TORRANCE MEMORIAL MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: TORRANCE MEMORIAL MEDICAL CENTER (EIN 95-1644042)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-04-30
IRS object ID: 202021219349300232
Schema version: 2018v3.3
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-04-30T17:56:27-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	18101 VON KARMAN AVE 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	2018-07-01	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)
In Care Of	% CARI ERICKSON	InCareOfNm
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
Phone	3103259110	PhoneNum
Signature	2020-04-28	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	98.176.138.205	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	33577420201215000010	FederalOriginalSubmissionId
Federal Original Submission Id	2020-04-30	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AF84A37596C4067BF19103729695DA62EF3F19B2	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B624E8CB9ADA9901BBF432C0B9948499803DA55C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-19 02:30:22Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$912,114,285	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	8	VotingMembersIndependentCnt
Total Employee	3706	TotalEmployeeCnt
Total Volunteers	1179	TotalVolunteersCnt
Total Gross UBI	$2,552,322	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$202,661	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,527,331	PYContributionsGrantsAmt
CY Contributions Grants	$20,320,930	CYContributionsGrantsAmt
PY Program Service Revenue	$330,125,014	PYProgramServiceRevenueAmt
CY Program Service Revenue	$665,161,812	CYProgramServiceRevenueAmt
PY Investment Income	$5,718,479	PYInvestmentIncomeAmt
CY Investment Income	$10,258,486	CYInvestmentIncomeAmt
PY Other Revenue	$1,123,608	PYOtherRevenueAmt
CY Other Revenue	$3,107,544	CYOtherRevenueAmt
PY Total Revenue	$347,494,432	PYTotalRevenueAmt
CY Total Revenue	$698,848,772	CYTotalRevenueAmt
PY Grants And Similar Paid	$74,700	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$131,020	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,568,395	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$364,773,223	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,468,659	CYTotalFundraisingExpenseAmt
PY Other Expenses	$153,233,866	PYOtherExpensesAmt
CY Other Expenses	$298,445,053	CYOtherExpensesAmt
PY Total Expenses	$329,876,961	PYTotalExpensesAmt
CY Total Expenses	$663,349,296	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,617,471	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$35,499,476	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,193,454,518	TotalAssetsBOYAmt
Total Assets EOY	$1,223,593,966	TotalAssetsEOYAmt
Total Liabilities BOY	$560,433,397	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$611,597,944	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$633,021,121	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$611,996,022	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$549,980,846	ExpenseAmt
Grant	$131,020	GrantAmt
Revenue	$668,247,625	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$549,980,846	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	358	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3706	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	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 LOMITA BOULEVARD	AddressLine1Txt
City	TORRANCE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90802	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 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
VINH CAM MD
VICE CHAIRMAN	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
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
KRISTINE DOUGLAS
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
AMIR KAVIANI MD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
CHARLOTTE LESSER
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
SUSAN LIEBSON
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
RICHARD LUCY
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
THOMAS SIMKO MD
BOARD MEMBER	1.0	1.0	Yes (X)		$0	$0	$0
CRAIG LEACH
PRESIDENT/CEO/ASSIST TREASURER	20.0	22.0	Yes (X)	Yes (X)	$0	$917,638	$293,475
SALLY EBERHARD
BOARD MEMBER/SR VP TMHS	20.0	20.0	Yes (X)		$0	$546,190	$46,082
WILLIAM LARSON
CFO	20.0	20.0		Yes (X)	$0	$297,072	$58,222
DEREK BERZ
SR VP CHIEF ADMIN OFFICER	40.0	0.0			$0	$472,642	$76,705	Yes (X)
BARBARA LEQUIRE
SR VP NURSING SERVICES	40.0	0.0			$0	$376,894	$94,919	Yes (X)
SHANNA HALL
VP NURSING SERVICES	40.0	0.0			$0	$288,431	$32,662	Yes (X)
DEBRA KELLEY
VP ANCILLARY SUPPORT SERVICES	40.0	0.0			$0	$311,811	$48,448	Yes (X)
JOHN MCNAMARA
CMO	20.0	20.0			$0	$557,775	$62,960	Yes (X)
HEATHER SHAY
VP ACCRED & QUALITY SERVICES	40.0	0.0			$0	$301,699	$46,955	Yes (X)
MARY WRIGHT
VP NURSING SERVICES	40.0	0.0			$0	$292,205	$27,034	Yes (X)
ROBIN CAMRIN
VP MED STAFF SERVICES	40.0	0.0			$0	$282,651	$40,706		Yes (X)
LINDA DOBIE
VP RISK MANAGEMENT	40.0	0.0			$0	$298,792	$65,008		Yes (X)
STACEY KIMURA
NICU UNIT LEAD RN	40.0	0.0			$267,990	$0	$36,365		Yes (X)
BERNADETTE REID
VP INFORMATION SERVICES	40.0	0.0			$0	$301,893	$50,107		Yes (X)
LAURA SCHENASI
EXEC VP TMMC FOUNDATION	40.0	0.0			$0	$352,192	$59,660		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$267,990	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,597,885	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,039,308	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	59	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	$10,412,722
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	FOOD SERVICES	$5,294,826
SIEMENS MEDICAL SOLUTIONS
DEPT LA 21536	PASADENA	CA	91185	MED PURCHASED SVCS	$2,403,297
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	MEDICAL SERVICES	$1,718,947
PHILIPS HEALTHCARE
PO BOX 100355	ATLANTA	GA	30384	MEDICAL SERVICES	$1,598,284

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	64	CntrctRcvdGreaterThan100KCnt
Related Organizations	$15,006,325	RelatedOrganizationsAmt
All Other Contributions	$5,314,605	AllOtherContributionsAmt
Total Contributions	$20,320,930	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	900099	$419,687,305	$418,309,248	$1,378,057	$0
MEDICARE REVENUE	900099	$140,610,597	$140,610,597	$0	$0
CAPITATION REVENUE	900099	$62,815,856	$62,815,856	$0	$0
MEDI-CAL REVENUE	900099	$31,056,419	$31,056,419	$0	$0
PHYSICIAN SUPPORT REVENUE	900099	$7,244,315	$7,244,315	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,747,320	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,573,055	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,174,265	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$665,161,812	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,847,991	TotalRevenueColumnAmt
Exclusion	$4,847,991	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$172,247	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$150,516	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,731	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,731	TotalRevenueColumnAmt
Exclusion	$21,731	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$218,525,492	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$213,114,997	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,410,495	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,410,495	TotalRevenueColumnAmt
Exclusion	$5,410,495	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Rebates and Refunds	900099	$2,093,654	$2,093,654	$0	$0
Management Fees	900099	$992,159	$992,159	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$3,085,813	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$698,848,772	TotalRevenueColumnAmt
Related Or Exempt Func Income	$665,695,303	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,552,322	UnrelatedBusinessRevenueAmt
Exclusion	$10,280,217	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$131,020	TotalAmt
Program Services	$131,020	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	$6,816,711	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,816,711	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$88,472	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$88,472	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$258,209,729	TotalAmt
Program Services	$219,676,339	ProgramServicesAmt
Management And General	$37,571,962	ManagementAndGeneralAmt
Fundraising	$961,428	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,556,451	TotalAmt
Program Services	$11,232,985	ProgramServicesAmt
Management And General	$2,274,304	ManagementAndGeneralAmt
Fundraising	$49,162	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$66,058,037	TotalAmt
Program Services	$54,736,222	ProgramServicesAmt
Management And General	$11,082,258	ManagementAndGeneralAmt
Fundraising	$239,557	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,043,823	TotalAmt
Program Services	$16,608,473	ProgramServicesAmt
Management And General	$3,362,662	ManagementAndGeneralAmt
Fundraising	$72,688	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	$238,139	TotalAmt
Management And General	$238,139	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$165,728	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$165,728	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$209,297	TotalAmt
Program Services	$209,297	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	$642,984	TotalAmt
Program Services	$642,984	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,292,192	TotalAmt
Program Services	$27,202,667	ProgramServicesAmt
Management And General	$10,089,525	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	$36,872,290	TotalAmt
Program Services	$24,938,667	ProgramServicesAmt
Management And General	$11,933,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,941,109	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$15,941,109	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	$6,385,334	TotalAmt
Program Services	$4,906,743	ProgramServicesAmt
Management And General	$1,332,767	ManagementAndGeneralAmt
Fundraising	$145,824	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$165,486	TotalAmt
Program Services	$133,380	ProgramServicesAmt
Management And General	$32,106	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	$214,355	TotalAmt
Program Services	$168,096	ProgramServicesAmt
Management And General	$46,259	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,940,309	TotalAmt
Program Services	$9,940,309	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$33,005,418	TotalAmt
Program Services	$22,873,879	ProgramServicesAmt
Management And General	$10,131,539	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

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

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,985,454	TotalAmt
Program Services	$2,985,454	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$103,645,222	$103,645,222	$0	$0
HOSPITAL FEE	$27,274,074	$27,274,074	$0	$0
PHYSICIAN FEES	$19,663,906	$19,663,906	$0	$0
REPAIRS & MANAGEMENT	$2,532,723	$1,927,591	$605,132	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,271,033	TotalAmt
Program Services	$1,083,538	ProgramServicesAmt
Management And General	$187,495	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$663,349,296	TotalAmt
Program Services	$549,980,846	ProgramServicesAmt
Management And General	$111,899,791	ManagementAndGeneralAmt
Fundraising	$1,468,659	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,110,686	BOYAmt
EOY	$5,672,821	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,082,170	BOYAmt
EOY	$10,213,598	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	$74,640,000	BOYAmt
EOY	$73,331,460	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	$10,365,124	BOYAmt
EOY	$13,057,577	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$39,699,000	BOYAmt
EOY	$40,579,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$667,934,541	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,684,133	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$610,741,535	BOYAmt
EOY	$619,250,408	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$290,884,092	BOYAmt
EOY	$301,171,669	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,904,391	BOYAmt
EOY	$29,961,925	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$111,246,524	BOYAmt
EOY	$119,760,772	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,186,966	BOYAmt
EOY	$3,233,006	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,594,030	BOYAmt
EOY	$7,361,730	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,193,454,518	BOYAmt
EOY	$1,223,593,966	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$95,948,500	BOYAmt
EOY	$103,354,755	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	$292,559,547	BOYAmt
EOY	$287,974,822	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$171,925,350	BOYAmt
EOY	$220,268,367	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$560,433,397	BOYAmt
EOY	$611,597,944	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$519,874,315	BOYAmt
EOY	$490,369,762	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,836,689	BOYAmt
EOY	$118,371,945	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,310,117	BOYAmt
EOY	$3,254,315	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$633,021,121	BOYAmt
EOY	$611,996,022	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,193,454,518	BOYAmt
EOY	$1,223,593,966	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$35,499,476	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,235,525	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$57,760,100	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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$209,297	OtherActivitiesAmt
Total Lobbying Expenditures	$209,297	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	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES DURING 2018, TMMC PAID THE CALIFORNIA HOSPITAL ASSOCIATION ON ISSUES FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,957,498	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,038,773	InvestmentEarningsOrLossesAmt
Other Expenditures	$420,000	OtherExpendituresAmt
End Year Balance	$9,576,271	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,000,069	BeginningYearBalanceAmt
Investment Earnings Or Losses	$377,429	InvestmentEarningsOrLossesAmt
Other Expenditures	$420,000	OtherExpendituresAmt
End Year Balance	$8,957,498	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,063,206	BeginningYearBalanceAmt
Investment Earnings Or Losses	$72,649	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,135,786	OtherExpendituresAmt
End Year Balance	$9,000,069	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.33300	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.66700	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	$35,640,723	OtherCostOrOtherBasisAmt
Book Value	$35,640,723	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$513,826,390	OtherCostOrOtherBasisAmt
Depreciation	$22,571,390	DepreciationAmt
Book Value	$491,255,000	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,281,596	OtherCostOrOtherBasisAmt
Depreciation	$26,112,743	DepreciationAmt
Book Value	$54,168,853	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$38,185,832	OtherCostOrOtherBasisAmt
Book Value	$38,185,832	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$619,250,408	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN NET ASSETS OF TMF	Desc
Book Value	$119,760,772	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$119,760,772	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
RISK POOLS	$117,707,467
MINIMUM PENSION LIABILITY	$86,281,028
SELF-INSURANCE	$12,573,080
THIRD PARTY PAYABLE	$2,943,792
OTHER CURRENT LIABILITIES	$763,000

Field	Value	IRS element (for citing)
Total Liability	$220,268,367	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

INTENDED USE OF ENDOWMENT FUNDS THE EARNINGS OF THE ENDOWMENT MAY BE USED TO FUND FUTURE CARDIOVASCULAR HEALTH RELATED PROJECTS 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 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$24,617,776	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$24,617,776	SubtotalSpentAmt
Total Spent	$24,617,776	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	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

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	$4,600,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,600,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,007,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,195,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,811,687	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	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	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,608,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,195,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,412,272	NetCommunityBenefitExpnsAmt
Total Expense	0.03370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$926,637	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$926,637	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,926,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,926,985	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$401,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$401,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,021,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,021,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,277,145	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,277,145	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,885,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,195,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,689,417	NetCommunityBenefitExpnsAmt
Total Expense	0.04010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,491	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,491	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,420	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,420	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,808	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,808	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$210,719	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$210,719	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,233,111	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,465,116	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$263,342,858	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$350,331,630	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$86,988,772	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	0.33158	0.41622
TORR MULTI-SPEC ASC
AMBULATORY SURGERY	0.31115	0.42875

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	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	450.	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	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PT V,SEC C	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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5	INTERVIEWS, A SURVEY AND A FOCUS GROUP WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. 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 MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR 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 AREAS FOR COORDINATION OR COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS; AND AN OPEN QUESTION FOR ADDITIONAL COMMENTS AND CONCERNS. SCHOOL SURVEY 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. SEVENTY-EIGHT (78) USABLE SURVEYS WERE RECEIVED. 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 THEIR COMMUNITY; AND AN OPEN QUESTION FOR ADDITIONAL COMMENTS. STAKEHOLDER INTERVIEWEES: NAME - TITLE - ORGANIZATION ROXANNE CHANG, MD - BOARD MEMBER - COMMUNITY'S CHILD JANETTE DAWSON, RN, MHA, ACM - DIRECTOR,CASE MANAGEMENT - TMMC CRISTINA DEMARTI, MS, AMFT - LEAD THERAPIST - RICHSTONE FAMILY CENTER DONNA DUPERRON - PRESIDENT & CEO - TORRANCE AREA CHAMBER OF COMMERCE; EXECUTIVE COMMITTEE, SOUTH BAY AREA CHAMBERS OF COMMERCE MIKE ESTES - DIRECTOR, COMMUNITY SERVICES - CITY OF LAWNDALE ANNA GARALDE, MA - ADMINISTRATIVE DIRECTOR, PATH TO INDEPENDENCE - MYCHAL'S LEARNING PLACE JUDITH GERBER - COORDINATOR - GARDEN PROGRAM FOOD FORWARD; TORRANCE FARMER'S MARKET; TORRANCE LIBRARY COMMISSION JANN HAMILTON LEE, MHA - PRESIDENT AND CEO - SOUTH BAY FAMILY HEALTH CARE JEN HARRIS - PREVENTION COORDINATOR - BEHAVIORAL HEALTH SERVICES STAN JAMES - ASSOCIATE DIRECTOR OF WORKFORCE DEVELOPMENT - GOODWILL INDUSTRIES NANCY LOMIBAO, MS, LMFT - PROGRAM DIRECTOR, CHIEF CLINICAL OFFICER - CANCER SUPPORT COMMUNITY, REDONDO BEACH ED LONG - PRESIDENT - CARING HOUSE STEVE MACALLER - EXECUTIVE DIRECTOR/VICE PRESIDENT - TORRANCE-SOUTH BAY YMCA SARA MYERS - PRESIDENT AND CEO - THE VOLUNTEER CENTER, SOUTH BAY, HARBOR, LONG BEACH TARA NIERENHAUSEN - EXECUTIVE DIRECTOR - COMMUNITY'S CHILD TERRI NISHIMURA - FOUNDER AND CEO - PEDIATRIC THERAPY NETWORK JUNE POUESI - EXECUTIVE DIRECTOR - OFFICE OF SAMOAN AFFAIRS SILVIA PRIETO, MD, MPH - AREA HEALTH OFFICER, SPA 7 AND SPA 8 - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH MEGHA SATA - DDS DENTAL DIRECTOR - SOUTH BAY CHILDRENS HEALTH CENTER HILLARY THEYER CITY - LIBRARIAN - CITY OF TORRANCE AMANDA VALOROSI - SENIOR ASSISTED LIVING COORDINATOR - CITY OF CARSON BRITT VANDEN EYKEL-HUFF - EXECUTIVE DIRECTOR - H.E.L.P. ROSEMARY VENIEGAS - PROGRAM OFFICER - CALIFORNIA COMMUNITY FOUNDATION BEA VIROBIK - VOLUNTEER/COORDINATOR - FOCAL POINT ON AGING ANGELA WILSON, LMFT - DIRECTOR OF MENTAL HEALTH - SOUTH BAY CHILDRENS HEALTH CENTER SCHOOL SURVEY SURVEY RESPONDENTS: RNS, LVNS, SCHOOL HEALTH ASSISTANTS AND COUNSELORS DATE OF SURVEY: FEBRUARY 20 MARCH 10, 2019 # OF RESPONDENTS: 78 FOCUS GROUP ON HOMELESSNESS, FOCUS GROUP DATE: 1/13/19, 20 PARTICIPANTS 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/DOCUMENTS/COMMUNITYBENEFITS/COMMUNITY-BEN EFIT-REPORT-2019-.PDF
SCHEDULE H, PART V, LINE 11	THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE DETERMINED: - ACCESS TO HEALTH CARE - CARDIOVASCULAR DISEASE - DENTAL CARE - DIABETES - FOOD INSECURITY - HOUSING AND HOMELESSNESS - KIDNEY DISEASE - MENTAL HEALTH - OVERWEIGHT AND OBESITY - PNEUMONIA AND FLU - PREVENTIVE PRACTICES - SUBSTANCE USE AND MISUSE TORRANCE MEMORIAL MEDICAL CENTER DEVELOPED AN IMPLEMENTATION STRATEGY BASED ON THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS REQUIRED BY STATE AND FEDERAL REGULATIONS GUIDING TAX-EXEMPT HOSPITALS. ACCESS TO HEALTH CARE, CHRONIC DISEASES, HOUSING AND HOMELESSNESS, AND SUBSTANCE USE AND MISUSE EMERGED AS THE HEALTH FOCUS AREAS FOR THE 2020-2022 IMPLEMENTATION STRATEGY. HEALTH FOCUS AREAS ACCESS TO CARE: EFFORTS FOCUS ON INCREASING AND SUPPORTING ACCESS TO ESSENTIAL HEALTH CARE SERVICES FOR THE UNDERSERVED THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESS THE FOLLOWING ACCESS TO CARE PRIORITY HEALTH NEEDS: - PRIMARY CARE - MENTAL HEALTH CARE CHRONIC DISEASE: EFFORTS FOCUS ON THE PREVENTION OF CHRONIC HEALTH CONDITIONS, UNDERLYING RISK FACTORS AND THE ROOT CAUSES OF CHRONIC DISEASES. PROGRAMS, PARTNERSHIPS AND STRATEGIES ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS RELATED TO CHRONIC DISEASES: - CARDIOVASCULAR DISEASE - DIABETES AND KIDNEY DISEASE - PREVENTIVE PRACTICES - FOOD INSECURITY - MENTAL HEALTH - OVERWEIGHT AND OBESITY - PNEUMONIA AND FLU HOUSING AND HOMELESSNESS: EFFORTS FOCUS ON CONNECTING PEOPLE EXPERIENCING HOMELESSNESS TO COMMUNITY-BASED PROGRAMS AND SERVICES AND BUILDING STRATEGIES TO IMPROVE THE HEALTH OF HOMELESS INDIVIDUALS. KEY PARTNERSHIPS WILL SUPPORT THE CAPACITY-BUILDING STRATEGIES OF COMMUNITY-BASED ORGANIZATIONS TO SERVE PEOPLE EXPERIENCING HOMELESSNESS. SUBSTANCE USE AND MISUSE: EFFORTS FOCUS ON PROGRAMS, PARTNERSHIPS AND STRATEGIES TO INCREASE ACCESS TO APPROPRIATE SUBSTANCE USE CARE AND COMMUNITY-BASED HEALTH CARE SERVICES. IN SUPPORT OF OUR MISSION TO IMPROVE THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE, TMMC HAS COMMITTED TO ONGOING PROGRAM EVALUATION TO ENSURE MAXIMUM IMPACT OF COMMUNITY BENEFIT STRATEGIES. TMMC WILL INCORPORATE EVALUATION RESULTS INTO PROGRAM STRATEGY, PLANNING AND IMPLEMENTATION. 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 (TMMC) CHOSE HEALTH FOCUS AREAS BASED ON CRITERIA, TAKING INTO ACCOUNT TMMCS CAPACITY TO IMPACT COMMUNITY NEEDS, THE STRENGTH OF COMMUNITY PARTNERSHIPS AND THE ALIGNMENT WITH ORGANIZATIONAL 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 THIS 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 THIS IMPLEMENTATION STRATEGY IS DENTAL CARE. TMMC 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 PATIENTS RESPONSIBILITY IS 10% OR MORE OF THE PATIENTS FAMILY INCOME FOR THE PREVIOUS 12 MONTHS, THE ENTIRE AMOUNT OWED BY THE PATIENT WILL BE LIMITED TO 10% OF THEIR FAMILY INCOME FOR THE PRECEDING 12 MONTH PERIOD.
SCHEDULE H, PART V, LINE 13H	ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT.
SCHEDULE H, PART V, LINE 16A	FAP WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_RESOURCES/BILLING_INSURANCE/FINAN CIAL_ASSISTANCE_CHARITY_CARE.ASPX
SCHEDULE H, PART V, LINE 16B	FAP APPLICATION WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_RESOURCES/BILLING_INSURANCE/FINAN CIAL_ASSISTANCE_CHARITY_CARE.ASPX
SCHEDULE H, PART V, LINE 16C	FAP PLAIN LANGUAGE SUMMARY WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_RESOURCES/BILLING_INSURANCE/FINAN CIAL_ASSISTANCE_CHARITY_CARE.ASPX

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 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 BREAST DIAG CENTER II
824 E CARSON ST	CARSON	CA	90745	IMAGING AND DIAGNOSTICS CENTER
TORRANCE MEMORIAL SURGICAL CENTER
23560 CRENSHAW BLVD STE 104	TORRANCE	CA	90505	SURGICAL CENTER
TORRANCE SURGERY CENTER
23451 MADISON STR STE 340	TORRANCE	CA	90505	SURGICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (11 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 I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED FROM THE RESPECTIVE WORKSHEETS LOCATED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE AMOUNTS IN THE TABLE FOR CHARITY CARE AT COST, UNREIMBURSED MEDICAID, AND UNREIMBURSED COSTS FROM OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE OTHER BENEFITS LOCATED ON 7E THROUGH 7I WERE DERIVED FROM GENERAL LEDGER ACCOUNTS AND ESTIMATES. SCHEDULE H, PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. 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, ASSIST IN ECONOMIC DEVELOPMENT, 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, COORDINATING AND HOSTING ANNUAL CLERGY NETWORKING MEETINGS, AND CONDUCTING SOUTH BAY HEALTH RESOURCES PARTNERSHIP EVENTS FOR THE BENEFIT OF AREA NON-PROFIT SERVICE ORGANIZATIONS. TORRANCE MEMORIAL PARTICIPATES ON AN ONGOING BASIS WITH LEADERSHIP TORRANCE AND JUNIOR LEADERSHIP TORRANCE. SPONSORED BY THE TORRANCE AREA CHAMBER OF COMMERCE AND CONDUCTED ON SITE AT THE HOSPITAL, THESE EVENTS PROVIDE OPPORTUNITIES FOR EMERGING COMMUNITY LEADERS TO MEET WITH AN INFLUENTIAL MEMBER (OR MEMBERS) OF THE MEDICAL CENTER TO LEARN ABOUT THEIR AREAS OF RESPONSIBILITY WITH A FOCUS ON DEVELOPING EFFECTIVE LEADERS ACROSS THE SOUTH BAY. TMMC ASSISTS IN ECONOMIC DEVELOPMENT BY WORKING WITH LOCAL SMALL BUSINESSES IN ORDER TO OPERATE THE MEDICAL CENTER'S UNIFORM PROGRAMS AS WELL AS TO PRODUCE A SUBSTANTIAL PORTION OF THE MEDICAL CENTER'S MARKETING AND COMMUNICATIONS MATERIALS. WE PROVIDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY BY PARTICIPATING IN THE CALIFORNIA HOSPITAL ASSOCIATION COMMUNITY BENEFIT COMMITTEE TO PROVIDE INPUT TO CHA ON NON-PROFIT HOSPITALS' COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES. IN A RECENTLY FORMED PARTNERSHIP WITH GOODWILL CAREER DEVELOPMENT PROGRAM, THE MEDICAL CENTER UNDERTOOK A NEW WORKFORCE ENHANCEMENT OPPORTUNITY TO PROVIDE REAL-WORLD TRAINING EXPERIENCES AND SKILL DEVELOPMENT IN FOOD SERVICES TO GOODWILL'S PROGRAM CLIENTS.
SCHEDULE H, PART III, SECTION A, LINES 2 AND 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 6/30/2019 PRIOR TO THE ADOPTION OF ASC 606, PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND ACCOUNTS RECEIVABLE IS REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE HEALTH SYSTEM ESTABLISHES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANY FACTORS, INCLUDING PAYER MIX, AGE OF RECEIVABLES, HISTORICAL CASH COLLECTION EXPERIENCE, AND OTHER RELEVANT INFORMATION. A SIGNIFICANT PORTION OF THE HEALTH SYSTEMS UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE HEALTH SYSTEMS INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE HEALTH SYSTEM RECORDS A PROVISION FOR BAD DEBTS RELATED TO THESE INSURED AND UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE HEALTH SYSTEM WRITES DOWN THE EXPECTED REIMBURSEMENT AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED. THE HEALTH SYSTEM APPLIED THE MODIFIED RETROSPECTIVE APPROACH TO ALL CONTRACTS WHEN ADOPTING ASC 606. AS A RESULT OF THE ADOPTION OF ASC 606 THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AS DEFINED IN ASC 606 AND, THEREFORE, INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUES DURING FISCAL YEAR 2019. FOR CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, THE HEALTH SYSTEM RECOGNIZES THOSE AMOUNTS IN MATERIALS, SUPPLIES, AND OTHER EXPENSES ON THE STATEMENT OF OPERATIONS; THE AMOUNT RECOGNIZED IN MATERIALS, SUPPLIES, AND OTHER RELATED TO IMPAIRMENT LOSSES DURING THE YEAR ENDED JUNE 30, 2019 WAS $130,069. FOR PERIODS PRIOR TO THE ADOPTION OF ASC 606, THE PROVISION FOR BAD DEBTS HAS BEEN PRESENTED CONSISTENT WITH THE PREVIOUS REVENUE RECOGNITION STANDARDS THAT REQUIRED IT TO BE PRESENTED SEPARATELY AS A COMPONENT OF NET PATIENT SERVICE REVENUES. THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, 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, 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. TMMC UNDERSTANDS THAT CERTAIN PATIENTS MAY BE UNABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION, COMPLY WITH REQUESTS FOR DOCUMENTATION, OR ARE OTHERWISE NONRESPONSIVE TO THE APPLICATION PROCESS. AS A RESULT THERE MAY BE CIRCUMSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL ASSISTANCE APPLICATION. UNDER THESE CIRCUMSTANCES, TMMC MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE TMMC TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT (PRESUMPTIVE ELIGIBILITY). THE ASSESSMENT WILL BE COMPLETED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. 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 A BOARD OF TRUSTEES COMMUNITY BENEFITS PLANNING COMMITTEE AND INCREASED THE INVOLVEMENT OF SENIOR MANAGEMENT IN SETTING PRIORITIES AND MONITORING PROGRESS FOR HOSPITAL COMMUNITY BENEFITS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 82% DISCOUNT OFF THE HOSPITAL BILL AND A FINANCIAL COUNSELOR IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH POSTED SIGNS AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE FISCAL YEAR 06/30/2019, 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 $4,600,585.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DEFINES ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND COMMUNITIES: - TORRANCE AND LOMITA, - BEACH CITIES OF EL SEGUNDO, HERMOSA, MANHATTAN, AND REDONDO BEACH - PALOS VERDES - GARDENA, HAWTHORNE AND LAWNDALE - HARBOR CITY, WILMINGTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO 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 AT HOME, 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, PROMOTION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PRIMARY ACTIVITIES INCLUDE: - CONDUCTING HEALTH EDUCATION CLASSES ON TOPICS SUCH AS: HEART HEALTH AND STROKE, SMOKING CESSATION, CANCER, NUTRITION, WEIGHT LOSS, DIABETES, MEDICATION SAFETY, RESPIRATORY PROBLEMS, FALL PREVENTION, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING OVER 20 SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, 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 MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, CABLE TELEVISION PROGRAMMING, LIVE STREAM AND A MEDICAL LIBRARY; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR HOMELESS AND WORKING POOR AND VICTIMS OF DOMESTIC VIOLENCE AND INCREASE THE BLOOD SUPPLY; - CONDUCTING SCHOOL AND COMMUNITY-BASED EDUCATION FOR CHILDREN ON THE BASICS OF NUTRITION AND EXERCISE, PROVIDE PUBLIC ACCESS DEFIBRILLATION PROGRAM AND AED AWARENESS AND TRAINING.
SCHEDULE H, PART VI, LINE 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 IS FILED WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc
CARING HOUSE
2842 EL DORADO STREET	TORRANCE	CA	90503	202201206	501(c)(3)	$15,000	END OF LIFE CARE
HARBOR INTERFAITH SERVICES
670 W 9TH STREET	SAN PEDRO	CA	90731	330031099	501(c)(3)	$22,000	EMPOWER HOMELESS
ASSOC OF FUNDRAISING PROFESSIONALS
PO BOX 41130	LONG BEACH	CA	906531130	954275457	501(c)(3)	$6,000	REGIONAL PHILANTHROPY CONFERENCE	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	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 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.	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 (15 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/ASSIST TREASURER	$0	$653,020	$0	$264,618	$0	$0	$0	$274,849	$0	$18,626	$0	$1,211,113	$0	$0
WILLIAM LARSON
CFO	$0	$266,408	$0	$30,664	$0	$0	$0	$27,440	$0	$30,782	$0	$355,294	$0	$0
DEREK BERZ
SR VP CHIEF ADMIN OFFICER	$0	$362,341	$0	$110,301	$0	$0	$0	$54,531	$0	$22,174	$0	$549,347	$0	$0
SALLY EBERHARD
BOARD MEMBER/SR VP TMHS	$0	$271,812	$0	$126,124	$0	$148,254	$0	$43,661	$0	$2,421	$0	$592,272	$0	$57,418
BARBARA LEQUIRE
SR VP NURSING SERVICES	$0	$295,016	$0	$81,878	$0	$0	$0	$79,041	$0	$15,878	$0	$471,813	$0	$0
SHANNA HALL
VP NURSING SERVICES	$0	$259,506	$0	$28,925	$0	$0	$0	$8,550	$0	$24,112	$0	$321,093	$0	$0
DEBRA KELLEY
VP ANCILLARY SUPPORT SERVICES	$0	$279,991	$0	$31,820	$0	$0	$0	$30,037	$0	$18,411	$0	$360,259	$0	$0
JOHN MCNAMARA
CMO	$0	$390,577	$0	$114,891	$0	$52,307	$0	$54,396	$0	$8,564	$0	$620,735	$0	$52,307
HEATHER SHAY
VP ACCRED & QUALITY SERVICES	$0	$271,035	$0	$30,664	$0	$0	$0	$26,037	$0	$20,918	$0	$348,654	$0	$0
MARY WRIGHT
VP NURSING SERVICES	$0	$263,280	$0	$28,925	$0	$0	$0	$11,450	$0	$15,584	$0	$319,239	$0	$0
ROBIN CAMRIN
VP MED STAFF SERVICES	$0	$253,971	$0	$28,680	$0	$0	$0	$30,037	$0	$10,669	$0	$323,357	$0	$0
LINDA DOBIE
VP RISK MANAGEMENT	$0	$268,128	$0	$30,664	$0	$0	$0	$33,727	$0	$31,281	$0	$363,800	$0	$0
STACEY KIMURA
NICU UNIT LEAD RN	$267,990	$0	$0	$0	$0	$0	$12,808	$0	$23,557	$0	$304,355	$0	$0	$0
BERNADETTE REID
VP INFORMATION SERVICES	$0	$271,229	$0	$30,664	$0	$0	$0	$33,359	$0	$16,748	$0	$352,000	$0	$0
LAURA SCHENASI
EXEC VP TMMC FOUNDATION	$0	$295,277	$0	$56,915	$0	$0	$0	$30,432	$0	$29,228	$0	$411,852	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 3

BECAUSE TORRANCE HEALTH ASSOCIATION AND TORRANCE MEMORIAL MEDICAL CENTER HAVE A COMMON BOARD, THE SAME PERSONS FOR BOTH ORGANIZATIONS USED THE METHODS CHECKED ON SCHEDULE J, PART I, QUESTION 3 TO DETERMINE THE COMPENSATION OF THE CEO.

SCHEDULE J, PART I, LINE 4B

THE TORRANCE HEALTH ASSOCIATION (THA) BOARD OF TRUSTEES PROVIDES A SERP TO PARTICIPANTS IDENTIFIED AS 'KEY EMPLOYEES'. THE SERP PROVIDES FOR AN ANNUAL ACCRUAL BASED UPON THE KEY EMPLOYEE'S EARNINGS TO BE ACCUMULATED IN A LIABILITY ACCOUNT EARNING INTEREST AT THE RATE SPECIFIED IN THE PLAN DOCUMENT. PARTIAL VESTING AND DISTRBUTION OCCURS UPON A PARTICIPANT'S REACHING AGE 60 AND MAINTAINING EMPLOYMENT AS A KEY EMPLOYEE OF THA. DURING 2018, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO PARTIAL AND FULL VESTING IN THE PLAN: JOHN MCNAMARA - $52,307 SALLY EBERHARD - $57,418

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF TORRANCE
A	956000803	891380AR8	2010-09-23	$234,272,023	SEE PART VI	false	false	false
CITY OF TORRANCE
B	956000803		2016-12-22	$64,795,000	SEE PART VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,240,000	$0	$234,272,023	$0	$0	$0	$2,945,578	$0	$0	$196,526,445	$34,800,000	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
B	$4,770,000	$0	$64,795,000	$0	$0	$0	$464,704	$0	$0	$29,815,866	$34,514,430	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, LINE A, COLUMN (F)	THE PROCEEDS OF THE 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 I, LINE B, 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	MARISSA SIMKO	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$88,472	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 & FORM 990, PART III, LINE 1	TORRANCE MEMORIAL MEDICAL CENTER IS A LOCALLY GOVERNED COMMUNITY, NON-PROFIT MEDICAL CENTER WHOSE PURPOSE IS TO PROVIDE QUALITY HEALTHCARE SERVICES, PREDOMINANTLY TO THE RESIDENTS OF THE SOUTH BAY/PENINSULA COMMUNITIES. UNDER THE GOVERNANCE OF A COMMUNITY-BASED BOARD OF TRUSTEES. TORRANCE MEMORIAL SERVES THE PUBLIC INTEREST BY: - IMPROVING THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE OF OUR RESOURCES - OFFERING THE MOST CURRENT AND EFFECTIVE TECHNOLOGIES RENDERED IN A COMPASSIONATE, CARING MANNER; - 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. TOWARD THAT GOAL, THE BOARD OF TRUSTEES HAS EMBARKED UPON A PROJECT TO REPLACE OUTDATED FACILITIES AND EXPAND OUR SERVICES TO MEET THE FORECASTED DEMAND FOR HOSPITAL BEDS. A MAJOR FUNDRAISING CAMPAIGN HAS BEEN LAUNCHED BY OUR RELATED TORRANCE MEMORIAL HEALTH CARE FOUNDATION TO SUPPLEMENT THE CAPITAL NEEDS OF THESE PROJECTS. A NEW HOSPITAL TOWER WAS OPENED IN LATE 2014 AND EXISTING FACILITIES ARE IN THE PROCESS OF BEING REFURBISHED. ADDITIONAL EXPANSION TO PROVIDE OUTPATIENT CANCER CARE IS UNDER CONSTRUCTION. THE BOARD OF TRUSTEES ADDRESSES THE PRIORITIES FOR COMMUNITY HEALTH NEEDS THROUGH ITS BOARD LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE. THIS COMMITTEE REVIEWS THE RESULTS OF A TRIENNIAL COMMUNITY NEEDS ASSESSMENT WHICH SUMMARIZED THE HEALTH ISSUES WHICH HAVE THE GREATEST PRIORITY. WITHIN THE RESOURCE CONSTRAINTS OF THE MEDICAL CENTER, WE ADOPT AN ANNUAL COMMUNITY BENEFITS PLAN WHICH PRIORITIZES PROGRAMS AND SERVICES WHICH ARE OFFERED AT 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 82 PERCENT DISCOUNT OFF THE HOSPITAL BILL, HIGH END DRUGS AND DEVICES AT COST PLUS 5%, AND A FINANCIAL COUNSELOR WHO IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH SIGNS POSTED AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06/30/2019, 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 $4,600,585. 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 06/30/2019, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $4,277,145. 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 06/30/2019, 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 06/30/2019, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $104,800,459. 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 06/30/2019, THIS COST WAS APPROXIMATELY $1,926,985. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $115,192,652 IN COMMUNITY BENEFIT EXPENSE FOR THE YEAR ENDED 06/30/2019.
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	PROCESS USED TO REVIEW THE 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. OUR TAX ADVISORS DISCUSSED AND EDUCATED THE TRUSTEES OF THE FORM 990. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNED 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, RESOLVES 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 OCTOBER 2018.
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 (49,029,069) EQUITY TRANSFER TO THA (PARENT) (17,500,000) CHANGE IN INTEREST OF TMMHCF 8,570,050 MISCELLANEOUS 48,404 RENTAL EXPENSE 150,515 ============ TOTAL (57,760,100)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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)	12B	CSHS	Yes (true)
TORRANCE MEMORIAL MEDICAL CENTER FDN
3330 LOMITA BLVD	TORRANCE	CA	90505	953528452	FUNDRAISING	CA	501(c)(3)	7	THA	Yes (true)
CEDARS-SINAI MEDICAL CENTER
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	951644600	HOSPITAL	CA	501(c)(3)	3	CSHS	Yes (true)
CEDARS-SINAI MEDICAL CARE FOUNDATION
15821 VENTURA BLVD STE 520	ENCINO	CA	91436	954457756	FUNDRAISING	CA	501(c)(3)	12A	CSMC	Yes (true)
CALIFORNIA HEART CENTER FOUNDATION
5836 WILSHIRE BLVD 3RD FL	BEVERLY HILLS	CA	90211	954772979	RESEARCH	CA	501(c)(3)	7	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 FL	SANTA MONICA	CA	90404	954789926	RESEARCH	CA	501(c)(3)	PF	CSMCF	Yes (true)
CFHS HOLDINGS INC
4650 LINCOLN BLVD	MARINA DEL REY	CA	90292	201645949	HEALTHCARE	CA	501(c)(3)	3	CSMC	Yes (true)
CEDAR-SINAI HEALTH SYSTEM
8700 BEVERLY BOULEVARD	LOS ANGELES	CA	90048	300990905	HEALTHCARE	CA	501(c)(3)	12C	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd
3565 DEL AMO ASSOCIATES
2175 PARK PLACE	EL SEGUNDO	CA	90245	330554737	RENT REAL ESTATE	CA	NA	N/A	0.00000
TORRANCE MEMORIAL SURGICAL CENTER I LLC
23560 CRENSHAW BLVD STE 104	TORRANCE	CA	90505	465259260	OUTPATIENT SURGIC	CA	TMMC	RELATED	0.56590	$194,546	$1,554,277	false	$0	false
ENDOSCOPY CTR OF SANTA MONICA
12400 WILSHIRE BLVD STE 100	LOS ANGELES	CA	90025	113652210	ENDOSCOPY	CA	NA	N/A	0.00000
ISS ASC HOLDINGS LLC
27271 LAS RAMBLAS STE 350	MISSION VIEJO	CA	92691	471890805	HEALTHCARE	CA	NA	N/A	0.00000
DEL REY SURGERY CENTER LLC
4640 ADMIRALTY WAY 1020	MARINA DEL REY	CA	90292	462305372	SURGERY CENTER	CA	NA	N/A	0.00000
DEL REY SURGERY INVESTORS LLC
8700 BEVERLY BLVD	LOS ANGELES	CA	90048	364756208	INVESTMENTS	DE	NA	N/A	0.00000
INTL SPINE & ORTHOPEDIC INST
8500 W 110TH ST	OVERLAND PARK	KS	66210	263738893	SPINE/ORTHOPEDIC	DE	NA	N/A	0.00000
SANTA MONICA IMAGING GROUP LLC
200 N ROBERTSON BLVD 101	BEVERLY HILLS	CA	90211	820760657	IMAGING CENTER	CA	NA	N/A	0.00000
CS-BH ASC HOLDINGS LLC
200 N ROBERTSON BLVD 101	BEVERLY HILLS	CA	90211	812246488	HOLDING COMPANY	CA	NA	N/A	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
OPTIMATRIX HEALTH SOLUTIONS INC
6500 WILSHIRE BLVD 9TH FL	LOS ANGELES	CA	90048	954522779	INACTIVE	CA	NA	C-CORP	Yes (true)
OTOHARMOMICS CORPORATION
411 SW 6TH AVE	PORTLAND	OR	97204	461119421	HEALTHCARE	DE	NA	C-CORP	Yes (true)
CENTINELA FREEMAN HOLDINGS INC
4650 LINCOLN BLVD	MARINA DEL REY	CA	90292	593811890	REAL ESTATE	CA	NA	C-CORP	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	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 (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TORRANCE MEMORIAL HEALTH CARE FOUNDATION
c	$15,006,325	ACTUAL
TORRANCE MEMORIAL HEALTH CARE FOUNDATION
n	$145,824	FMV
TORRANCE MEMORIAL HEALTH CARE FOUNDATION
o	$1,149,082	ACTUAL
TORRANCE MEMORIAL HEALTH CARE FOUNDATION
m	$842,616	ACTUAL
TORRANCE HEALTH ASSOCIATION
r	$17,500,001	ACTUAL
TORRANCE HEALTH ASSOCIATION
k	$2,917,013	ACTUAL
TORRANCE HEALTH ASSOCIATION
q	$573,972	ACTUAL
TORRANCE HEALTH ASSOCIATION
p	$6,774,367	ACTUAL
TORRANCE HEALTH ASSOCIATION
j	$483,921	ACTUAL

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART III	FormAndLineReferenceDesc
Explanation	3565 DEL AMO ASSOCIATES EIN: 33-0554737 2175 PARK PLACE EL SEGUNDO, CA 90245 TORRANCE MEMORIAL SURGERY CENTER, LLC I EIN: 46-5259260 23560 CRENSHAW BLVD, STE 104 TORRANCE, CA 90505 ENDOSCOPY CENTER OF SANTA MONICA, LLC 11-3652210 12400 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90025 ISS ASC HOLDINGS LLC 47-1890805 27271 LAS RAMBLAS STE 350 MISSION VIEJO, CA 92691 DEL REY SURGERY CENTER LLC 46-2305372 4640 ADMIRALTY WAY #1020 MARINA DEL REY, CA 90292 DEL REY SURGERY INVESTORS LLC 36-4756208 8700 BEVERLY BLVD LOS ANGELES, CA 90048 INTERNATIONAL SPINE & ORTHOPEDIC INSTITUTE, LLC 26-3738893 8500 W. 110TH ST OVERLAND PARK, KS 66210 SANTA MONICA IMAGING GROUP, LLC 82-0760657 200 N. ROBERTSON BLVD #101 BEVERLY HILLS, CA 90211 CS-BH ASC HOLDINGS, LLC 81-2246488 200 N. ROBERTSON BLVD #101 BEVERLY HILLS, CA 90211	ExplanationTxt