NURSING SERVICES 0 285538 0 32185 0 0 0 11644 0 19478 0 348845 0 0 MARY WRIGHT SR VP CHIEF NURSING SERVICES 0 306953 0 77206 0 45738 0 15797 0 19953 0 465647 0 45738 DEBORAH F BUTLER EXEC DIR PERIOPERATIVE SRVCS 0 270528 0 0 0 0 0 11160 0 19971 0 301659 0 0 SCHEDULE J, PART I, LINE 3 DETERMINING CEO 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 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 2020, the following individuals received SERP payments related to their partial or full vesting in the plan: Sally Eberhard - $49,310 John McNamara - $58,966 Craig Leach - $1,340,231 Mary Wright - $45,738 During FY21, Craig Leach vested in the SERP at age 65 (36 years of service to THE ORGANIZATION). In accordance with the plan, he received a lump sum payment at his vesting date. Prior to vesting in FY16 and then again in FY21 at age 65, the SERP benefit was subject to substantial risk of forfeiture. The current year payout is reflected in column B (iii) and F of Schedule J. The amounts were reported on prior years Form 990 as deferred compensation in column C. A CITY OF TORRANCE 956000803 2016-12-22 64795000 SEE PART VI false false false B CITY OF TORRANCE 956000803 2010-09-23 234272024 SEE PART VI false false false A 4770000 0 64795000 0 0 0 464704 0 0 29815866 34514430 0 2017 true false true true B 0 124655000 109617024 0 0 0 2945578 0 0 71871446 34665000 0 2014 false false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true SCHEDULE K, PART I, LINE A, COLUMN (F) THE PROCEEDS OF THE 2016 BOND ISSUE WERE USED TO REFUND THE 06/01/2001 BOND ISSUE AND TO FINANCE CAPITAL EXPENDITURES FOR EQUIPMENT AND OTHER PLANNED IMPROVEMENTS TO HOSPITAL FACILITIES. SCHEDULE K, PART I, LINE B, COLUMN (F) THE PROCEEDS OF 2010 BOND ISSUE WERE USED TO REFUND THE 05/01/1992 BOND ISSUE AND TO FINANCE CONSTRUCTION AND EQUIPPING OF A NEW HOSPITAL FACILITY. SCHEDULE K, PART IV, COLUMN (B), LINE 2D THE REBATE COMPUTATION WAS PERFORMED ON 08/10/2021 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 FAP. IN SUCH SITUATION, PATIENTS ARE OFFERED AN 83 PERCENT DISCOUNT OFF THE HOSPITAL BILL, HIGH END DRUGS AND DEVICES AT COST PLUS 5%, AND A FINANCIAL COUNSELOR WHO IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH SIGNS POSTED AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR YEAR ENDED 06/30/2021, 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 $4,741,352. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY. TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2015 WE LAUNCHED "WELCOME BABY A PARTNERSHIP WITH PROVIDENCE LITTLE CO. OF MARY & FIRST 5 LA. WELCOME BABY IS A FREE PROGRAM TARGETING PRE- AND POST-NATAL MOTHERS LIVING IN WILMINGTON TO PROMOTE OVERALL HEALTH DURING THE FIRST YAER OF LIFE, ENSURE CHILDREN HAVE HEALTH COVERAGE AND RECEIVE CONSISTENT CARE, INCREASE BREASTFEEDING RATES, AND ENSURE NEW PARENTS HAVE A SAFE HOME ENVIRONMENT. IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 213 AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN ALL PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. FURTHERMORE, WE PROVIDE VERY LOW-COST VAN TRANSPORTATION TO PEOPLE WHO HAVE NO TRANSPORTATION. IN SUPPORT OF EDUCATION, OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO 9 HIGH SCHOOLS AND SEVERAL MIDDLE SCHOOLS IN THE COMMUNITY SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. WE SUPPORT A HOMELESS SHELTER, HARBOR INTERFAITH SERVICES, WITH ANNUAL SUPPORT TO THE FOOD PANTRY. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT HOLIDAY GIFTS TO THOSE IN NEED. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. SUPPORTING LOCAL SCHOOLS AND EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS AND FAMILY MEMBERS, AND THE COMMUNITY, OFFER EDUCATION CLASSES AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS, SERVE AS A TRAINING SITE FOR NURSING SCHOOLS AND OTHER PARAPROFESSIONALS, PARTICIPATE ACTIVELY IN COMMUNITY SYMPOSIUMS FOR DISASTER PREPAREDNESS, AND PARTICIPATE IN TORRANCE CHAMBER'S ADOPT-A-SCHOOL PROGRAM. FOR THE YEAR ENDED 06/30/2021, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $3,980,238. 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 06/30/2021, THESE INCLUDED PATIENTS COVERED UNDER THE STATE SPONSORED MEDI-CAL PLAN FOR THE MEDICALLY INDIGENT. TORRANCE MEMORIAL RECEIVED NO DISPROPORTIONATE SHARE FUNDS TO OFFSET THESE LOSSES. IN ADDITION, ACCORDING TO THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (TO WHOM WE ALSO SUBMIT A COMMUNITY BENEFITS REPORT), WE HAVE CALCULATED THE SUBSIDY OF OUR COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. FOR THE YEAR ENDED 06/30/2021, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $130,721,929. 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 06/30/2021, THIS COST WAS APPROXIMATELY $2,045,839. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $36,597,512 IN COMMUNITY BENEFIT EXPENSE FOR THE YEAR ENDED 06/30/2021. 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, LINES 6 AND 7A TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF TORRANCE MEMORIAL MEDICAL CENTER. FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT ALONG WITH OUR TAX ADVISORS. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990. FORM 990, PART VI, LINE 12C DESCRIPTION OF PROCESS USED TO MONITOR FOR CONFLICTS OF INTEREST TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) MONITORING, REVIEW AND ENFORCEMENT OF ITS CONFLICT OF INTEREST POLICY RESTS WITH ITS NOMINATING COMMITTEE. ANNUALLY, TMMC SENDS ALL TRUSTEES, OFFICERS, EXECUTIVES, AND MANAGERIAL EMPLOYEES A COPY OF TMMC'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST QUESTIONNAIRE. ALL TRUSTEES, OFFICERS, EXECUTIVES AND MANAGERIAL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE INQUIRES AS TO ALL INDIVIDUALS CONCERNED WITH CONDUCTING, TRANSACTING OR APPROVING THE BUSINESS MATTERS OF TMMC. ONCE THE CONFLICT OF INTEREST QUESTIONNAIRES HAVE BEEN RECEIVED BACK FROM THE OFFICERS, TRUSTEES AND EXECUTIVES, THEY ARE REVIEWED AND SUMMARIZED BY THE NOMINATION COMMITTEE FOR PRESENTATION TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REPORTS ANY CONFLICTS TO THE BOARD OF TRUSTEES WITH THEIR RECOMMENDATION AS TO THE NATURE OF THE CONFLICTS THAT MAY IMPEDE THE INDEPENDENCE OF THE BOARD MEMBER. IF AN OFFICER, TRUSTEE, OR EXECUTIVE IS FOUND TO HAVE A CONFLICT, THERE IS A PROCESS IN PLACE TO PROHIBIT THIS INDIVIDUAL FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS IN THE TRANSACTION. MANAGERIAL EMPLOYEE'S CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VICE PRESIDENT. CONFLICTS ARE NOTED AND FORWARDED TO HUMAN RESOURCES FOR SUMMARIZATION. IF MATERIAL CONFLICTS EXIST, THEY ARE FORWARDED TO THE CEO, WHO TOGETHER WITH THE AREA VICE PRESIDENT, RESOLVE THE ISSUE WITH THE MANAGER. FORM 990, PART VI, LINES 15A & 15B 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 WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMPENSATION SUBCOMMITTEE ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE PROCESS WAS LAST COMPLETED IN SEPTEMBER 2020. FORM 990, PART VI, LINE 19 AVAILABILITY OF DOCUMENTS 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PENSION LIABILITY 68,050,514 EQUITY TRANSFER TO THA (PARENT) (24,000,000) TMMC DECREASE IN INTERCOMPANY (10,000,000) CHANGE IN INTEREST OF TMMCF 345,005 CHANGE IN PERM RESTRICTED FDN CRT 61,335 CHANGE IN SCHOLARSHIP FUNDS 330,065 ============ TOTAL 34,786,919 Torrance Health Association 3330 Lomita Blvd Torrance CA 90505 330073515 Health SRVCS CA 501(c)(3) 12B CSHS true Torrance Memorial Med Ctr Healthcare Fdn 3330 Lomita Blvd Torrance CA 90505 953528452 Fundraising CA 501(c)(3) 7 THA true CALIFORNIA HEART CENTER FOUNDATION 15821 VENTURE BLVD STE 520 ENCINO CA 91436 954772979 RESEARCH CA 501(c)(3) 7 CSMC true CEDARS SINAI HEALTH SYSTEM 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 951644600 HEALTHCARE CA 501(c)(3) 12C N/A false CEDARS-SINAI MEDICAL CARE FOUNDATION 6500 Wilshire Blvd 15th floor LOS ANGELES CA 90048 954457756 FUNDRAISING CA 501(c)(3) 12A CSMC true CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BOULEVARD LOS ANGELES CA 90048 951644600 HOSPITAL CA 501(C)(3) 3 CSHS true CFHS HOLDINGS INC 4650 LINCOLN BLVD MARINA DEL REY CA 90292 201645949 HEALTHCARE CA 501(C)(3) 3 CSMC true KERLAN-JOBE ORTHOPAEDIC FOUNDATION 6801 PARK TERRANCE LOS ANGELES CA 90045 954707606 RESEARCH CA 501(C)(3) 7 CSMCF true SANTA MONICA ORTHO & SPORTS MED RSCH FDN 2020 SANTA MONICA BLVD 4TH FLR SANTA MONICA CA 90404 954789926 RESEARCH CA 507(c)(3) PF CSMCF true CEDARS SINAI INTELLECTUAL PROPERTY CO 8700 BEVERLY BLVD LOS ANGELES CA 90048 871097792 HEALTHCARE CA 501(C)(3) 12A CSMC true TORRANCE MEMORIAL SURG CTR LLC 465259260 OUTPAT SURG S CA TMMC RELATED 47578 742282 false 0 false 0.56590 3565 DEL AMO ASSOCIATES 330554737 RENT REAL ESTATE CA NA N/A CS-BH ASC HOLDINGS LLC HOLDING COMPANY CA N/A N/A ENDOSCOPY CTR OF SANTA MONICA ENDOSCOPY CA N/A N/A INTL SPINE & ORTHOPEDIC INST SPINE/ORTHOPEDIC CA N/A N/A ISS ASC HOLDINGS LLC HEALTHCARE CA N/A N/A SANTA MONICA IMAGING GROUP LLC IMAGING CENTER CA N/A N/A 90210 ASC VENTURE LLC AMB.SURGERY CNTR CA NA N/A CENTINELA FREEMAN HOLDINGS INC 4650 LINCOLN BLVD MARINA DEL REY CA 90292 593811890 R/E HOLDINGS CA NA C CORP true OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLR LOS ANGELES CA 90048 954522779 INACTIVE CA NA C CORP true OTOHARMOMICS CORPORATION 411 SW 6TH AVE PORTLAND OR 97204 461119421 INACTIVE DE NA C CORP true true false true false true false false false false true false false true true true true true true false TORRANCE MEMORIAL HEALTH CARE FOUNDATION C 15326060 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION M 582173 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION N 177361 ACTUAL TORRANCE MEMORIAL HEALTH CARE FOUNDATION O 1194106 ACTUAL TORRANCE HEALTH ASSOCIATION A 1309116 ACTUAL TORRANCE HEALTH ASSOCIATION Q 293844 ACTUAL TORRANCE HEALTH ASSOCIATION P 7020440 ACTUAL TORRANCE HEALTH ASSOCIATION J 1253778 ACTUAL TORRANCE HEALTH ASSOCIATION J 114735 ACTUAL TORRANCE HEALTH ASSOCIATION R 24000000 ACTUAL CEDARS-SINAI MEDICAL CENTER A 437981 ACTUAL CEDARS-SINAI MEDICAL CENTER E 26771288 ACTUAL SCHEDULE R, PART III TORRANCE MEMORIAL SURGERY CENTER, LLC EIN: 46-5259260 23560 CRENSHAW BLVD, STE 104 TORRANCE, CA 90505 3565 DEL AMO ASSOCIATES EIN: 33-0554737 2175 PARK PLACE EL SEGUNDO, CA 90245 CS-BH ASC HOLDINGS, LLC 81-2246488 200 N. ROBERTSON BLVD #101 BEVERLY HILLS, CA 90211 ENDOSCOPY CENTER OF SANTA MONICA, LLC 11-3652210 12400 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90025 INTERNATIONAL SPINE & ORTHOPEDIC INSTITUTE, LLC 26-3738893 8500 W. SOUTH 110TH ST OVERLAND PARK, KS 66210 ISS ASC HOLDINGS LLC 47-1890805 27271 LAS RAMBLAS STE 350 MISSION VIEJO, CA 9269 SANTA MONICA IMAGING GROUP, LLC 82-0760657 200 N. ROBERTSON BLVD #101 BEVERLY HILLS, CA 90211 90210 ASC VENTURE, LLC 13-4341801 450 N. ROXBURY DR. STE. 602, BEVERLY HILLS. CA 90210 SCHEDULE R, PART III, LINE (2) TORRANCE MEMORIAL MEDICAL CENTER HAS INDIRECT CONTROL AS TORRANCE MEMORIAL SURGERY CENTER, LLC IS THE GENERAL PARTNER OF TORRANCE SURGERY CENTER, LP.