STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

TORRANCE MEMORIAL MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TORRANCE MEMORIAL MEDICAL CENTER (EIN 95-1644042)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201703199349318515
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T19:12:06-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVENUE SUITE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951644042EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Torrance Memorial Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CARI ERICKSON CONTROLLERInCareOfNm
Business Name ControlTORRBusinessNameControlTxt
Phone3103259110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13330 Lomita BoulevardAddressLine1Txt
CityTorranceCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM LARSONPersonNm
Person TitleCFOPersonTitleTxt
Phone3103259110PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id33577420173195000148FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5BF8B1FAA6EEDEED44D541882D0DE71D1382AD83AtSubmissionCreationDeviceId
At Submission Filing Device Id516862493615238B94C0B4CD9EF3094BB82C1449AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCraig LeachPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13330 Lomita BoulevardAddressLine1Txt
CityTorranceCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$685,914,304GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.torrancememorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3870TotalEmployeeCnt
Total Volunteers1360TotalVolunteersCnt
Total Gross UBI$2,345,679TotalGrossUBIAmt
PY Contributions Grants$15,524,852PYContributionsGrantsAmt
CY Contributions Grants$21,013,308CYContributionsGrantsAmt
PY Program Service Revenue$568,394,594PYProgramServiceRevenueAmt
CY Program Service Revenue$606,790,899CYProgramServiceRevenueAmt
PY Investment Income$4,270,846PYInvestmentIncomeAmt
CY Investment Income$2,919,122CYInvestmentIncomeAmt
PY Other Revenue$5,343,426PYOtherRevenueAmt
CY Other Revenue$2,873,713CYOtherRevenueAmt
PY Total Revenue$593,533,718PYTotalRevenueAmt
CY Total Revenue$633,597,042CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$112,772CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$305,927,252PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$323,792,858CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$1,086,899PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,167,780CYTotalFundraisingExpenseAmt
PY Other Expenses$277,855,081PYOtherExpensesAmt
CY Other Expenses$301,774,314CYOtherExpensesAmt
PY Total Expenses$584,869,232PYTotalExpensesAmt
CY Total Expenses$625,679,944CYTotalExpensesAmt
PY Revenues Less Expenses$8,664,486PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,917,098CYRevenuesLessExpensesAmt
Total Assets BOY$1,139,712,049TotalAssetsBOYAmt
Total Assets EOY$1,141,651,338TotalAssetsEOYAmt
Total Liabilities BOY$584,343,259TotalLiabilitiesBOYAmt
Total Liabilities EOY$578,570,201TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$555,368,790NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$563,081,137NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$514,223,995ExpenseAmt
Grant$112,772GrantAmt
Revenue$609,408,219RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$514,223,995TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document389IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3870EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCARI ERICKSON CONTROLLERPersonNm
Phone3103259110PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13330 LOMITA BOULEVARDAddressLine1Txt
CityTORRANCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VINH CAM MD
VICE CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
WILLIAM COLLIER ESQ
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
KRISTINE DOUGLAS
BOARD MEMBER1.01.0Yes (X)$0$0$0
AMIR KAVIANI MD
BOARD MEMBER1.01.0Yes (X)$0$0$0
SHERRY KRAMER
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
CHARLOTTE LESSER
BOARD MEMBER1.01.0Yes (X)$0$0$0
SUSAN LIEBSON
BOARD MEMBER1.01.0Yes (X)$0$0$0
RICHARD LUCY
BOARD MEMBER1.01.0Yes (X)$0$0$0
THOMAS SIMKO MD
BOARD MEMBER1.01.0Yes (X)$0$0$0
CRAIG LEACH
BD MR-PT YR, PRES/CEO/AST TRES20.020.0Yes (X)Yes (X)$0$729,018$209,238
SALLY EBERHARD
BOARD MEMBER (PT YR)20.020.0Yes (X)$0$546,152$71,244
DAVID RAND MD
Vice Chairman - part year1.01.0Yes (X)Yes (X)$0$0$0
PAMELA CRANE
SECRETARY - PART YEAR1.01.0Yes (X)Yes (X)$0$0$0
GREG GEIGER
Chairman1.01.0Yes (X)Yes (X)$0$0$0
WILLIAM LARSON
CFO20.020.0Yes (X)$0$261,108$50,435
JOHN MCNAMARA MD
CMO20.020.0$0$490,200$57,123Yes (X)
MARGARET BERWALD
SR VP NURSING SERVICES/CNO40.00.0$0$585,976$30,669Yes (X)
MICHAEL THOMAS
VP ANCILLARY SERVICES40.00.0$0$317,069$41,351Yes (X)
DEBRA KELLEY
VP ANCILLARY SERVICES40.00.0$0$284,598$48,882Yes (X)
HEATHER SHAY
VP ACCRED & QUALITY SERVICES40.00.0$0$265,382$36,099Yes (X)
BARBARA LEQUIRE
VP NURSING SERVICES40.00.0$0$267,540$44,387Yes (X)
LAURA SCHENASI
VP TMMCHC FOUNDATION40.00.0$0$291,168$54,855Yes (X)
BERNADETTE REID
VP INFORMATION SERVICES40.00.0$0$266,343$43,401Yes (X)
LINDA DOBIE
VP RISK MANAGEMENT40.00.0$0$261,437$57,686Yes (X)
ROBIN CAMRIN
VP MED STAFF SERVICES40.00.0$0$267,146$41,628Yes (X)
WEN-WEN TSAI
RN40.00.0$256,739$0$39,050Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$256,739TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,833,137TotReportableCompRltdOrgAmt
Total Other Compensation$826,048TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K702IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AB Human Capital Select
2860 S VAL VISTA DR STE 161GILBERTAZ85295Staffing Services$13,104,988
Cerner Corporation
PO Box 959156ST LOUISMO631959156INFO TECHNOLOGY$9,694,452
Canon Building Services
1640 Sierra Madres CirPlacentiaCA92870CONSTRUCTION SRVCS$5,998,939
Sodexo Inc and Affiliates
3030 HARTLEY ROADJACKSONVILLEFL32257Food Services$4,693,879
Siemens Medical Solutions Inc
5210 PACIFIC CONCOURSE DRLOS ANGELESCA90045MED PURCHASED SRVCS$3,879,331
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K69CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$12,000,000RelatedOrganizationsAmt
Government Grants$39,000GovernmentGrantsAmt
All Other Contributions$8,974,308AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$21,013,308TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services900099$375,089,003$373,711,098$1,377,905$0
Medi-care Revenue900099$126,896,624$126,896,624$0$0
Capitation Revenue900099$52,354,471$52,354,471$0$0
Medi-Cal Revenue900099$31,436,029$31,436,029$0$0
PHYSICIAN SUPPORT REVENUE900099$9,133,326$9,133,326$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,881,446TotalRevenueColumnAmt
Related Or Exempt Func Income$10,959,330RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$922,116UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$606,790,899TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,078,117TotalRevenueColumnAmt
Exclusion$4,078,117ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$424,203RealAmt
Personal$146,457PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$213,468RealAmt
Personal$100,799PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$210,735RealAmt
Personal$45,658PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,393TotalRevenueColumnAmt
Unrelated Business Revenue$45,658UnrelatedBusinessRevenueAmt
Exclusion$210,735ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$50,844,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$52,002,995SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,158,995SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,158,995TotalRevenueColumnAmt
Exclusion-$1,158,995ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Rebates & Refunds900099$1,744,017$1,744,017$0$0
Management Fees900099$873,303$873,303$0$0
FieldValueIRS element (for citing)
Other Revenue Total$2,617,320OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$633,597,042TotalRevenueColumnAmt
Related Or Exempt Func Income$607,108,198RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,345,679UnrelatedBusinessRevenueAmt
Exclusion$3,129,857ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$112,772TotalAmt
Program Services$112,772ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,336,471TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,336,471ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$231,858,214TotalAmt
Program Services$190,746,412ProgramServicesAmt
Management And General$40,345,012ManagementAndGeneralAmt
Fundraising$766,790FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,764,511TotalAmt
Program Services$13,101,200ProgramServicesAmt
Management And General$2,610,645ManagementAndGeneralAmt
Fundraising$52,666FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$54,203,371TotalAmt
Program Services$43,538,586ProgramServicesAmt
Management And General$10,508,551ManagementAndGeneralAmt
Fundraising$156,234FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,630,291TotalAmt
Program Services$14,651,769ProgramServicesAmt
Management And General$2,919,623ManagementAndGeneralAmt
Fundraising$58,899FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$381,908TotalAmt
Program Services$0ProgramServicesAmt
Management And General$381,908ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$470,444TotalAmt
Program Services$0ProgramServicesAmt
Management And General$470,444ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$22,428TotalAmt
Program Services$22,428ProgramServicesAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$405,468TotalAmt
Management And General$405,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,136,257TotalAmt
Program Services$17,871,861ProgramServicesAmt
Management And General$18,264,396ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,153,734TotalAmt
Program Services$24,562,446ProgramServicesAmt
Management And General$5,591,254ManagementAndGeneralAmt
Fundraising$34FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,537,322TotalAmt
Program Services$0ProgramServicesAmt
Management And General$12,537,322ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,888,872TotalAmt
Program Services$5,873,939ProgramServicesAmt
Management And General$881,776ManagementAndGeneralAmt
Fundraising$133,157FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$193,380TotalAmt
Program Services$168,627ProgramServicesAmt
Management And General$24,753ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$218,367TotalAmt
Program Services$190,416ProgramServicesAmt
Management And General$27,951ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,438,379TotalAmt
Program Services$9,102,266ProgramServicesAmt
Management And General$1,336,113ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$48,186,988TotalAmt
Program Services$42,019,054ProgramServicesAmt
Management And General$6,167,934ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,603,811TotalAmt
Program Services$4,603,811ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$101,511,007$101,511,007$0$0
HOSPITAL FEE$30,282,000$30,282,000$0$0
PHYSICIAN FEES$15,149,080$15,149,080$0$0
REPAIRS & MAINTENANCE$3,464,120$79,108$3,385,012$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$730,749TotalAmt
Program Services$637,213ProgramServicesAmt
Management And General$93,536ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$625,679,944TotalAmt
Program Services$514,223,995ProgramServicesAmt
Management And General$110,288,169ManagementAndGeneralAmt
Fundraising$1,167,780FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,668,747BOYAmt
EOY$12,137,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,024,463BOYAmt
EOY$23,041,597EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,460,114BOYAmt
EOY$67,414,339EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,717,774BOYAmt
EOY$10,256,676EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,110,870BOYAmt
EOY$27,238,697EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,119,296,745LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$502,161,550LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$633,866,776BOYAmt
EOY$617,135,195EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$245,387,082BOYAmt
EOY$272,114,141EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$23,174,037BOYAmt
EOY$21,553,752EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$80,690,927BOYAmt
EOY$76,076,265EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,825,909BOYAmt
EOY$3,992,992EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,785,350BOYAmt
EOY$10,689,809EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,139,712,049BOYAmt
EOY$1,141,651,338EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$65,401,898BOYAmt
EOY$75,599,406EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$281,715,000BOYAmt
EOY$297,240,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$237,226,361BOYAmt
EOY$205,730,795EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$584,343,259BOYAmt
EOY$578,570,201EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$473,291,518BOYAmt
EOY$485,171,965EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,758,974BOYAmt
EOY$74,596,018EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,318,298BOYAmt
EOY$3,313,154EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$555,368,790BOYAmt
EOY$563,081,137EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,139,712,049BOYAmt
EOY$1,141,651,338EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,917,098ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,498,006NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$7,702,757OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$22,428OtherActivitiesAmt
Total Lobbying Expenditures$22,428TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES During 2016 TMMC paid California Hospital Association on Issues foR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,554,098BeginningYearBalanceAmt
Investment Earnings Or Losses$689,108InvestmentEarningsOrLossesAmt
Other Expenditures$180,000OtherExpendituresAmt
End Year Balance$11,063,206EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,786,381BeginningYearBalanceAmt
Investment Earnings Or Losses$947,717InvestmentEarningsOrLossesAmt
Other Expenditures$180,000OtherExpendituresAmt
End Year Balance$10,554,098EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,204,753BeginningYearBalanceAmt
Investment Earnings Or Losses$761,628InvestmentEarningsOrLossesAmt
Other Expenditures$180,000OtherExpendituresAmt
End Year Balance$9,786,381EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.33330PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.66670TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$801,632,300OtherCostOrOtherBasisAmt
Depreciation$310,449,870DepreciationAmt
Book Value$491,182,430BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$270,310,346OtherCostOrOtherBasisAmt
Depreciation$190,249,296DepreciationAmt
Book Value$80,061,050BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,244,075OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$14,244,075BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$617,135,195TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInterest in Net Assets of TMFDesc
Book Value$76,076,265BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$76,076,265TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Minimum Pension Liability$78,463,078
Risk Pools$102,273,716
Self-Insurance$19,076,641
Third Party Payables$2,994,864
Deposits Held$2,402,369
Other Current Liabilities$520,127
FieldValueIRS element (for citing)
Total Liability$205,730,795TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$627,980,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,498,006NetUnrealizedGainsInvstAmt
Other Revenue-$12,709,580OtherRevenueAmt
Revenue Not Reported-$5,211,574RevenueNotReportedAmt
Revenue Subtotal$633,191,574RevenueSubtotalAmt
Investment Expenses Not Incld$405,468InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$405,468RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$633,597,042TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$613,064,662TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$12,209,814OtherExpensesIncludedAmt
Expenses Not Reported-$12,209,814ExpensesNotReportedAmt
Expenses Subtotal$625,274,476ExpensesSubtotalAmt
Investment Expenses Not Incld2$405,468InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$405,468ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$625,679,944TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED 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 2FIN 48 (ASC740) FOOTNOTE THE MEDICAL CENTER IS EXEMPT FROM TAXATION UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE MEDICAL CENTER IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS NET INCOME FROM ANY UNRELATED TRADE OR BUSINESS AND IN THE OPINION OF MANAGEMENT IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. THE MEDICAL CENTER APPLIES THE PROVISIONS OF ACCOUNTING STANDARDS THAT CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. THOSE STANDARDS PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ONLY TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE MAY BE RECOGNIZED. IN ADDITION, ACCOUNTING STANDARDS PROVIDE GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THESE STANDARDS HAVE NOT HAD A SIGNIFICANT IMPACT ON THE FINANCIAL STATEMENTS OF THE MEDICAL CENTER.
SCHEDULE D, PART XI, LINE 2DOTHER AMOUNTS NOT INCLUDED ON FORM 990 PHYSICIAN OFFICE SERVICES EXPENSES (12,211,940) FOUNDATION TRANSFERS & MISC (497,640) =========== TOTAL (12,709,580)
SCHEDULE D, PART XII, LINE 2DOTHER AMOUNTS NOT INCLUDED ON FORM 990 PHYSICIAN OFFICE SERVICES EXPENSES - (12,209,814)

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$25,780,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$25,780,000SubtotalSpentAmt
Total Spent$25,780,000TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,688,388TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,688,388NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,053,289TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,791,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,261,674NetCommunityBenefitExpnsAmt
Total Expense0.04830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,741,677TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,791,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,950,062NetCommunityBenefitExpnsAmt
Total Expense0.05100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,141NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,787,659TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,787,659NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$384,449TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$384,449NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$660,396TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$660,396NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,989,645TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,989,645NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,731,322TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,791,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,939,707NetCommunityBenefitExpnsAmt
Total Expense0.05590TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$512,357TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$512,357NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,961TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,961NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$298,906TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$298,906NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$849,224TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$849,224NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,831,000BadDebtExpenseAmt
Bad Debt Expense Attributable$1,724,079BadDebtExpenseAttributableAmt
Reimbursed By Medicare$235,277,118ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$318,228,662CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$82,951,544MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TORRANCE MEMORIAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13330 LOMITA BOULEVARDAddressLine1Txt
CityTORRANCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90505ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.torrancememorial.orgWebsiteAddressTxt
State License930000076StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TORRANCE MEMORIAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PT V,SEC CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, LINE 5NEEDS ASSESSMENT PROCESS THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED OVER A PERIOD OF APPROXIMATELY 8 MONTHS, FROM APRIL TO NOVEMBER 2016. IT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH-RELATED DATA AND INPUT FROM COMMUNITY STAKEHOLDERS. QUALITATIVE SECONDARY DATA WAS OBTAINED AT ZIP CODE LEVEL WHEREVER POSSIBLE. IF ZIP CODE LEVEL WAS NOT AVAILABLE, LOS ANGELES COUNTY SERVICE PLANNING AREA DATA FOR SOUTH BAY SERVICE PLANNING AREA (SPA) 8 WAS USED. TO ASSIST WITH IDENTIFYING PRIORITIES, COMPARISONS ARE MADE TO REGIONAL EXPERIENCES INCLUDING NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2020, WHEN AVAILABLE. ADDITIONALLY, THE LOS ANGELES COMMUNITY NEEDS ASSESSMENT WORK GROUP, COMPRISED OF LOS ANGELES COUNTY PUBLIC HEALTH, NON-PROFIT HOSPITALS, AND NON-PROFIT HEALTH SYSTEMS, DEVELOPED A SET OF CORE INDICATORS IN ORDER TO REGIONALLY IDENTIFY COMMON HEALTH NEEDS, CREATE A SHARED MEASUREMENT SYSTEM AND FACILITATE COLLABORATION AMONG COMMUNITY PARTNERS TO IMPLEMENT STRATEGIES TO ADDRESS THEM. THE CORE INDICATORS INCLUDE HEALTH OUTCOME AND SOCIAL DETERMINANT MEASURES OF HEALTH. LOCAL DATA IS PROVIDED BY THE DEPARTMENT OF PUBLIC HEALTH WITH COMPARATIVE BASE MEASURES FOR LOS ANGELES COUNTY. QUALITATIVE PRIMARY DATA WAS OBTAINED FROM THREE SOURCES: A SURVEY OF SCHOOL NURSES, SCHOOL HEALTH AIDES AND SCHOOL COUNSELORS WORKING IN THE SERVICE AREA, A FOCUS GROUP OF SENIOR-LEVEL REPRESENTATIVES FROM SERVICE AREA NON-PROFIT COMMUNITY ORGANIZATIONS AND PERSONAL INTERVIEW WITH KEY STAKEHOLDERS WITH A HIGH-LEVEL COMMUNITY PERSPECTIVE THE SCHOOL NURSE SURVEY WAS CONDUCTED USING AN ONLINE SURVEY TOOL EMAILED TO SCHOOL NURSES AND SCHOOL HEALTH ASSISTANTS. A TOTAL OF 38 SURVEYS WERE RETURNED, REPRESENTING A TOTAL OF 42 SCHOOLS (26 PRE OR ELEMENTARY SCHOOLS; 9 MIDDLE OR INTERMEDIATE SCHOOLS; 7 HIGH SCHOOLS) WITH A COMBINED APPROXIMATE ENROLLMENT OF 32,261 STUDENTS. THE FOCUS GROUP ACTIVITY WAS CONDUCTED WITH INPUT FROM 23 SENIOR-LEVEL ASSOCIATES FROM 22 NON-PROFIT AGENCIES WITH A COMBINED REPRESENTATION COVERING ALL GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF THE SERVICE AREA AND FOCUSING ON AGENCIES SERVING THE MEDICALLY UNDER-SERVED, LOW-INCOME, OR MINORITY POPULATIONS. THE FOLLOWING NON-PROFIT AGENCIES PARTICIPATED IN THE FOCUS GROUP: 1736 FAMILY CRISIS CENTER BEACH CITIES HEALTH DISTRICT BEHAVIORAL HEALTH SERVICES CANCER SUPPORT COMMUNITY CARING HOUSE CITY OF TORRANCE COMMUNITY PROGRAMS COMMUNITY'S CHILD FOOD FORWARD H.E.L.P. - HEALTHCARE AND ELDER LAW PROGRAMS HARBOR INTERFAITH SERVICES, INC MOTHERS AGAINST DRUNK DRIVING - SOUTHER CALIFORNIA REGION MYCHAL'S LEARNING PLACE NATIONAL ALLIANCE ON MENTAL ILLNESS, SOUTH BAY PEDIATRIC THERAPY NETWORK PVE CARES RICHSTONE FAMILY CENTER SOUTH BAY CHILDREN'S HEALTH CENTER SOUTH BAY COALITION FOR THE HOMELESS SOUTH BAY FAMILY HEALTH CARE TORRANCE/SOUTH BAY YMCA ONE-ON-ONE PERSONAL INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS, THE PUBLIC HEALTH DEPARTMENT, RESIDENTS AND ACTIVISTS REPRESENTING ALL GEOGRAPHIC AND DEMOGRAPHIC SECTORS OF TORRANCE MEMORIAL'S SERVICE AREA.
SCHEDULE H, PART V, LINE 7ACHNA WEBSITE http://www.torrancememorial.org/documents/CommunityBenefits/2016CHNA_Final .pdf
SCHEDULE H, PART V, LINE 11A REVIEW OF THE FINDINGS FROM THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRMS SIGNIFICANT UNMET NEEDS IN THE FOLLOWING AREAS: - LIMITED HEALTH CARE ACCESS - INSUFFICIENT MENTAL HEALTH SERVICES - INCREASING RATES OF OBESITY - LACK OF DENTAL CARE - INSUFFICIENT COMMUNITY-BASED EDUCATION - INSUFFICIENT KNOWLEDGE OF AVAILABLE COMMUNITY RESOURCES IN KEEPING WITH TORRANCE MEMORIAL MEDICAL CENTER'S STRATEGIC MISSION, THE HOSPITAL USED THE FINDINGS OF THE 2016 CHNA TO PRIORITIZE SIGNIFICANT NEEDS. AN IMPLEMENTATION PLAN WAS SUBSEQUENTLY PREPARED FOR FISCAL YEAR 2017 TO ADDRESS THESE NEEDS AND SUBMITTED TO OUR BOARD-LEVEL COMMUNITY BENEFITS COMMITTEE FOR REVIEW AND APPROVAL. THE SECTION BELOW SHOWS HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2016 CHNA. PROGRAMS AND SERVICES ARE DESCRIBED FURTHER IN THE ATTACHED 2017 IMPLEMENTATION PLAN. SIGNIFICANT NEED: - LIMITED HEALTH CARE ACCESS POLICY/PROGRAM/SERVICE TO ADDRESS NEED: CHARITY CARE SUBSIDY OF MEDICALLY INDIGENT PATIENTS SUBSIDY OF MEDICARE PROGRAM PHYSICIAN ON CALL EMERGENCY COVERAGE PSYCHIATRIC CARE OF INDIGENT PATIENTS VAN TRANSPORTATION COMMUNITY SCREENINGS WELCOME BABY PROGRAM COMMUNITY HEALTH AND WELLNESS PARTNERSHIP COMMUNITY'S CHILD, LOMITA PARTNERSHIP CARING HOUSE PARTNERSHIP SIGNIFICANT NEED: - INSUFFICIENT MENTAL HEALTH SERVICES POLICY/PROGRAM/SERVICE TO ADDRESS NEED: WELCOME BABY PROGRAM HEALTHY EVER AFTER 4 KIDS/YMCA PARTNERSHIP HEALTHY EVER AFTER/TUSD PARTNERSHIP BEREAVEMENT SERVICES SUPPORT OF NON-PROFIT AGENCIES (CASH DONATIONS) SUPPORT OF NON-PROFIT AGENCIES (ROOM USE) SUPPORT GROUPS WOMAN TO WOMAN IMAGE ENHANCEMENT CENTER CALLE MAYOR MIDDLE SCHOOL ADOPT-A-SCHOOL PROGRAM HARBOR INTERFAITH SERVICES PARTNERSHIP THELMA MCMILLEN CENTER COMMUNITY HEALTH AND WELLNESS PARTNERSHIP BEHAVIORAL HEALTH SERVICES PARTNERSHIP CARING HOUSE PARTNERSHIP SIGNIFICANT NEED: - INCREASING RATES OF OBESITY POLICY/PROGRAM/SERVICE TO ADDRESS NEED: LUNDQUIST CARDIOVASCULAR INSTITUTE DIABETES PREVENTION PROGRAM/YMCA PARTNERSHIP DIABETES EDUCATION PROGRAMS HEALTHY EVER AFTER 4 KIDS/YMCA PARTNERSHIP HEALTHY EVER AFTER/TUSD PARTNERSHIP SUPPORT GROUPS AMERICAN HEART ASSOCIATION/GO RED PARTNERSHIP MIRACLE OF LIVING/MIRACLE OF LIVING AT THE BEACH COMMUNITY'S CHILD, LOMITA PARTNERSHIP AMERICAN DIABETES ASSOCIATION PARTNERSHIP SIGNIFICANT NEED: - LACK OF DENTAL CARE POLICY/PROGRAM/SERVICE TO ADDRESS NEED: HARBOR INTERFAITH SERVICES PARTNERSHIP SOUTH BAY CHILDREN'S HEALTH CENTER PARTNERSHIP COMMUNITY HEALTH AND WELLNESS PARTNERSHIP SIGNIFICANT NEED: - INSUFFICIENT COMMUNITY-BASED EDUCATION POLICY/PROGRAM/SERVICE TO ADDRESS NEED: LUNDQUIST CARDIOVASCULAR INSTITUTE HUNT CANCER INSTITUTE CANCER RESOURCE CENTER WELCOME BABY PROGRAM SPEAKER'S BUREAU SUPPORT GROUPS MEDICAL LIBRARY PULSE MAGAZINE EDUCATIONAL MEDIA AND WEB VIDEOS PREGNANCY HELP CENTER PARTNERSHIP HARBOR INTERFAITH SERVICES PARTNERSHIP CONTINUING MEDICAL EDUCATION ACTIVITIES THELMA MCMILLEN CENTER AMERICAN HEART ASSOCIATION/GO RED PARTNERSHIP MIRACLE OF LIVING/MIRACLE OF LIVING AT THE BEACH COMMUNITY'S CHILD, LOMITA PARTNERSHIP BEHAVIORAL HEALTH SERVICES PARTNERSHIP COMMUNITY HEALTH AND WELLNESS PARTNERHSIP SIGNIFICANT NEED: - INSUFFICIENT KNOWLEDGE OF COMMUNITY-BASED RESOURCES POLICY/PROGRAM/SERVICE TO ADDRESS NEED: WELCOME BABY PROGRAM CANCER RESOURCE CENTER SPEAKER'S BUREAU SUPPORT GROUPS MANHATTAN BEACH MEDICAL ADVISORY BOARD HARBOR INTERFAITH SERVICES PARTNERSHIP THELMA MCMILLEN CENTER PULSE MAGAZINE COMMUNITY HEALTH AND WELLNESS PARTNERSHIP FIVE OF THE SIX SIGNIFICANT NEEDS ARE STRONGLY ADDRESSED THROUGH ONGOING PROGRAMS AND PARTNERSHIPS. TO ADDRESS NEEDS RELATED TO LACK OF DENTAL CARE, THE HOSPITAL HAS PROVIDED AN ANNUAL DENTAL GRANT SINCE 2011 TO OUR COMMUNITY PARTNER, HARBOR INTERFAITH SERVICES (HIS), TO FUND DENTAL CARE FOR THEIR HOMELESS AND WORKING POOR CLIENTELE. HOWEVER, IN 2012 HIS REQUESTED TO RE-DIRECT THE DENTAL GRANT TO FUND THE FOOD PANTRY SUBSEQUENT TO FEDERAL BUDGET CUTS IN FEMA ALLOCATED TO THE EMERGENCY FOOD AND SHELTER PROGRAM. UNABLE TO LOCATE A REPLACEMENT FUNDING SOURCE, THE DENTAL FUNDS HAVE REMAINED ON DIVERSION TO THE FOOD PANTRY, WHOSE SERVICE DEMAND HAS INCREASED SUBSTANTIALLY SINCE 2012, AND WHICH FOR HIS REPRESENTS A HIGHER PRIORITY NEED. THE HOSPITAL IS CURRENTLY ASSESSING OPTIONS WITHIN ITS RESOURCES TO MORE SUBSTANTIALLY ADDRESS THE SIGNIFICANT NEED IDENTIFIED IN THE 2016 CHNA AS A LACK OF DENTAL CARE.
SCHEDULE H, PART V, LINE 13BIF 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 13HADDITIONAL 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 16AFAP WEBSITE http://www.torrancememorial.org/documents/TMMC/Financial-Policy-/Financial -Assistance-Policy-English.pdf
SCHEDULE H, PART V, LINE 16BFAP APPLICATION WEBSITE http://www.torrancememorial.org/DOCUMENTS/TMMC/TM_APPLICATION-ENG.PDF
SCHEDULE H, PART V, LINE 16CFAP PLAIN LANGUAGE SUMMARY WEBSITE http://www.torrancememorial.org/Patients/Billing/Financial_Assistance.aspx
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Torrance Memorial Breast Diag Center II
824 E Carson StCarsonCA90745Imaging and Diagnostics Center
Torrance Memorial Breast Diag Center III
855 Manhattan Beach BlvdManhanttan BeachCA90266Imaging and Diagnostics Center
Torrance Memorial Breast Diag Center IV
65 Peninsula CenterRolling Hills EstatesCA90274Imaging and Diagnostics Center

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT.
SCHEDULE H, PART I, LINE 7THE 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 7GTHE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PARTICIPATES IN VARIOUS COLLABORATIONS AND OFFERS AN EXTENSIVE ARRAY OF FREE AND LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. WE OFFER THE TLC (TORRANCE LOVES CHILDREN) PROGRAM, A SICK-CHILD CARE PROGRAM LICENSED BY THE DEPARTMENT OF SOCIAL SERVICES AND OPEN TO THE PUBLIC SO THAT PARENTS WITH A MILDLY ILL CHILD DO NOT HAVE TO MISS WORK. WE FURTHER SUPPORT CHILD CARE FOR VULNERABLE POPULATIONS VIA OUR PARTNERSHIP WITH HARBOR INTERFAITH SERVICES AND SUPPORT OF THEIR ANNUAL GALA WHICH BENEFITS CHILD CARE SERVICES FOR HOMELESS AND WORKING POOR CLIENTS SO THEY MAY STAY IN SCHOOL, COMPLETE THEIR VOCATIONAL TRAINING, OR HOLD DOWN A JOB. COMMUNITY SUPPORT FOR DISASTER READINESS IS PROVIDED TO THE PUBLIC THROUGH EDUCATIONAL PROGRAMS OF THE SPEAKER'S BUREAU, FREE CPR TRAINING, SUPPORT TO AREA SCHOOLS FOR RE-SUPPLY OR UPDATE OF DISASTER/EMERGENCY PROVISIONS AND BY HOSTING THE ONGOING MEETINGS AND RELAY PRACTICE ACTIVITIES OF THE SOUTH BAY HAM RADIO OPERATORS GROUP. IN ADDITION, WE CONTINUE TO OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. IN SUPPORT OF COMMUNITY HEALTH IMPROVEMENT WE CONDUCT ONGOING HEALTH SCREENINGS AT COMMUNITY HEALTH FAIRS AT NO COST. WE ESTABLISHED THE TORRANCE MEMORIAL LEARNING GARDEN IN COLLABORATION WITH THE CITY'S COMMUNITY GARDEN PROGRAM TO OFFER ONGOING CLASSES WHICH TEACH PARTICIPANTS HOW TO GROW HEALTHFUL, ORGANIC, SEASONAL PRODUCE AT HOME AND SIMULTANEOUSLY PROVIDE ADAPTIVE EXERCISE, HELPFUL ESPECIALLY TO SENIOR POPULATIONS. WE CONDUCT "HEALTHY EVER AFTER FOR KIDS" A PROGRAM OFFERED AT NO COST IN PARTNERSHIP WITH THE YMCA, TARGETING OVERWEIGHT CHILDREN AND THEIR PARENTS. RECENTLY, THIS CHILDREN'S NUTRITION AND EXERCISE PROGRAM EXPANDED INTO A SCHOOL-BASED PROGRAM CALLED "HEALTHY EVER AFTER" (HEA). IN HEA, A PEDIATRIC CLINICAL NUTRITIONIST USES A SCRIPTED CURRICULUM TO TRAIN PARENT DOCENTS TO TEACH 5 DIFFERENT NUTRITION LESSONS. HEA HAS BEEN EMBRACED BY TORRANCE UNIFIED SCHOOL DISTRICT AND IS BEING TAUGHT IN THE MAJORITY OF THE DISTRICT'S ELEMENTARY SCHOOLS. IN 2013, TMMC'S HEA PROGRAM WAS RECOGNIZED BY THE TORRANCE COUNCIL OF PTAS FOR OUTSTANDING SERVICE AND COMMUNITY LEADERSHIP. OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO AREA HIGH SCHOOLS SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. SUPPORTING EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS, FAMILY MEMBERS AND THE COMMUNITY, HOST ONGOING SUPPORT GROUPS IN PARTNERSHIP WITH NON-PROFIT SERVICE PROVIDERS, OFFER EDUCATION CLASSES, ENABLE FREE ACCESS TO HEALTH LECTURES VIA ON-DEMAND STREAMING MEDIA AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. WE SUPPORT THE NEEDS OF THE MOST VULNERABLE MEMBERS OF OUR COMMUNITY BY STRONG COLLABORATION WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER ON THE WELCOME BABY PROGRAM. WELCOME BABY IS A COMPONENT OF BEST START - A MULTI-YEAR EFFORT CREATED BY FIRST 5 LA THAT AIMS TO SHAPE, STRENGTHEN AND SUPPORT L.A. COUNTY NEIGHBORHOODS BY BUILDING RESOURCES AND PROVIDING ACCESS TO ACTIVITIES THAT IMPROVE THE WELL-BEING, DEVELOPMENT AND CARE EXPERIENCED BY PREGNANT WOMEN, NEW PARENTS AND CHILDREN AGE 5 AND UNDER. ALSO THROUGH GRANT FUNDS DISBURSED TO HARBOR INTERFAITH SERVICES, WE PROVIDED RESOURCES FOR DENTAL CARE AND SUPPORT OF THE FOOD PANTRY. ADDITIONALLY, DOOR-TO-DOOR VAN TRANSPORTATION SERVICES, UTILIZED LARGELY BY SENIORS AND THE DISABLED, ARE PROVIDED AT A VERY LOW COST. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS, PARTNERSHIPS AND COLLABORATIONS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. IN 2016, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $849,224.
SCHEDULE H, PART III, SECTION A, LINES 2 & 3BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING, TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, SECTION A, LINE 4 PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE MEDICAL CENTER'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE MEDICAL CENTER'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE MEDICAL CENTER DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE, AMONG OTHER FACTORS. THERE ARE OTHER FACTORS THAT CAN IMPACT COLLECTION, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS AND THE INCREASED BURDEN OF CO-PAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE AND BUSINESS PRACTICES RELATED TO COLLECTIONS EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS THE MEDICAL CENTER'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE MEDICAL CENTER'S EXISTING PATIENT ACCOUNTS RECEIVABLE. THE MEDICAL CENTER ADJUSTS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS AS COLLECTION TRENDS AND THE EFFECT OF OTHER ENVIRONMENTAL FACTORS, AS DISCUSSED ABOVE, BECOME KNOWN. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED, AND THE POTENTIAL FOR RECOVERY IS REMOTE.
SCHEDULE H, PART III, SECTION B, LINE 8TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H.
SCHEDULE H, PART III, SECTION C, LINE 9BTORRANCE MEMORIAL MEDICAL CENTER (TMMC) DOES NOT PURSUE COLLECTION FOR AMOUNTS KNOWN TO QUALIFY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE MEDICAL CENTER MAKES EVERY REASONABLE, COST EFFECTIVE EFFORT TO COMMUNICATE PAYMENT OPTIONS, FINANCIAL ASSISTANCE AVAILABILITY AND CHARITY CARE PROGRAMS WITH EACH PATIENT WHO RECEIVES SERVICES AT THE HOSPITAL. IN THE EVENT THAT A PATIENT OR GUARANTOR DOES NOT RESPOND OR COMMUNICATE WITH THE MEDICAL CENTER TO RESOLVE AN OPEN ACCOUNT, THE MEDICAL CENTER MAY FORWARD THE ACCOUNT TO ITS COLLECTION AGENCY. SINCE THE FINANCIAL STATUS OF THE PATIENT IS NOT KNOWN AT THAT POINT, THE AMOUNT IS DISCOUNTED BY 82% 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 2NEEDS 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 AVAILABLE IN THE COMMUNITIES AND CITIES OF THE SERVICE AREA. THE INVENTORY INCLUDES DESCRIPTIONS FOR THE FOLLOWING CATEGORIES: MEDICAL HOSPITALS, PSYCHIATRIC HOSPITALS, SPECIALTY HOSPITALS SUCH AS CHILDREN'S HOSPITALS AND ACUTE REHABILITATION; ACUTE CARE SERVICES INCLUDING EMERGENCY ROOMS, LONG-TERM CARE FACILITIES, REHABILITATION SERVICES; OTHER HEALTH CARE SERVICES SUCH AS DENTAL CARE, FREE CLINICS, CRISIS LINES, SUBSTANCE ABUSE TREATMENT PROGRAMS; HOME CARE SERVICES SUCH AS MEALS-ON-WHEELS AND LIFELINE EMERGENCY RESPONSE, ANOTHER SERVICES FOR PEOPLE WITH DISABILITIES. IN FISCAL YEAR 2007, THE MEDICAL CENTER INITIATED A BOARD OF TRUSTEES COMMUNITY BENEFITS PLANNING COMMITTEE AND INCREASED THE INVOLVEMENT OF SENIOR MANAGEMENT IN SETTING PRIORITIES AND MONITORING PROGRESS FOR HOSPITAL COMMUNITY BENEFITS.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-350% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 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. IN 2016, 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 $1,688,388.
SCHEDULE H, PART VI, LINE 4COMMUNITY 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 TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 895,123 PERSONS, WITH 22.1 PERCENT OF THE POPULATION UNDER 18 YEARS, 63.2 PERCENT AGE 18 TO 64, AND 14.7 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 47.4 PERCENT WHITE, 36 PERCENT HISPANIC, 19.6 PERCENT ASIAN/PACIFIC ISLANDER, 10.1 PERCENT AFRICAN-AMERICAN, 17.3 PERCENT OTHER SINGLE RACE AND 5.8 PERCENT OTHER MIXED RACE 36.6 PERCENT OF THE SERVICE POPULATION IS HISPANIC AND 63.4 PERCENT IS NON-HISPANIC. OF THOSE AT LEAST FIVE YEARS OF AGE, 55 PERCENT SPEAK ENGLISH ONLY AT HOME, 27 PERCENT SPEAK SPANISH, 13 PERCENT SPEAK ASIAN/PI LANGUAGE, AND 5 PERCENT SPEAK OTHER LANGUAGES. OF THOSE PERSONS AT LEAST 25 YEARS AND OLDER, 15.4 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 19.7 PERCENT HAVE GRADUATED HIGH SCHOOL AND 64.9 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $98,996 WITH 10.2 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA BELOW THE POVERTY LEVEL. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2016. 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, ADULTS WITH SOME COLLEGE TO A PROFESSIONAL DEGREE, AND PERSONS EMPLOYED IN THE LABOR FORCE.
SCHEDULE H, PART VI, LINE 5PROMOTION 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, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, NICOTINE ANONYMOUS, STROKE, PARKINSON'S DISEASE AND SURGICAL WEIGHT LOSS; -PARTICIPATING IN HEALTH FAIRS, PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, HEMOGLOBIN A1C, 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 AND A MEDICAL LIBRARY; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR HOMELESS AND WORKING POOR AND VICTIMS OF DOMESTIC VIOLENCE, INCREASE THE BLOOD SUPPLY, AND CONDUCT VARIOUS HEALTHCARE CAREER TRAINING COURSES WITH OCCUPATIONAL CENTERS, AND NURSING COLLEGES; - CONDUCTING SCHOOL AND COMMUNITY-BASED EDUCATION FOR CHILDREN ON THE BASICS OF NUTRITION AND EXERCISE, PROVIDE PUBLIC ACCESS DEFIBRILLATION PROGRAM AND AED AWARENESS AND TRAINING.
SCHEDULE H, PART VI, LINE 7STATE 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Calle Mayor Middle School
4800 Cale MayorTorranceCA90505956205081501(c)(3)$6,000Adopt-a-school program
Caring House
2842 El Dorado StTorranceCA90503202201206501(c)(3)$10,000End of life care
Harbor Interfaith Services
670 West 9th StreetSan PedroCA90731330031099501(c)(3)$17,300Family Resource Center
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule IFormAndLineReferenceDesc
ExplanationGRANT 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG LEACH
BD MR-PT YR, PRES/CEO/AST TRES$0$540,699$0$188,319$0$0$0$192,091$0$17,147$0$938,256$0$0
SALLY EBERHARD
BOARD MEMBER (PT YR)$0$393,983$0$102,310$0$49,859$0$53,997$0$17,247$0$617,396$0$49,859
JOHN MCNAMARA MD
CMO$0$362,655$0$93,207$0$34,338$0$48,462$0$8,661$0$547,323$0$34,338
WILLIAM LARSON
CFO$0$235,751$0$25,357$0$0$0$21,944$0$28,491$0$311,543$0$0
MARGARET BERWALD
SR VP NURSING SERVICES/CNO$0$289,175$0$51,271$0$245,530$0$9,607$0$21,062$0$616,645$0$204,845
MICHAEL THOMAS
VP ANCILLARY SERVICES$0$286,454$0$30,615$0$0$0$25,689$0$15,662$0$358,420$0$0
DEBRA KELLEY
VP ANCILLARY SERVICES$0$256,929$0$27,669$0$0$31,744$0$17,138$0$333,480$0$0
HEATHER SHAY
VP ACCRED & QUALITY SERVICES$0$240,025$0$25,357$0$0$0$20,725$0$15,374$0$301,481$0$0
BARBARA LEQUIRE
VP NURSING SERVICES$0$242,183$0$25,357$0$0$0$29,764$0$14,623$0$311,927$0$0
LAURA SCHENASI
VP TMMCHC FOUNDATION$0$242,706$0$48,462$0$0$0$24,578$0$30,277$0$346,023$0$0
BERNADETTE REID
VP INFORMATION SERVICES$0$240,986$0$25,357$0$0$0$28,778$0$14,623$0$309,744$0$0
LINDA DOBIE
VP RISK MANAGEMENT$0$236,080$0$25,357$0$0$0$27,433$0$30,253$0$319,123$0$0
ROBIN CAMRIN
VP MED STAFF SERVICES$0$241,789$0$25,357$0$0$0$31,744$0$9,884$0$308,774$0$0
WEN-WEN TSAI
RN$256,739$0$0$0$0$0$30,014$0$9,036$0$295,789$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3METHODS TO DETERMINE COMPENSATION 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 4BTHE 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 2016, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO PARTIAL AND FULL VESTING IN THE PLAN: SALLY EBERHARD - $49,859 JOHN MCNAMARA - $34,388 MARGARET BERWALD - $245,530

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF TORRANCE
A956000803891380AR82010-09-23$234,272,023REFUND 05/01/1992 BOND ISSUEfalsefalsefalse
CITY OF TORRANCE
B9560008032016-12-22$64,795,000REFUND 06/01/2001 BOND ISSUEfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$44,865,000$0$234,272,023$0$0$0$2,707,235$0$0$234,272,023$34,800,000$02014Yes (true)falseYes (true)Yes (true)
B$0$0$64,795,000$0$0$0$464,704$0$0$34,795,000$0$22,018,845Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1TORRANCE MEMORIAL MEDICAL CENTER IS A LOCALLY GOVERNED COMMUNITY, NON-PROFIT MEDICAL CENTER WHOSE PURPOSE IS TO PROVIDE QUALITY HEALTHCARE SERVICES, PREDOMINANTLY TO THE RESIDENTS OF THE SOUTH BAY/PENINSULA COMMUNITIES. UNDER THE GOVERNANCE OF A COMMUNITY-BASED BOARD OF TRUSTEES. TORRANCE MEMORIAL SERVES THE PUBLIC INTEREST BY: - IMPROVING THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE OF OUR RESOURCES; - OFFERING THE MOST CURRENT AND EFFECTIVE TECHNOLOGIES RENDERED IN A COMPASSIONATE, CARING MANNER; AND - MAINTAINING LONG-TERM STABILITY IN ORDER TO ASSURE OUR STRENGTH AND VIABILITY FOR THE BENEFIT OF THE COMMUNITY.
FORM 990, PART III, LINE 4AFULFILLING OUR MISSION TO MEET COMMUNITY HEALTH NEEDS: SINCE 1925, COMMUNITY ACCESS TO QUALITY HEALTHCARE SERVICES HAS BEEN A TOP PRIORITY FOR TORRANCE MEMORIAL MEDICAL CENTER. AS AN INDEPENDENT COMMUNITY HOSPITAL, WE RECEIVE NO SUBSIDY FROM CITY OR STATE GOVERNMENTS OR A LARGER CORPORATE SYSTEM. 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 IN THE PLANNING STAGES. THE BOARD OF TRUSTEES ADDRESSES THE PRIORITIES FOR COMMUNITY HEALTH NEEDS THROUGH ITS BOARD LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE. THIS COMMITTEE REVIEWS THE RESULTS OF A TRIENNIAL COMMUNITY NEEDS ASSESSMENT WHICH SUMMARIZED THE HEALTH ISSUES WHICH HAVE THE GREATEST PRIORITY. WITHIN THE RESOURCE CONSTRAINTS OF THE MEDICAL CENTER, WE ADOPT AN ANNUAL COMMUNITY BENEFITS PLAN WHICH PRIORITIZES PROGRAMS AND SERVICES WHICH ARE OFFERED AT A FINANCIAL LOSS AND ARE DESIGNED TO IMPROVE COMMUNITY HEALTH. UPON RECOMMENDATION OF A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE, A COMMUNITY BENEFITS BUDGET IS SEPARATELY DEVELOPED AND INCLUDED IN THE ANNUAL BUDGET SUBMITTED TO THE BOARD FOR APPROVAL AND ITS PROGRESS IS MEASURED ACCORDINGLY. EACH YEAR, THE EXPENDITURES TOWARD COMMUNITY BENEFITS ARE ACCOUNT FOR AND SUMMARIZED AS FOLLOWS: I) CHARITY CARE POLICY AND FINANCIAL ASSISTANCE TO THE UNINSURED. THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-350% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE UNDER THE FAP. IN SUCH SITUATION, PATIENTS ARE OFFERED AN 82 PERCENT DISCOUNT OFF THE HOSPITAL BILL AND A FINANCIAL COUNSELOR IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH SIGNS POSTED AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. IN 2016, 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 $1,688,388. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY. TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2012 WE LAUNCHED "HEALTHY EVER AFTER A PARTNERSHIP WITH TORRANCE UNIFIED SCHOOL DISTRICT AND DISTRICT FOOD SERVICES. "HEALTHY EVER AFTER" IS A FREE, STANDARDS-BASED NUTRITION EDUCATION PROGRAM WRITTEN BY THE HOSPITAL'S PEDIATRIC REGISTERED DIETICIAN AND TAUGHT TO ELEMENTARY STUDENTS BY PARENT DOCENTS. IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 188 AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN ALL PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. FURTHERMORE, WE PROVIDE VERY LOW COST VAN TRANSPORTATION TO PEOPLE WHO HAVE NO TRANSPORTATION. IN SUPPORT OF EDUCATION, OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO 9 HIGH SCHOOLS AND SEVERAL MIDDLE SCHOOLS IN THE COMMUNITY SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. WE SUPPORT A HOMELESS SHELTER, HARBOR INTERFAITH SERVICES, FUNDING AN ANNUAL DENTAL GRANT AND OFFERING AN ANNUAL FLU SHOT CLINIC. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT THE FOOD PANTRY AND PROVIDED HOLIDAY GIFTS TO THOSE IN NEED. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. SUPPORTING LOCAL SCHOOLS AND EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS AND FAMILY MEMBERS, AND THE COMMUNITY, OFFER EDUCATION CLASSES AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS, SERVE AS A TRAINING SITE FOR NURSING SCHOOLS AND OTHER PARAPROFESSIONALS, PARTICIPATE ACTIVELY IN COMMUNITY SYMPOSIUMS FOR DISASTER PREPAREDNESS, AND PARTICIPATE IN TORRANCE CHAMBER'S ADOPT-A-SCHOOL PROGRAM. IN 2016, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $2,051,210. III) SUBSIDY OF MEDICAL CARE SERVICES. TO PROVIDE ACCESS TO MEDICAL SERVICES OF PATIENTS COVERED UNDER GOVERNMENT SPONSORED PLANS WHICH DO NOT PAY THE FULL COSTS OF CARE, TORRANCE MEMORIAL ALSO MEASURES THE SUBSIDY TOWARD THE CARE OF THESE PATIENTS. IN 2016, THESE INCLUDED PATIENTS COVERED UNDER THE STATE SPONSORED MEDI-CAL PLAN FOR THE MEDICALLY INDIGENT. TORRANCE MEMORIAL RECEIVED NO DISPROPORTIONATE SHARE FUNDS TO OFFSET THESE LOSSES. IN ADDITION, ACCORDING TO THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (TO WHOM WE ALSO SUBMIT A COMMUNITY BENEFITS REPORT), WE HAVE CALCULATED THE SUBSIDY OF OUR COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. IN 2016, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $113,122,807. IN ADDITION, WE SUBSIDIZED PROFESSIONAL FEES OF PHYSICIANS FOR PROVIDING COVERAGE TO EMERGENCY DEPARTMENT PATIENTS IN CRITICAL SPECIALTIES WHICH WERE NOT OTHERWISE OBTAINABLE UNLESS THE MEDICAL CENTER OFFERED A SUBSIDY FOR THESE SERVICES. IN 2016, THIS COST WAS APPROXIMATELY $1,787,659. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $118,650,064 IN COMMUNITY BENEFIT EXPENSE IN 2016. AN ONGOING EVALUATION IS BEING UNDERTAKEN TO ASSESS NEW COMMUNITY NEEDS AND DETERMINE HOW BEST TO ADJUST OUR PRIORITIES TO MOST EFFICIENTLY PROVIDE SUPPORT TO COMMUNITIES IN NEED.
FORM 990, PART VI, LINE 6 AND 7ATORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER.
FORM 990, PART VI, LINE 11BTHE FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT ALONG WITH OUR TAX ADVISORS. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. OUR TAX ADVISORS DISCUSSED AND EDUCATED THE TRUSTEES ON THE FORM 990. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990.
FORM 990, PART VI, LINE 12CTORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) MONITORING, REVIEW AND ENFORCEMENT OF ITS CONFLICT OF INTEREST POLICY RESTS WITH ITS NOMINATING COMMITTEE. ANNUALLY, TMMC SENDS ALL TRUSTEES, OFFICERS, EXECUTIVES, AND MANAGERIAL EMPLOYEES A COPY OF TMMC'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST QUESTIONNAIRE. ALL TRUSTEES, OFFICERS, EXECUTIVES AND MANAGERIAL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE INQUIRES AS TO ALL INDIVIDUALS CONCERNED WITH CONDUCTING, TRANSACTING OR APPROVING THE BUSINESS MATTERS OF TMMC. ONCE THE CONFLICT OF INTEREST QUESTIONNAIRES HAVE BEEN RECEIVED BACK FROM THE OFFICERS, TRUSTEES AND EXECUTIVES, THEY ARE REVIEWED AND SUMMARIZED BY THE NOMINATION COMMITTEE FOR PRESENTATION TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REPORTS ANY CONFLICTS TO THE BOARD OF TRUSTEES WITH THEIR RECOMMENDATION AS TO THE NATURE OF THE CONFLICTS THAT MAY IMPEDE THE INDEPENDENCE OF THE BOARD MEMBER. IF AN OFFICER, TRUSTEE, OR EXECUTIVE IS FOUND TO HAVE A CONFLICT, THERE IS A PROCESS IN PLACE TO PROHIBIT THIS INDIVIDUAL FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS IN THE TRANSACTION. MANAGERIAL EMPLOYEE'S CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VICE PRESIDENT. CONFLICTS ARE NOTED AND FORWARDED TO HUMAN RESOURCES FOR SUMMARIZATION. IF MATERIAL CONFLICTS EXIST, THEY ARE FORWARDED TO THE CEO, WHO TOGETHER WITH THE AREA VICE PRESIDENT, RESOLVE THE ISSUE WITH THE MANAGER.
FORM 990, PART VI, LINES 15A & 15BFOR THE TAX YEAR 2016 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. THIS PROCESS WAS LAST COMPLETED IN OCTOBER 2016.
FORM 990, PART VI, LINE 19FEDERAL 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 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN INTEREST OF TMMHCF (4,610,000) CHANGES IN MINIMUM PENSION LIABILITY (3,034,000) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (5,144) MISCELLANEOUS (53,613) ============ TOTAL (7,702,757)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Torrance Health Association
3330 Lomita BlvdTorranceCA90505330073515Health SRVCSCA501(c)(3)12bnafalse
Torrance Memorial Med Ctr Healthcare Fdn
3330 Lomita BlvdTorranceCA90505953528452FundraisingCA501(c)(3)7THAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Torrance Surgery Center LP
1A BURTON HILLS BLVDNASHVILLETN37215330932093Surgical ServicesTNNAN/A$2,018$33,277falsefalse0.01466
Torrance Memorial Surgery Ctr LLC
23560 Crenshaw Blvd Ste 104TorranceCA90505465259260OUTPAT SURG SRVCSCATMMCRELATED$25,816$756,717falseYes (true)0.70887
3565 DEL AMO ASSOCIATES
2175 PARK PLACEEL SEGUNDOCA90245330554737RENT REAL ESTATECANAN/Afalsefalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Torrance Memorial Health Care Foundation
c$12,000,000Actual
Torrance Memorial Health Care Foundation
O$923,057FMV
Torrance Memorial Health Care Foundation
M$725,535Actual
Torrance Memorial Health Care Foundation
N$133,157Actual

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationTORRANCE SURGERY CENTER, LP EIN: 33-0932093 1A BURTON HILLS BLVD NASHVILLE, TN 37215 TORRANCE MEMORIAL SURGERY CENTER, LLC EIN: 46-5259260 23560 CRENSHAW BLVD, STE 104 TORRANCE, CA 90505 3565 DEL AMO ASSOCIATES EIN: 33-0554737 2175 PARK PLACE EL SEGUNDO, CA 90245 SCHEDULE R, PART III, LINE (2) TORRANCE MEMORIAL MEDICAL CENTER HAS INDIRECT CONTROL AS TORRANCE MEMORIAL SURGERY CENTER, LLC IS THE GENERAL PARTNER OF TORRANCE SURGERY CENTER, LP.ExplanationTxt