TORRANCE MEMORIAL MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- TORRANCE MEMORIAL MEDICAL CENTER (EIN 95-1644042)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-12
- IRS object ID
- 201403169349304295
- Schema version
- 2013v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-12T15:29:22-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4370 LA JOLLA VILLAGE DR STE 500 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 92122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644042 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Torrance Memorial Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Cari Erickson Controller 3 | InCareOfNm |
| Business Name Control | TORR | BusinessNameControlTxt |
| Phone | 3103259110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3330 Lomita Blvd | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90505 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Larson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2014-11-07 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLEY SIMON | PreparerPersonNm |
| PTIN | P00649485 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Craig Leach | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3330 Lomita Blvd | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,044,039,266 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.torrancememorial.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | See Schedule O | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 3416 | TotalEmployeeCnt |
| Total Volunteers | 1232 | TotalVolunteersCnt |
| Total Gross UBI | $16,891,065 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,910,684 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,147,515 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,369,244 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $475,212,220 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $485,616,547 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,168,302 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,597,897 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,702,289 | PYOtherRevenueAmt |
| CY Other Revenue | $4,135,606 | CYOtherRevenueAmt |
| PY Total Revenue | $506,230,326 | PYTotalRevenueAmt |
| CY Total Revenue | $515,719,294 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $264,019,560 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $268,018,271 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,025,222 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $207,356,477 | PYOtherExpensesAmt |
| CY Other Expenses | $218,202,144 | CYOtherExpensesAmt |
| PY Total Expenses | $471,376,037 | PYTotalExpensesAmt |
| CY Total Expenses | $486,220,415 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $34,854,289 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $29,498,879 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,015,961,578 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,077,650,000 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $567,390,570 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $514,174,253 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $448,571,008 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $563,475,747 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $428,194,003 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $489,313,069 | RevenueAmt |
| Desc | SEE SCHEDULE 0. | Desc |
| Total Program Service Expenses | $428,194,003 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 326 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3416 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Cari Erickson Controller 3 | PersonNm |
| Phone | 3103259110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3330 Lomita Boulevard | AddressLine1 |
| City | Torrance | City |
| State | CA | State |
| ZIP Code | 90505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| William Collier Esq | |||||||||
| Chairman | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John McNamara MD | |||||||||
| Board Member/SR VP Chief Medic | 20.0 | 20.0 | Yes (X) | $0 | $385,087 | $83,577 | |||
| Pamela Crane | |||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dennis Fitzgerald | |||||||||
| Treasurer | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| George Graham | |||||||||
| President Emeritus | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Hugo Hool MD | |||||||||
| Board Member/Network Physician | 1.0 | 1.0 | Yes (X) | $0 | $258,550 | $0 | |||
| Sherry Kramer | |||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Mary Giordano | |||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Liebson | |||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| David Rand MD | |||||||||
| Vice Chairman | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Craig Leach | |||||||||
| President/CEO & Asst. Treasure | 20.0 | 20.0 | Yes (X) | Yes (X) | $0 | $588,072 | $143,605 | ||
| Sally Eberhard | |||||||||
| Board Member/Sr. VP Planning & | 20.0 | 20.0 | Yes (X) | $0 | $419,854 | $95,491 | |||
| William Larson | |||||||||
| CFO | 20.0 | 20.0 | Yes (X) | $0 | $222,579 | $40,332 | |||
| Margaret Berwald | |||||||||
| Sr VP Nursing Services/CNO | 40.0 | 0.0 | $0 | $290,474 | $78,658 | Yes (X) | |||
| Michael Thomas | |||||||||
| VP Ancillary Support Services | 40.0 | 0.0 | $0 | $291,687 | $39,309 | Yes (X) | |||
| Debra Kelley | |||||||||
| VP Ancillary Support Services | 40.0 | 0.0 | $0 | $260,963 | $43,226 | Yes (X) | |||
| Barbara LeQuire | |||||||||
| VP Nursing Services | 40.0 | 0.0 | $0 | $229,042 | $37,665 | Yes (X) | |||
| Laura Schenasi | |||||||||
| Exec. VP TMMC Foundation | 40.0 | 0.0 | $0 | $300,394 | $44,983 | Yes (X) | |||
| Bernadette Reid | |||||||||
| VP Information Systems | 40.0 | 0.0 | $0 | $226,408 | $34,395 | Yes (X) | |||
| Wen-wen Tsai | |||||||||
| STAFF RN III | 40.0 | 0.0 | $248,652 | $0 | $25,713 | Yes (X) | |||
| Linda Dobie | |||||||||
| VP Risk Management | 40.0 | 0.0 | $0 | $219,440 | $49,919 | Yes (X) | |||
| PETER ROSEMARK | |||||||||
| RADIATION PHYSICIST | 40.0 | 0.0 | $219,758 | $0 | $36,024 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $468,410 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,692,550 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $752,897 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 446 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCCARTHY BUILDING COMPANIES | |||||
| 20401 SW BIRCH ST STE 300 | NEWPORT BEACH | CA | 92660 | CONSTRUCTION SVCS | $89,195,019 |
| CERNER CORPORATION | |||||
| PO BOX 412702 | KANSAS CITY | MO | 64141 | INFO TECHNOLOGY SVCS | $8,335,741 |
| HMC Architects | |||||
| 3546 Concours Street | ONTARIO | CA | 91764 | STAFFING SERVICES | $3,402,443 |
| SERRO LLC | |||||
| 20 California St | SAN FRANCISCO | CA | 94111 | CONSULTING/ENGINEER. | $2,757,185 |
| AB Human Capital Select | |||||
| 2680 S Val Vista Dr Ste 161 | GILBERT | AZ | 85295 | Staffing Services | $2,683,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 58 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $10,000,000 | RelatedOrganizationsAmt |
| Government Grants | $73,109 | GovernmentGrantsAmt |
| All Other Contributions | $296,135 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $10,369,244 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $256,053,754 | $256,053,754 | $0 | $0 |
| MEDICARE REVENUE | 900099 | $121,293,104 | $121,293,104 | $0 | $0 |
| PREMIUM REVENUE | 900099 | $59,285,000 | $59,285,000 | $0 | $0 |
| PHYSICIAN SUPPORT REVENUE | 900099 | $14,660,757 | $0 | $14,660,757 | $0 |
| MEDI-CAL REVENUE | 900099 | $24,278,092 | $24,278,092 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,045,840 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,254,616 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,791,224 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $485,616,547 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,024,673 | TotalRevenueColumnAmt |
| Exclusion | $6,024,673 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $397,821 | RealAmt |
| Personal | $316,459 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $28,440 | RealAmt |
| Personal | $246,756 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $369,381 | RealAmt |
| Personal | $69,703 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $439,084 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $439,084 | UnrelatedBusinessRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $537,618,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $528,044,776 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,573,224 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,573,224 | TotalRevenueColumnAmt |
| Exclusion | $9,573,224 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CMS INCENTIVE PAYMENT | 900099 | $1,347,617 | $1,347,617 | $0 | $0 |
| REBATES & REFUNDS | 900099 | $1,496,855 | $1,496,855 | $0 | $0 |
| MANAGEMENT INCOME | 900099 | $852,050 | $852,050 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,696,522 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $515,719,294 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $472,861,088 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $16,891,065 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,597,897 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,950,099 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,950,099 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,939 | TotalAmt |
| Program Services | $65,939 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,643,473 | TotalAmt |
| Program Services | $165,901,453 | ProgramServicesAmt |
| Management And General | $17,059,849 | ManagementAndGeneralAmt |
| Fundraising | $682,171 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,350,009 | TotalAmt |
| Program Services | $17,480,582 | ProgramServicesAmt |
| Management And General | $1,797,549 | ManagementAndGeneralAmt |
| Fundraising | $71,878 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,797,785 | TotalAmt |
| Program Services | $40,169,916 | ProgramServicesAmt |
| Management And General | $7,530,145 | ManagementAndGeneralAmt |
| Fundraising | $97,724 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,210,966 | TotalAmt |
| Program Services | $12,723,522 | ProgramServicesAmt |
| Management And General | $1,439,479 | ManagementAndGeneralAmt |
| Fundraising | $47,965 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,733 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $152,733 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,941 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $553,941 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,724 | TotalAmt |
| Program Services | $26,724 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,982 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $804,982 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,482,253 | TotalAmt |
| Program Services | $36,213,306 | ProgramServicesAmt |
| Management And General | $12,268,947 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,422,457 | TotalAmt |
| Program Services | $93,589,164 | ProgramServicesAmt |
| Management And General | $2,833,293 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,452,456 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,452,456 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,935,518 | TotalAmt |
| Program Services | $3,712,739 | ProgramServicesAmt |
| Management And General | $97,295 | ManagementAndGeneralAmt |
| Fundraising | $125,484 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,236 | TotalAmt |
| Program Services | $280,532 | ProgramServicesAmt |
| Management And General | $41,704 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,153 | TotalAmt |
| Program Services | $158,726 | ProgramServicesAmt |
| Management And General | $43,427 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,414,716 | TotalAmt |
| Program Services | $3,015,194 | ProgramServicesAmt |
| Management And General | $399,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,781,420 | TotalAmt |
| Program Services | $22,764,994 | ProgramServicesAmt |
| Management And General | $3,016,426 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,613,435 | TotalAmt |
| Program Services | $2,613,435 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| HOSPITAL FEE | $24,056,621 | $24,056,621 | $0 | $0 |
| LICENSES AND TAXES | $1,769,446 | $904,428 | $865,018 | $0 |
| PLANT MAINTENANCE | $1,447,024 | $360,268 | $1,086,756 | $0 |
| EQUIPMENT RENTAL | $626,727 | $626,727 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,137,302 | TotalAmt |
| Program Services | $3,529,733 | ProgramServicesAmt |
| Management And General | $2,607,569 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,220,415 | TotalAmt |
| Program Services | $428,194,003 | ProgramServicesAmt |
| Management And General | $57,001,190 | ManagementAndGeneralAmt |
| Fundraising | $1,025,222 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,626,481 | BOYAmt |
| EOY | $5,029,148 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,004,857 | BOYAmt |
| EOY | $10,002,617 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,223,140 | BOYAmt |
| EOY | $75,343,949 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,308,701 | BOYAmt |
| EOY | $8,719,736 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,529,631 | BOYAmt |
| EOY | $19,546,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $968,201,737 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $401,147,392 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,100,998 | BOYAmt |
| EOY | $567,054,345 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,442,262 | BOYAmt |
| EOY | $290,502,322 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,168,115 | BOYAmt |
| EOY | $16,832,947 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,068,612 | BOYAmt |
| EOY | $67,169,799 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,478,780 | BOYAmt |
| EOY | $4,085,293 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,010,001 | BOYAmt |
| EOY | $13,363,606 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,015,961,578 | BOYAmt |
| EOY | $1,077,650,000 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,469,503 | BOYAmt |
| EOY | $62,130,255 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,705,000 | BOYAmt |
| EOY | $285,130,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,216,067 | BOYAmt |
| EOY | $166,913,998 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,390,570 | BOYAmt |
| EOY | $514,174,253 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,883,671 | BOYAmt |
| EOY | $461,708,022 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,319,800 | BOYAmt |
| EOY | $98,400,188 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,367,537 | BOYAmt |
| EOY | $3,367,537 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,571,008 | BOYAmt |
| EOY | $563,475,747 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,015,961,578 | BOYAmt |
| EOY | $1,077,650,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $29,498,879 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $908,377 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $84,497,483 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $26,724 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | false | OtherActivitiesInd |
| Other Activities | $0 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $26,724 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1(F) | FormAndLineReferenceDesc |
| Explanation | During 2013 TMMC paid California Hospitals Committee on Issues for Lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,418,844 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $767,717 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,186,561 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,855,842 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $563,002 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,418,844 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,070,017 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$214,175 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,855,842 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,672,357 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $397,660 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,070,017 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,688,041 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $984,316 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,672,357 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,647,640 | OtherCostOrOtherBasisAmt |
| Book Value | $31,647,640 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $357,679,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $249,545,574 | DepreciationAmt |
| Book Value | $108,134,207 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,462,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,462,384 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $194,713,851 | OtherCostOrOtherBasisAmt |
| Depreciation | $150,139,434 | DepreciationAmt |
| Book Value | $44,574,417 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $382,698,081 | OtherCostOrOtherBasisAmt |
| Book Value | $382,698,081 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $567,054,345 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TORRANCE MEMORIAL HEALTHCARE F | Desc |
| Book Value | $67,169,799 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $67,169,799 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS HELD | $3,342,982 |
| MINIMUM PENSION LIABILITY | $18,844,073 |
| RISK POOLS | $108,522,219 |
| SELF INSURANCE | $27,681,663 |
| THIRD PARTY PAYABLES | $6,768,943 |
| INTERCOMPANY PAYABLES | $918,150 |
| OTHER CURRENT LIABILITIES | $835,968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $166,913,998 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $488,947,377 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $908,377 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$26,741,812 | OtherRevenueAmt |
| Revenue Not Reported | -$25,833,435 | RevenueNotReportedAmt |
| Revenue Subtotal | $514,780,812 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $804,982 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $203,203 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,008,185 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $515,788,997 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $467,314,621 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$18,100,812 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$18,100,812 | ExpensesNotReportedAmt |
| Expenses Subtotal | $485,415,433 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $804,982 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $804,982 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $486,220,415 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V | ENDOWMENT FUNDS THE EARNINGS OF THE ENDOWMENT MAY BE USED TO FUND FUTURE CARDIOVASCULAR HEALTH RELATED PROJECTS. |
| SCHEDULE D, PART X, LINE 2 | ASC 740 (FKA FIN 48) FOOTNOTE THE MEDICAL CENTER APPLIES THE PROVISION OF ACCOUNTING STANDARDS WHICH 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 AN SIGNIFICANT IMPACT ON THE FINANCIAL STATEMENTS OF THE MEDICAL CENTER. |
| SCHEDULE D, PART XI, LINE 2D | OTHER AMOUNTS INCLUDED ON FORM 990 CONTRIBUTIONS (8,641,000) POSS REVENUE NETTED (18,100,812) ------------ TOTAL (26,741,812) |
| SCHEDULE D, PART XI, LINE 4B | OTHER AMOUNTS INCLUDED ON FORM 990 MISCELLANEOUS RECLASSES 203,203 |
| SCHEDULE D, PART XI, LINE 2D | OTHER AMOUNTS INCLUDED ON FORM 990 POSS REVENUE NETTED (18,100,812) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,117,528 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,117,528 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,953,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $442,852 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,510,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04220 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,070,828 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $442,852 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,627,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $303,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $303,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $184,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,683,506 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,683,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $275,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $275,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $780,227 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $780,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,227,671 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,227,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,298,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $442,852 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,855,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06150 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $491,867 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $491,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,135 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $554,826 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $554,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,076,828 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,076,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,159,214 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,797,787 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $116,926,896 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $139,938,595 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,011,699 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TORRANCE MEMORIAL MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3330 LOMITA BOULEVARD | AddressLine1 |
| City | TORRANCE | City |
| State | CA | State |
| ZIP Code | 90505 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.torrancememorial.org | WebsiteAddressTxt |
| State License | 930000076 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TORRANCE MEMORIAL MEDIAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SECTION B, LINE 3 | Needs Assessment Process The 2013 Community Health Needs Assessment was conducted over a period of approximately 6 months, from June to November 2013. 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 SPA 8 was used. Qualitative primary data was obtained from three sources: a survey of school nurses working in the service area, a focus group of senior-level representatives from service area non-profit community organizations and personal interview with community leaders, residents and activists. The school nurse survey was conducted using an online survey tool emailed to school nurses and school health assistants. A total of 37 surveys were returned, representing a total of 59 schools (34 Pre or Elementary Schools; 13 Middle or Intermediate Schools; 10 High Schools; 2 Special Education or Transitional Schools) with a combined approximate enrollment of 48,809 students. The focus group activity was conducted with input from 24 senior-level associates from 23 non-profit agencies with a combined representation covering all geographic and demographic sectors of the service area. The following non-profit agencies participated in the focus group: Beach Cities Health District Behavioral Health Services City of Manhattan Beach Older Adult Programs Community's Child Focal Point on Aging H.E.L.P. - Healthcare and Elder Law Programs Harbor Community Clinic Harbor Interfaith Services Mothers Against Drunk Driving - LA/Ventura Affiliate National Alliance on Mental Illness, South Bay Pediatric Therapy Network PVE CARES Redondo Beach Youth Commission South Bay Children's Health Center South Bay Coalition for the Homeless South Bay Family Health Care Center South Bay Senior Services The Volunteer Center - South Bay, Harbor, Long Beach Toberman Neighborhood Center Torrance Adult School Torrance Area Chamber of Commerce Torrance Cultural Arts Center Torrance/South Bay YMCA Torrance One-on-one personal interviews were conducted with the following community leaders, residents and activists: 1. Carrie Bach, RN - Public Health Nurse, Clinical Nurse Specialist; Assistant Program Specialist, Los Angeles County Department of Public Health 2. Diane Brown - Director, Hawthorne Senior Center, City of Hawthorne 3. Lori Drengson - Associate Development Director, Gardena-Carson Family YMCA 4. Thyra Endicott, MD - Radiation Oncologist; former nurse at County USC 5. Pat Furey - Attorney, Prosecution of Child Abuse, Representing Los Angeles County; Council Member, City of Torrance 6. Judith Gerber - Torrance Historical Society; Torrance Library Commission; Torrance Certified Farmer's Market 7. Henry Lee - Membership Director, Gardena-Carson Family YMCA 8. Helene Pizzini - Retired, over 30 years in non-profit sector; 21 years as executive director San Pedro YWCA; Rotary Club of San Pedro over 20 years; Rotary District of Greater Los Angeles and the Valley 9. Lisa Santora, MD - Chief Medical Officer, Beach Cities Health District 10. Frank Scotto - Mayor of Torrance 11. Laura Valles - Community Health Assessment and Outreach Facilitator, Los Angeles Public Library |
| SECTION B, LINE 5A | http://www.torrancememorial.org/About_Us/Community_Benefits.aspx |
| SECTION B, LINE 7 | THE FOLLOWING ARE THE AREAS IDENTIFIED IN THE CHNA THAT WERE NOT MET. THE REASONS INCLUDE NOT HAVING AN IDENTIFIED FEASIBLE STRATEGY, THE NEEDS BEING OUTSIDE OF THE SCOPE OF TMMC'S EXPERTISE, INADEQUATE RESOURCES, AND MORE INVESTIGATION REQUIRED INTO THE NATURE OF THE NEED(S). Access to care Education Mental health Nutrition/Exercise Obesity Information and Referral: available resources Food scarcity Preventative care (insufficient) Service integration (lack of) Dental School nurse staffing issues: (All categories) Health conditions: (3 named= diabetes, asthma, allergies) Immunizations (parents ignoring the need) Vision Medication: administering meds at school Social/emotional support Sick children sent to school New health policy (lice) Exercise Dental and vision, esp among seniors Use of ED for primary care/ED delays Broken homes Collaboration Cultural barriers Eating disorders First aid: supplies at home Homeless seniors Place-based care (lack of medical care at home) Prevention resources Out-patient hospice (lack of) Difficult to qualify for IP admission Follow up/return care (insufficient) Meaningful family time Over-extended families Primary care MDs (lack of) Quality nursing home (lack of) STDs in African-American and Latino populations |
| SECTION B, LINE 12 | ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURENCE OF A CATASTROPHIC MEDICAL EVENT. |
| SECTION B, LINE 14 | A summary of the hospital's financial assistance policy is posted on the facility's website, in the emergency rooms, waiting room and admissions offices. In addition, a summary of the policy is printed on the reverse side of the billing statement mailed to patients. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3 | ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURENCE OF A CATASTROPHIC MEDICAL EVENT. |
| SCHEDULE H, PART I, LINE 7 | THE COST-TO-CHARGE RATIO WAS USED FROM THE RESPECTIVE WORKSHEETS LOCATED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE AMOUNTS IN THE TABLE FOR CHARITY CARE AT COST, UNREIMBURSED MEDICAID, AND UNREIMBURSED COSTS FROM OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE OTHER BENEFITS LOCATED ON 7E THROUGH 7I WERE DERIVED FROM GENERAL LEDGER ACCOUNTS AND ESTIMATES. SCHEDULE H, PART I, LINE 7G, SUBSIDIZED HEALTH SERVICES THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES | TORRANCE MEMORIAL MEDICAL CENTER (TMMC) 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 "KIDS N FITNESS," 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 PARTICIPATING IN CARE HARBOR L.A., A LARGE-SCALE COLLABORATIVE EVENT WHICH IN 2013 PROVIDED FREE MEDICAL, DENTAL AND VISION CARE TO OVER 3,000 PEOPLE. ALSO THROUGH GRANT FUNDS DISBURSED TO HARBOR INTERFAITH SERVICES, WE PROVIDED RESOURCES FOR DENTAL CARE AND SUPPORT OF THE FOOD PANTRY. DOOR-T0-DOOR VAN TRANSPORTATION SERVICES, UTILIZED LARGELY BY SENIORS AND THE DISABLED, ARE PROVIDED AT A VERY LOW COST AND IN 2013 SERVICE DEMAND GREW BY 58% OVER 2012. 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 2013, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WAS APPROXIMATELY $1,076,828. |
| SCHEDULE H, PART III, LINE 4, BAD DEBT EXPENSE FOOTNOTE | 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 MEDICAL CENTER ADJUSTS ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS AS COLLECTION TRENDS AND THE EFFECT OF OTHER ENVIRONMENTAL FACTORS, AS DISCUSSED ABOVE, BECOME KNOWN. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS REMOTE. BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING, TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 8, SHORTFALL REPORTED ON LINE 7 | TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H. |
| SCHEDULE H, PART III, LINE 9B, COLLECTION PRACTICE | TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DOES NOT PURSUE COLLECTION FOR AMOUNTS KNOWN TO QUALIFY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE MEDICAL CENTER MAKES EVERY REASONABLE, COST EFFECTIVE EFFORT TO COMMUNICATE PAYMENT OPTIONS, FINANCIAL ASSISTANCE AVAILABILITY AND CHARITY CARE PROGRAMS WITH EACH PATIENT WHO RECEIVES SERVICES AT THE HOSPITAL. IN THE EVENT THAT A PATIENT OR GUARANTOR DOES NOT RESPOND OR COMMUNICATE WITH THE MEDICAL CENTER TO RESOLVE AN OPEN ACCOUNT, 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 81% 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 (2), NEEDS ASSESSMENT | THE COMMUNITY NEEDS ASSESSMENT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE HOSPITAL USES THE FINDINGS IN THE PREPARATION OF COMMUNITY BENEFIT PLANS FOR THE NEXT THREE FISCAL YEARS. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH RELATED DATA AND INTERVIEWS WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES. TO ASSIST WITH INDENTYING PRIORITIES, COMPARISONS ARE MADE TO NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2010 AND OTHER REGIONAL EXPERIENCES. ADDITIONALLY ON A TRI-ANNUAL 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, SPECIALY 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, AND OTHER 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 (3), PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-350% 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 81% 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 2013, 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 $6,117,528. |
| SCHEDULE H, PART VI (4), COMMUNITY INFORMATION | TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DEFINES ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND COMMUNITIES: - TORRANCE AND LOMITA, - BEACH CITIES OF EL SEGUNDO, HERMOSA, MANHATTAN, AND REDONDO BEACH - PALOS VERDES - GARDENA, HAWTHORNE AND LAWNDALE - HARBOR CITY, WILMINTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 876,241 PERSONS, WITH 23 PERCENT OF THE POPULATION UNDER 18 YEARS, 63 PERCENT AGE 18 TO 64, AND 14 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 32 PERCENT WHITE, 36 PERCENT HISPANIC, 18 PERCENT ASIAN/PACIFIC ISLANDER, 10 PERCENT BLACK AND 4 PERCENT ALL OTHER RACES. 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, 16 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 20 PERCENT HAVE GRADUATED HIGH SCHOOL AND 64 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $92,981 WITH 9 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 2013. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF PERSONS 65 YEARS AND OLDER, WHITE, 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 (5), PROMOTION OF COMMUNITY HEALTH | TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD" A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. TMMC HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION, PROMOTION AND WELLNESSSERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PRIMARYACTIVITIES 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 25 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 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, ROVIDE SUPPORT SERVICES FOR HOMELESS AND WORKING POOR AND VICTIMS OF DOMESTIC VIOLENCE, INCREASE THE BLOOD SUPPLY, AND 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 (7), STATE FILING OF COMMUNITY BENEFIT REPORT | THE ANNUAL COMMUNITY BENEFIT IS FILED WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT |
| SCHEDULE H | IN 2013, 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 $6,117,528. IN 2012, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $1,076,828. THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $43,522,147. 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 2013 THIS COST WAS APPROXIMATELY $1,683,506. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $53,944,174 IN COMMUNITY BENEFIT EXPENSES IN 2013. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John McNamara MD | ||||||||||||||
| Board Member/SR VP Chief Medic | $0 | $314,320 | $0 | $70,767 | $0 | $0 | $0 | $72,378 | $0 | $11,199 | $0 | $468,664 | $0 | $0 |
| Hugo Hool MD | ||||||||||||||
| Board Member/Network Physician | $0 | $245,096 | $0 | $0 | $0 | $13,454 | $0 | $0 | $0 | $0 | $0 | $258,550 | $0 | $13,454 |
| Craig Leach | ||||||||||||||
| President/CEO & Asst. Treasure | $0 | $449,026 | $0 | $139,046 | $0 | $0 | $0 | $127,732 | $0 | $15,873 | $0 | $731,677 | $0 | $0 |
| Sally Eberhard | ||||||||||||||
| Board Member/Sr. VP Planning & | $0 | $342,172 | $0 | $77,682 | $0 | $0 | $0 | $79,301 | $0 | $16,190 | $0 | $515,345 | $0 | $0 |
| William Larson | ||||||||||||||
| CFO | $0 | $202,209 | $0 | $20,370 | $0 | $0 | $0 | $14,193 | $0 | $26,139 | $0 | $262,911 | $0 | $0 |
| Margaret Berwald | ||||||||||||||
| Sr VP Nursing Services/CNO | $0 | $251,547 | $0 | $38,927 | $0 | $0 | $0 | $59,251 | $0 | $19,407 | $0 | $369,132 | $0 | $0 |
| Michael Thomas | ||||||||||||||
| VP Ancillary Support Services | $0 | $265,616 | $0 | $26,071 | $0 | $0 | $0 | $23,769 | $0 | $15,540 | $0 | $330,996 | $0 | $0 |
| Debra Kelley | ||||||||||||||
| VP Ancillary Support Services | $0 | $237,403 | $0 | $23,560 | $0 | $0 | $27,207 | $0 | $16,019 | $0 | $304,189 | $0 | $0 | |
| Laura Schenasi | ||||||||||||||
| Exec. VP TMMC Foundation | $0 | $255,172 | $0 | $45,222 | $0 | $0 | $0 | $17,407 | $0 | $27,576 | $0 | $345,377 | $0 | $0 |
| Barbara LeQuire | ||||||||||||||
| VP Nursing Services | $0 | $208,672 | $0 | $20,370 | $0 | $0 | $0 | $24,184 | $0 | $13,481 | $0 | $266,707 | $0 | $0 |
| Bernadette Reid | ||||||||||||||
| VP Information Systems | $0 | $206,038 | $0 | $20,370 | $0 | $0 | $0 | $19,915 | $0 | $14,480 | $0 | $260,803 | $0 | $0 |
| Wen-wen Tsai | ||||||||||||||
| STAFF RN III | $248,652 | $0 | $0 | $0 | $0 | $0 | $17,875 | $0 | $7,838 | $0 | $274,365 | $0 | $0 | $0 |
| Linda Dobie | ||||||||||||||
| VP Risk Management | $0 | $199,070 | $0 | $20,370 | $0 | $0 | $0 | $43,670 | $0 | $6,249 | $0 | $269,359 | $0 | $0 |
| PETER ROSEMARK | ||||||||||||||
| RADIATION PHYSICIST | $219,758 | $0 | $0 | $0 | $0 | $0 | $21,939 | $0 | $14,085 | $0 | $255,782 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | BECAUSE TORRANCE HEALTH ASSOCIATION AND TORRANCE MEMORIAL MEDICAL CENTER HAVE A COMMON BOARD, THE SAME PERSONS FOR BOTH ORGANIZATIONS USED THE METHODS CHECKED ON SCHEDULE J, PART I, QUESTION 3 TO DETERMINE THE COMPENSATION OF THE CEO. |
| SCHEDULE J, PART I, LINE 4B | THE TORRANCE HEALTH ASSOCIATION (THA) BOARD OF TRUSTEES PROVIDES A SERP TO PARTICIPANTS IDENTIFIED AS "KEY EMPLOYEES". THE SERP PROVIDES FOR AN ANNUAL ACCRUAL BASED UPON THE KEY EMPLOYEE'S EARNINGS TO BE ACCUMULATED IN A LIABILITY ACCOUNT EARNING INTEREST AT THE RATE SPECIFIED IN THE PLAN DOCUMENT. PARTIAL VESTING AND DISTRBUTION OCCURS UPON A PARTICIPANT'S REACHING AGE 60 AND MAINTAINING EMPLOYMENT AS A KEY EMPLOYEE OF THA. DURING 2013 HUGO HOOL RECIEVED A SERP PAYMENT OF $13,454. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF TORRANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 956000803 | BondIssuerEIN |
| CUSIP | 891380AR8 | CUSIPNum |
| Bond Issued | 2010-09-23 | BondIssuedDt |
| Issue Price | $234,272,023 | IssuePriceAmt |
| Purpose | FINANCE NEW CONSTRUCTION | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $234,272,023 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $2,707,235 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $234,272,023 | CapitalExpendituresAmt |
| Other Spent Proceeds | $34,800,000 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | Yes (true) | AnyResearchAgreementsInd |
| Engage Bond Counsel Research | Yes (true) | EngageBondCounselResearchInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | Yes (true) | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John F Graham | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Son of President Emeritus | RelationshipDescriptionTxt |
| Transaction | $65,939 | TransactionAmt |
| Transaction | Employee of TMMC | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION STATEMENT | TORRANCE MEMORIAL MEDICAL CENTER IS A LOCALLY GOVERNED COMMUNITY, NON-PROFIT MEDICAL CENTER WHOSE PURPOSE IS TO PROVIDE QUALITY HEALTHCARE SERVICES, PREDOMINANTLY TO THE RESIDENTS OF THE SOUTH BAY/PENINSULA COMMUNITIES. UNDER THE GOVERNANCE OF A COMMUNITY-BASED BOARD OF TRUSTEES, TORRANCE MEMORIAL SERVES THE PUBLIC INTEREST BY: - IMPROVING THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE OF OUR RESOURCES; - OFFERING THE MOST CURRENT AND EFFECTIVE TECHNOLOGIES RENDERED IN A COMPASSIONATE, CARING MANNER; - MAINTAINING LONG-TERM STABILITY IN ORDER TO ASSURE OUR STRENGTH AND VIABILITY FOR THE BENEFIT OF THE COMMUNITY. |
| FORM 990, PART III, LINE 4A | Program Service Activity FULFILLING OUR MISSION TO MEET COMMUNITY HEALTH NEEDS: SINCE 1925, COMMUNITY ACCESS TO QUALITY HEALTHCARE SERVICES HAS BEEN A TOP PRIORITY FOR TORRANCE MEMORIAL. AS AN INDEPENDENT COMMUNITY HOSPITAL, WE RECEIVE NO SUBSIDY FROM CITY OR STATE GOVERNMENTS OR A LARGER CORPORATE SYSTEM. OVER THE LAST DECADE, FIVE HOSPITALS HAVE CLOSED IN OUR SERVICE AREA, OR NEARBY, WHICH HAS SIGNIFICANTLY IMPACTED TORRANCE MEMORIAL. 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 THIS PROJECT. 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 TRI-ANNUAL COMMUNITY NEEDS ASSESSMENT WHICH SUMMARIZES 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 ACCOUNTED FOR AND SUMMARIZED AS FOLLOWS: I) CHARITY CARE POLICY AND FINANCIAL ASSISTANCE TO THE UNINSURED THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-350% 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 81 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 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 2013, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $6,117,528. 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 165 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 10 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 PROVIDE 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, CONDUCT OUTREACH AND EDUCATION ON DOMESTIC VIOLENCE, PARTICIPATE ACTIVELY IN COMMUNITY SYMPOSIUMS FOR DISASTER PREPAREDNESS, AND PARTICIPATE IN TORRANCE CHAMBER'S ADOPT-A-SCHOOL PROGRAM. IN 2013, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $1,076,828. 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 2013, THESE INCLUDED PATIENTS COVERED UNDER THE STATE SPONSORED MEDI-CAL PLAN FOR THE MEDICALLY INDIGENT. TORRANCE MEMORIAL RECEIVES 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 AT OUR COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. IN 2013, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $43,522,147. 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 2013, THIS COST WAS APPROXIMATELY $1,683,939. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $53,944,174 IN COMMUNITY BENEFIT EXPENSES IN 2013. AN ONGOING EVALUATION IS BEING UNDERTAKEN TO ASSESS NEW COMMUNITY NEEDS AND DETERMINE HOW BEST TO ADJUST OUR PRIORITIES TO MOST EFFICIENTLY PROVE SUPPORT TO COMMUNITIES IN NEED. |
| FORM 990, PART VI, QUESTION 6 | DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF THE MEDICAL CENTER. |
| FORM 990, PART VI, QUESTION 11 | DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT ALONG WITH OUR TAX ADVISORS. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. OUR TAX ADVISORS DISCUSSED AND EDUCATED THE TRUSTEES ON THE FORM 990. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990. |
| FORM 990, PART VI, QUESTION 12C | MONITORING OF THE CONFLICT OF INTEREST POLICY TORRANCE MEMORIAL MEDICAL CENTER'S ("TMMC") MONITORING, REVIEW AND ENFORCEMENT OF ITS CONFLICT OF INTEREST POLICY RESTS WITH ITS NOMINATING COMMITTEE. ANNUALLY, TMMC SENDS ALL TRUSTEES, OFFICERS, EXECUTIVES, AND MANAGERIAL EMPLOYEES A COPY OF TMMC'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST QUESTIONNAIRE. ALL TRUSTEES, OFFICERS, EXECUTIVES AND MANAGERIAL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST POLICY. ADDITIONALLY, THEY MUST ALSO COMPLETE, SIGN AND SUBMIT A 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 NOMINATING 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 CONFLICT 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 AREA 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, QUESTION 15A & 15B | PROCESS FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES FOR THE TAX YEAR 2013 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. |
| FORM 990, PART VI, QUESTION 19 | AVAILABILITY OF GOVERNING DOCUMENTS FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTIONS. THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE SECRETARY OF STATE. |
| FORM 990, PART VII | TORRANCE HEALTH ASSOCIATION PAYS COMPENSATION TO HUGO HOOL, MD, A BOARD MEMBER, FOR PHYSICIAN SERVICES RENDERED TO TORRANCE MEMORIAL PHYSICIANS NETWORK. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES Pension Liability Adjustment 55,306,327 Change in value of Foundation 33,101,187 Transfer to affiliate (4,185,000) Miscellaneous reclasses 274,969 ------------ 84,497,483 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Torrance Health Association | ||||||||||
| 3330 Lomita Blvd | Torrance | CA | 90505 | 330073515 | Health Svc | CA | 501(c)(3) | 11b | NA | false |
| Torrance Memorial Med Ctr Healthcare Fdn | ||||||||||
| 3330 Lomita Blvd | Torrance | CA | 90505 | 953528452 | FUNDRAISING | CA | 501(c)(3) | 7 | NA | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TORRANCE MEMORIAL MED CTR FOUNDATION | ||
| c | $10,000,000 | Actual |
| TORRANCE MEMORIAL MED CTR FOUNDATION | ||
| n | $827,860 | Actual |
| TORRANCE MEMORIAL MED CTR FOUNDATION | ||
| m | $125,484 | FMV |
| TORRANCE HEALTH ASSOCIATION | ||
| h | $16,000,000 | Actual |
| TORRANCE HEALTH ASSOCIATION | ||
| k | $1,175,278 | Actual |
| TORRANCE HEALTH ASSOCIATION | ||
| j | $314,832 | Actual |
| TORRANCE HEALTH ASSOCIATION | ||
| s | $700,088 | Actual |
| TORRANCE HEALTH ASSOCIATION | ||
| q | $733,076 | Actual |
| TORRANCE HEALTH ASSOCIATIOIN | ||
| p | $5,447,804 | Actual |