TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CRAIG LEACH...................................................................... PRESIDENT/CEO/ASSIST TREASURER	20.0 ................. 22.0	X	X			0	1,081,710	299,939
(2) JOHN MCNAMARA...................................................................... CMO	20.0 ................. 20.0			X		0	619,066	67,235
(3) DEREK BERZ...................................................................... SR VP CHIEF ADMIN OFFICER	40.0 ................. 0.0			X		0	528,404	94,165
(4) LAURA SCHENASI...................................................................... EXEC VP TMMC FOUNDATION	40.0 ................. 0.0				X	0	366,496	55,855
(5) DEBRA KELLEY...................................................................... VP ANCILLARY SUPPORT SERVICES	40.0 ................. 0.0			X		0	348,144	48,586
(6) MARY WRIGHT...................................................................... VP NURSING SERVICES	40.0 ................. 0.0			X		0	344,942	49,662
(7) WILLIAM LARSON...................................................................... CFO	20.0 ................. 20.0		X			0	328,262	58,358
(8) BERNADETTE REID...................................................................... VP INFORMATION SERVICES	40.0 ................. 0.0				X	0	333,704	49,693
(9) HEATHER SHAY...................................................................... VP ACCRED & QUALITY SERVICES	40.0 ................. 0.0			X		0	334,683	40,346
(10) LINDA DOBIE...................................................................... VP RISK MANAGEMENT	40.0 ................. 0.0				X	0	299,926	64,109
(11) SHANNA HALL...................................................................... VP NURSING SERVICES	40.0 ................. 0.0			X		0	327,246	34,805
(12) ROBIN CAMRIN...................................................................... VP MED STAFF SERVICES	40.0 ................. 0.0				X	0	315,476	40,789
(13) STACEY KIMURA...................................................................... NICU UNIT LEAD RN	40.0 ................. 0.0				X	305,926	0	37,217
(14) SALLY EBERHARD...................................................................... BOARD MEMBER/SR VP TMHS	10.0 ................. 10.0	X				0	310,577	28,386
(15) BARBARA LEQUIRE...................................................................... SR VP NURSING SERVICES	40.0 ................. 0.0			X		0	317,933	6,180
(16) VINH CAM MD...................................................................... VICE CHAIRMAN	1.0 ................. 1.0	X	X			0	0	0
(17) WILLIAM COLLIER ESQ...................................................................... TREASURER	1.0 ................. 3.0	X	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
CERNER CORPORATION, PO BOX 959156 ST LOUIS,MO63195	IT SERVICES	9,496,578
SODEXO INC AND AFFILIATES, PO BOX 360170 PITTSBURGH,PA15251	FOOD SERVICES	4,241,377
SIEMENS MEDICAL SOLUTIONS INC, DEPT LA 21536 PASADENA,CA91185	MED PURCHASED SVCS	2,950,728
CROTHALL LAUNDRY SERVICES, 14710 Northam St LA MIRADA,CA90638	LAUNDRY SERVICES	1,779,216
EMCOR SERVICES INC, 5 VANDERBILT IRVINE,CA92618	Equipment maint.	1,726,532
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 104

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization TORRANCE MEMORIAL MEDICAL CENTER

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization TORRANCE MEMORIAL MEDICAL CENTER		Employer identification number 95-1644042

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization TORRANCE MEMORIAL MEDICAL CENTER			Employer identification number 95-1644042
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

28,967

Total. Add lines 1c through 1i ....................................................................................................

28,967

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I	LOBBYING ACTIVITIES During 2020, TMMC paid the California Hospital Association for Lobbying.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	9,251,585	9,466,459	9,576,271	8,957,498	9,000,069
b	Contributions ...
c	Net investment earnings, gains, and losses	284,557	265,126	-19,812	1,038,773	377,429
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	360,000	480,000	90,000	420,000	420,000
f	Administrative expenses ....
g	End of year balance ......	9,176,142	9,251,585	9,466,459	9,576,271	8,957,498

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

33.300 %

Term endowment SchDMd Bullet

66.700 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	35,638,723		35,638,723
b	Buildings ....	557,443,780	39,312,019	518,131,761
c	Leasehold improvements
d	Equipment ....	88,542,344	42,158,816	46,383,528
e	Other .....	14,531,374		14,531,374
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				614,685,386

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)INTEREST IN NET ASSETS OF TMF	119,187,183	C
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	119,187,183

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	356,152,267
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4

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

SCHEDULE D, PART X, LINE 2

FIN 48 (ASC740) FOOTNOTE From Cedars-Sinai Health System consolidated financial statements: THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE HEALTH SYSTEM HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE HEALTH SYSTEM IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HEALTH SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2016.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	Investments	22,639,771
















3a	Sub-total ....		22,639,771
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		22,639,771

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation

Schedule F (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 450 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,852,430	0	4,852,430	0.700 %
b	Medicaid (from Worksheet 3, column a) . . . . .	69,848,805	48,388,728	21,460,077	3.110 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	74,701,235	48,388,728	26,312,507	3.810 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	0	0	0	0 %
f	Health professions education (from Worksheet 5) . . .	1,707,062	0	1,707,062	0.250 %
g	Subsidized health services (from Worksheet 6) . . . .	2,064,357	0	2,064,357	0.300 %
h	Research (from Worksheet 7) .	415,671	0	415,671	0.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	922,936	0	922,936	0.130 %
j	Total. Other Benefits . .	5,110,026	0	5,110,026	0.740 %
k	Total. Add lines 7d and 7j .	79,811,261	48,388,728	31,422,533	4.550 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	694,776	694,776	0.100 %
4	Environmental improvements
5	Leadership development and training for community members	41,675	41,675	0.010 %
6	Coalition building
7	Community health improvement advocacy	84,215	84,215	0.010 %
8	Workforce development
9	Other
10	Total	820,666	820,666	0.120 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

7,498,439

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,152,504

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

259,875,841

Enter Medicare allowable costs of care relating to payments on line 5.....

371,687,058

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-111,811,217

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1TORRANCE SURG CENTER	AMBULATORY SURGERY	36.035 %	41.622 %
2TORR MULTI-SPEC ASC	AMBULATORY SURGERY	31.115 %	42.875 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	TORRANCE MEMORIAL MEDICAL CENTER 3330 LOMITA BOULEVARD TORRANCE,CA90505 www.torrancememorial.org 930000076	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	TORRANCE MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TORRANCE MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 450.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	TORRANCE MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	TORRANCE MEMORIAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, LINE 5	Needs Assessment Process Interviews, a survey, and a focus group were used to gather input from persons who represent the broad interests of the community served by the hospital. These individuals include those with special knowledge or expertise in public health. Interviews Twenty-five (25) interviews were completed from January through March 2019. Community stakeholders identified by the hospital were contacted and asked to participate in the needs assessment. Interviewees included individuals who are leaders and/or representatives of the medically underserved, low-income, and minority populations or from other agencies that have current data or other information relevant to the health needs of the community. Input was obtained from the Los Angeles County Department of Public Health. Interview questions focused on the following topics: most significant health issues in the community; social, cultural, behavioral, environmental or medical factors contributing to poor health in the community; who is most affected by the significant needs; effective strategies or actions for addressing the needs; services most challenging to access; potential resources to address the identified health needs, such as services, programs and/or community efforts; potential area for coordination or collaboration to address community health needs; and an open question for additional comments and concerns. Interviews were conducted with the following community stakeholders. Name - Title - Organization Roxanne Chang, MD - Board Member - Community's Child Janette Dawson, RN, MHA, ACM - Director, Case Management - Torrance Memorial Medical Center Cristina DeMarti, MS, AMFT - Lead Therapist - Richstone Family Center Donna Duperron - President and CEO - Torrance Area Chamber of Commerce; Executive Committee, South Bay Area Chambers of Commerce Mike Estes - Director, Community Services - City of Lawndale Anna Garalde, MA - Administrative Director, Path to Independence - Mychal's Learning Place Judith Gerber - Coordinator, Garden Program; Food Forward; Torrance Farmer's Market; Torrance Library Commission Jann Hamilton Lee, MHA - President and CEO - South Bay Family Health Care Jen Harris - Prevention Coordinator - Behavioral Health Services Stan James - Associate Director of Workforce Development - Goodwill Industries Nancy Lomibao, MS, LMFT - Program Director, Chief Clinical Officer - Cancer Support Community - Redondo Beach Ed Long - President - Caring House Steve MacAller - Executive Director/Vice President - Torrance-South Bay YMCA Sara Myers - President and CEO The Volunteer Center - South Bay, Harbor, Long Beach Tara Nierenhausen - Executive Director - Community's Child Terri Nishimura - Founder and CEO - Pediatric Therapy Network June Pouesi - Executive Director - Office of Samoan Affairs Silvia Prieto, MD, MPH - Area Health Officer, SPA 7 and SPA 8 - Los Angeles County Department of Public Health Megha Sata, DDS - Dental Director - South Bay Children's Health Center Hillary Theyer - City Librarian - City of Torrance Amanda Valorosi - Senior Assisted Living Coordinator - City of Carson Britt Vanden Eykel-Huff - Executive Director - H.E.L.P. Rosemary Veniegas - Program Officer - California Community Foundation Bea Virobik - Volunteer/Coordinator - Focal Point on Aging Angela Wilson, LMFT - Director of Mental Health - South Bay Children's Health Center School Survey Survey respondents: RNs, LVNs, school health assistants, and counselors Date of survey: Feb 20 - March 10, 2019 # of respondents: 78 School Survey A survey was developed to capture input from local school staff members on student and family health and social needs. The survey was available in an electronic format through a Survey Monkey link, and in a paper copy format. The hospital distributed the electronic survey link to school and school district office health staff (RNs, LVNs, health aides and counselors). The electronic survey was available from January 20 through February 10, 2019. The paper version of the survey was distributed to school nurses at an in-person meeting held at the hospital on February 12, 2019. Survey questions focused on the following topics: unmet needs of students and families; health or social services challenging to access or missing in the community; areas for collaboration; and ranking of importance of identified health needs. Focus Group The South Bay Coalition to End Homelessness worked in partnership with Kaiser Permanente - South Bay Medical Center, Providence Little Company of Mary (San Pedro and Torrance), and Torrance Memorial Medical Center, to convene a focus group of representatives from organizations that are knowledgeable about homelessness issues in the South Bay. Focus group questions focused on the following topics: factors or conditions that cause or contribute to homelessness; who is most affected by homelessness; how homelessness affects the health of the community; effective strategies or actions for addressing homelessness; how Measure H and Measure HHH have affected homelessness in your community; and an open question for additional comments. Focus Group on Homelessness Focus Group Date: January 31, 2019, 20 participants from the following agencies. Beach Cities Health District Beacon Light Mission/Doors of Hope Women's Shelter Center for the Pacific Asian Family Century Villages Community's Child Doors of Hope Women's Shelter El Camino College Harbor Interfaith Services LINC Housing Corporation Los Angeles Homeless Services Authority Mental Health America of Los Angeles NAMI South Bay PATH Rainbow Services, Ltd Salvation Army Torrance, Stillman Sawyer Family Services Center San Pedro United Methodist Church South Bay Coalition to End Homelessness Torrance Unified School District
SCHEDULE H, PART V, LINE 7A	CHNA WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/CHNAFY19
SCHEDULE H, PART V, LINE 11	The following significant health needs were determined. - Access to care - Cardiovascular disease - Dental care - Diabetes - Food insecurity - Housing and homelessness - Kidney disease - Mental health - Overweight and obesity - Pneumonia and flu - Preventive practices - Substance use and misuse Torrance Memorial Medical Center developed an implementation strategy based on the 2019 Community Health Needs Assessment (CHNA), as required by state and federal regulations guiding tax exempt hospitals. Access to care, chronic diseases, housing and homelessness, and substance use and misuse emerged as the health focus areas for the 2020-2022 Implementation Strategy. Health Focus Areas Access to Care: efforts focus on increasing and supporting access to essential health care services for the underserved through direct programs and partnerships with local community-based organizations. Programs, partnerships and strategies address the following access to care priority health needs: - Primary Care (includes OB/Gynecological care) - Mental health care Chronic Disease: efforts focus on the prevention of chronic health conditions, underlying risk factors and the root causes of chronic diseases. Programs, partnerships and strategies address the following priority health needs related to chronic diseases: - Cardiovascular disease - Diabetes and kidney disease - Preventive practices - Food insecurity - Mental health - Overweight and obesity - Pneumonia and flu Housing and Homelessness: efforts focus on connecting people experiencing homelessness to community-based programs and services and building strategies to improve the health of homeless individuals. Key partnerships will support the capacity-building strategies of community-based organizations to serve people experiencing homelessness. Substance Use and Misuse: efforts focus on programs, partnerships and strategies to increase access to appropriate substance use care and community-based health care services. In support of our mission to improve the community health within our scope and expertise, Torrance Memorial has committed to ongoing program evaluation to ensure maximum impact of community benefit strategies. Torrance Memorial will incorporate evaluation results into program strategy, planning and implementation. Health Needs the Hospital Will Not Address Health needs were identified in the CHNA and subsequently prioritized by community stakeholders. From the prioritized health needs, Torrance Memorial Medical Center chose health focus areas based on criteria, taking into account the medical center's capacity to impact community needs, the strength of community partnerships and the alignment with organizational strategic planning efforts. There was a significant health need identified in the CHNA that did not meet the criteria for developing and implementing a health focus area and, as a result, is not addressed in this Implementation Strategy. This is not intended to minimize the importance of this health need; it is a reality of having a strategic focus on effectiveness to improve community health. The health need identified in the CHNA but not included in the health focus areas for this Implementation Strategy is dental care. TMMC will continue to look for opportunities to address community needs where we can make a meaningful contribution.
SCHEDULE H, PART V, LINE 13B	IF A PATIENT'S RESPONSIBILITY IS 10% OR MORE OF THE PATIENT'S FAMILY INCOME FOR THE PREVIOUS 12 MONTHS, THE ENTIRE AMOUNT OWED BY THE PATIENT WILL BE LIMITED TO 10% OF THEIR FAMILY INCOME FOR THE PRECEDING 12 MONTH PERIOD.
SCHEDULE H, PART V, LINE 13H	ADDITIONAL FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE INCLUDE FAMILY SIZE AND THE OCCURRENCE OF A CATASTROPHIC MEDICAL EVENT.
SCHEDULE H, PART V, LINE 16A	FAP WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_INFORMATION/BILLING/financial_ass istance.aspx
SCHEDULE H, PART V, LINE 16B	FAP APPLICATION WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_INFORMATION/BILLING/financial_ass istance.aspx
SCHEDULE H, PART V, LINE 16C	FAP PLAIN LANGUAGE SUMMARY WEBSITE HTTPS://WWW.TORRANCEMEMORIAL.ORG/PATIENT_INFORMATION/BILLING/financial_ass istance.aspx

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address		Type of Facility (describe)
1	TORRANCE MEMORIAL BREAST DIAG CENTER III 855 MANHATTAN BEACH BLVD MANHATTAN BEACH,CA90266	IMAGING AND DIAGNOSTICS CENTER
2	TORRANCE MEMORIAL BREAST DIAG CENTER IV 65 PENINSULA CENTER ROLLING HILLS ESTATES,CA90274	IMAGING AND DIAGNOSTICS CENTER
3	TORRANCE MEMORIAL BREAST DIAG CENTER II 824 E CARSON ST CARSON,CA90745	IMAGING AND DIAGNOSTICS CENTER
4	TORRANCE MEMORIAL SURGICAL CENTER 23560 CRENSHAW BLVD STE 104 TORRANCE,CA90505	SURGICAL CENTER
5	TORRANCE SURGERY CENTER 23451 MADISON STR STE 340 TORRANCE,CA90505	SURGICAL CENTER
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	FACTORS CONSIDERED WHEN DETERMINING WHETHER AN INDIVIDUAL IS QUALIFIED FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY MAY INCLUDE: - NO INSURANCE UNDER ANY GOVERNMENT-COVERAGE PROGRAM; OTHER THIRD-PARTY INSURER; OR INADEQUATE THIRD-PARTY INSURANCE COVERAGE - FAMILY INCOME BASED UPON TAX RETURNS AND RECENT PAY STUBS - FAMILY SIZE - QUALIFYING MONETARY ASSETS (CHECKING, SAVINGS, STOCKS, BONDS, MONEY MARKET AND SIMILAR INVESTMENTS) SCHEDULE H, PART I, LINE 7 THE COST-TO-CHARGE RATIO WAS USED FROM THE RESPECTIVE WORKSHEETS LOCATED IN THE SCHEDULE H INSTRUCTIONS TO CALCULATE THE AMOUNTS IN THE TABLE FOR CHARITY CARE AT COST, UNREIMBURSED MEDICAID, AND UNREIMBURSED COSTS FROM OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE OTHER BENEFITS LOCATED ON 7E THROUGH 7I WERE DERIVED FROM GENERAL LEDGER ACCOUNTS AND ESTIMATES. SCHEDULE H, PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH OF THE COMMUNITY WE SERVE. TORRANCE MEMORIAL CONTINUALLY SEEKS TO ENGAGE IN COMMUNITY BUILDING ACTIVITIES WHICH SUPPORT OR PROVIDE LEADERSHIP TRAINING FOR THE COMMUNITY, ENHANCE THE WORKFORCE, ENCOURAGE COALITION BUILDING, OR PROVIDE ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT. CURRENT ACTIVITIES INCLUDE A LONGSTANDING LEADERSHIP ROLE WITH THE SOUTH BAY SURVIVORSHIP CONSORTIUM, CO-ORGANIZING THE HOSPITAL SUBCOMMITTEE OF THE SOUTH BAY COALITION TO END HOMELESSNESS, COORDINATING AND HOSTING ANNUAL CLERGY NETWORKING MEETINGS, AND CONDUCTING SOUTH BAY HEALTH RESOURCES PARTNERSHIP EVENTS FOR THE BENEFIT OF AREA NON-PROFIT SERVICE ORGANIZATIONS. TORRANCE MEMORIAL PARTICIPATES ON AN ONGOING BASIS WITH LEADERSHIP TORRANCE AND JUNIOR LEADERSHIP TORRANCE. SPONSORED BY THE TORRANCE AREA CHAMBER OF COMMERCE AND CONDUCTED ON SITE AT THE HOSPITAL, THESE EVENTS PROVIDE OPPORTUNITIES FOR EMERGING COMMUNITY LEADERS TO MEET WITH AN INFLUENTIAL MEMBER OF THE MEDICAL CENTER TO LEARN ABOUT THEIR AREAS OF RESPONSIBILITY WITH A FOCUS ON DEVELOPING EFFECTIVE LEADERS ACROSS THE SOUTH BAY. TMMC ASSISTS IN ECONOMIC DEVELOPMENT BY WORKING WITH LOCAL SMALL BUSINESSES TO PROVIDE SERVICES TO THE MEDICAL CENTER, INCLUDING THE OPERATION OF THE UNIFORM PROGRAM AS WELL AS THE PRODUCTION OF A SUBSTANTIAL PORTION OF THE MEDICAL CENTER'S MARKETING AND COMMUNICATIONS MATERIALS. WE PROVIDE COMMUNITY HEALTH IMPROVEMENT ADVOCACY BY PARTICIPATING IN THE CALIFORNIA HOSPITAL ASSOCIATION (CHA) COMMUNITY BENEFIT COMMITTEE TO PROVIDE INPUT TO CHA ON NON-PROFIT HOSPITALS' COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES. ENVIRONMENTAL IMPROVEMENT ACTIVITIES INCLUDE PROMOTING AND VOLUNTEERING AT ONGOING PRESCRIPTION DRUG TAKE BACK DAYS. THESE EVENTS ARE CONDUCTED IN COLLABORATION WITH LOCAL LAW ENFORCEMENT AND OTHER COMMUNITY PARTNERS AND RESULT IN SAFE DISPOSAL OF UNUSED OR EXPIRED MEDICATIONS AND SHARPS. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE CONDUCTING VARIOUS PRECEPTOR, INTERNSHIP, AND GRADUATE STUDENT EXPERIENCES FOR NURSING AND ANCILLARY PROGRAMS TO TRAIN AND PREPARE STUDENTS FOR IN-DEMAND HEALTHCARE CAREERS. IN OUR PARTNERSHIP WITH THE GOODWILL CAREER DEVELOPMENT PROGRAM, THE MEDICAL CENTER PROVIDES REAL-WORLD TRAINING EXPERIENCES AND SKILL DEVELOPMENT IN FOOD SERVICES TO GOODWILL'S PROGRAM CLIENTS. THE MEDICAL CENTER ALSO ENTERED A PARTNERSHIP WITH VERBUM DEI'S CORPORATE WORK STUDY PROGRAM TO BE A WORK SITE FOR HIGH SCHOOL STUDENTS FROM THE UNDERSERVED WATTS COMMUNITY. THE INTERNS FILL A 1 FULL-TIME EQUIVALENT POSITION. THE INTERNSHIP PROVIDES DAILY WORK EXPERIENCE IN A CORPORATE ENVIRONMENT AND REINFORCES THE COLLEGE PREPARATORY ENVIRONMENT AND LIFE SKILLS BEYOND COLLEGE.
SCHEDULE H, PART III, SECTION A, LINES 2 AND 3	BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION A, LINE 4	FOOTNOTE FROM THE CEDARS-SINAI HEALTH SYSTEM FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2020 For uninsured patients who do not qualify for charity care, the Health System recognizes revenue based on established rates, subject to certain discounts and implicit price concessions as determined by the Health System. The Health System determines the transaction price based on standard charges for services provided, reduced by explicit price concessions provided to third party payers, discounts provided to uninsured patients in accordance with the Health Systems policy, and implicit price concessions provided to uninsured patients. Explicit price concessions are based on contractual agreements, discount policies, and historical experience. Implicit price concessions represent differences between amounts billed and the estimated consideration the Health System expects to receive from patients, which are determined based on historical collection experience, current market conditions, and other factors.
SCHEDULE H, PART III, LINE 8	TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H.
SCHEDULE H, PART III, LINE 9B	APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DOES NOT PURSUE COLLECTION FOR AMOUNTS KNOWN TO QUALIFY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE MEDICAL CENTER MAKES EVERY REASONABLE, COST EFFECTIVE EFFORT TO COMMUNICATE PAYMENT OPTIONS, FINANCIAL ASSISTANCE AVAILABILITY AND CHARITY CARE PROGRAMS WITH EACH PATIENT WHO RECEIVES SERVICES AT THEHOSPITAL. TMMC UNDERSTANDS THAT CERTAIN PATIENTS MAY BE UNABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION, COMPLY WITH REQUESTS FOR DOCUMENTATION, OR ARE OTHERWISE NONRESPONSIVE TO THE APPLICATION PROCESS. AS A RESULT THERE MAY BE CIRCUMSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL ASSISTANCE APPLICATION. UNDER THESE CIRCUMSTANCES, TMMC MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE TMMC TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON-RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT (PRESUMPTIVE ELIGIBILITY). THE ASSESSMENT WILL BE COMPLETED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. IN THE EVENT THAT A PATIENT OR GUARANTOR DOES NOT RESPOND OR COMMUNICATE WITH THE MEDICAL CENTER TO RESOLVE AN OPEN ACCOUNT, AND DOES NOT MEET THE PRESUMPTIVE ELIGIBILITY CRITERIA, THE MEDICAL CENTER MAY FORWARD THE ACCOUNT TO ITS COLLECTION AGENCY. SINCE THE FINANCIAL STATUS OF THE PATIENT IS NOT KNOWN AT THAT POINT, THE AMOUNT IS DISCOUNTED BY 83% PRIOR TO EXTERNAL COLLECTION EFFORTS. SHOULD THE EXTERNAL COLLECTION AGENCY BECOME AWARE OF THE FINANCIAL STATUS OF THE PATIENT IN THE COURSE OF COLLECTION EFFORTS, THE AGENCY MAY ADJUST THE AMOUNT FURTHER TO REFLECT THE LIMITS OUTLINED IN THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. ANY ACCOUNT RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DOES NOT HAVE THE ABILITY TO PAY MAY ALSO BE DEEMED ELIGIBLE FOR CHARITY CARE. SUCH ACCOUNTS ARE EVALUATED BY MEDICAL CENTER PERSONNEL FOR PROPER APPLICATION OF FINANCIAL ASSISTANCE POLICIES.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT THE COMMUNITY NEEDS ASSESSMENT INCLUDES A SUMMARY OF POPULATION AND HOUSEHOLD DEMOGRAPHICS, MEASURES RELATED TO ACCESS TO HEALTH CARE, MORTALITY, MATERNAL AND INFANT HEALTH, CHILD AND ADOLESCENT HEALTH, ADULT HEALTH, AND SENIOR HEALTH; AND FINDINGS FROM THE COMMUNITY CONSULTATION. THE HOSPITAL USES THE FINDINGS IN THE PREPARATION OF COMMUNITY BENEFIT PLANS FOR THE NEXT THREE FISCAL YEARS. THE NEEDS ASSESSMENT COMBINES QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF HEALTH-RELATED DATA AND INTERVIEWS WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES. TO ASSIST WITH IDENTIFYING PRIORITIES, COMPARISONS ARE MADE TO NATIONAL BENCHMARKS KNOWN AS HEALTHY PEOPLE 2020 AND OTHER REGIONAL EXPERIENCES. ADDITIONALLY, ON A TRIENNIAL BASIS, TORRANCE MEMORIAL MEDICAL CENTER CONDUCTS AN INVENTORY OF HEALTH, EDUCATION AND SOCIAL SERVICES RESOURCES WHICH ARE AVAILABLE IN THE SERVICE AREA TO BETTER ADDRESS SIGNIFICENT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE INVENTORY INCLUDES: MEDICAL HOSPITALS, ACUTE CARE SERVICES INCLUDING EMERGENCY ROOMS, END-OF-LIFE CARE FACILITIES; OTHER HEALTH CARE SERVICES SUCH AS MENTAL HEALTH, DENTAL CARE, FREE CLINICS, CRISIS LINES, SUBSTANCE ABUSE TREATMENT PROGRAMS, SOCIAL SERVICE PROVIDERS TO ALLEVIATE HOMELESS, POVERTY, FOOD INSECURITY, AND INCREASE ACCESS TO PUBLIC PROGRAMS THROUGH BENEFIT ENROLLMENT. IN FISCAL YEAR 2007, THE MEDICAL CENTER INITIATED AND CONTINUES TO REGULARLY CONVENE A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE AND INCREASED THE INVOLVEMENT OF SENIOR MANAGEMENT IN SETTING PRIORITIES AND MONITORING PROGRESS FOR HOSPITAL COMMUNITY BENEFITS. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE. PATIENTS ARE OFFERED AN 83% DISCOUNT OFF THE HOSPITAL BILL AND A FINANCIAL COUNSELOR IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH POSTED SIGNS AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06/30/2020, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (NOT INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $4,852,430.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION COMMUNITY INFORMATION TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DEFINES ITS "COMMUNITY" TO INCLUDE THE FOLLOWING CITIES AND COMMUNITIES: - TORRANCE AND LOMITA - BEACH CITIES OF EL SEGUNDO, HERMOSA, MANHATTAN, AND REDONDO BEACH - PALOS VERDES - GARDENA, HAWTHORNE AND LAWNDALE - HARBOR CITY, WILMINGTON, CARSON AND LOS ANGELES COUNTY ZIP CODE 90502 - SAN PEDRO THERE ARE 7 OTHER HOSPITALS WITHIN THE SERVICE AREA. TMMC'S COMMUNITY DESCRIPTION INCLUDES A SERVICE AREA POPULATION ESTIMATED AT 884,538 PERSONS, WITH 23.0 PERCENT OF THE POPULATION UNDER 18 YEARS, 63.0 PERCENT AGE 18 TO 64, AND 14.0 PERCENT 65 YEARS AND OLDER. RACE/ETHNICITY IS 31.3 PERCENT WHITE, 36.5 PERCENT HISPANIC, 17.9 PERCENT ASIAN/PACIFIC ISLANDER, 9.3 PERCENT AFRICAN-AMERICAN, 0.9 PERCENT OTHER SINGLE RACE AND 4.2 PERCENT OTHER MIXED-RACE. OF THOSE AT LEAST FIVE YEARS OF AGE, 54.7 PERCENT SPEAK ENGLISH ONLY, 27.9 PERCENT SPEAK SPANISH, 12.4 PERCENT SPEAK ASIAN/PI LANGUAGE, AND 5 PERCENT SPEAK OTHER LANGUAGES. OF THOSE PERSONS AT LEAST 25 YEARS AND OLDER, 15.1 PERCENT HAVE LESS THAN A HIGH SCHOOL DEGREE, 19.3 PERCENT HAVE GRADUATED HIGH SCHOOL AND 65.6 PERCENT HAVE SOME COLLEGE TO A COLLEGE DEGREE. AVERAGE HOUSEHOLD INCOME IS ESTIMATED AT $102,046 WITH 12.6 PERCENT OF HOUSEHOLDS IN THE SERVICE AREA BELOW 100% OF THE POVERTY LEVEL. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2019. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF PERSONS 65 YEARS AND OLDER, BLACK AND ASIAN RESIDENTS; PERSONS SPEAKING ENGLISH AND ASIAN OR PACIFIC ISLAND LANGUAGES AT HOME, AND ADULTS WITH SOME COLLEGE TO A PROFESSIONAL DEGREE.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP, CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD". A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. TMMC HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION AND PROMOTE WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PRIMARY ACTIVITIES INCLUDE: - CONDUCTING HEALTH EDUCATION CLASSES ON TOPICS SUCH AS: HEART HEALTH AND STROKE, SMOKING CESSATION, CANCER, NUTRITION, WEIGHT LOSS, DIABETES, MEDICATION SAFETY, RESPIRATORY PROBLEMS, FALL PREVENTION, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING OVER 20 SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, FIBROMYALGIA, OSTOMY, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, STROKE, PARKINSON'S DISEASE AND SURGICAL WEIGHT LOSS; -PARTICIPATING IN HEALTH FAIRS, PROVIDING FREE HEALTH INFORMATION, AND OFFERING BLOOD PRESSURE, BODY FAT SCREENINGS, FLU SHOTS, ANEMIA SCREENINGS AND PULMONARY FUNCTION SCREENINGS; - STAFFING VARIOUS CENTERS (HEALTH RESOURCE CENTER, CANCER RESOURCE CENTER, BREAST EXAMINATION TRAINING CENTER AND IMAGE ENHANCEMENT CENTER) FOR HEALTH INFORMATION AND ASSISTANCE; - PROVIDING HEALTH INFORMATION IN MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, CABLE TELEVISION PROGRAMMING, LIVE STREAM AND A MEDICAL LIBRARY; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR HOMELESS AND WORKING POOR AND VICTIMS OF DOMESTIC VIOLENCE AND INCREASE THE BLOOD SUPPLY; - CONDUCTING SCHOOL AND COMMUNITY-BASED EDUCATION FOR CHILDREN ON THE BASICS OF NUTRITION AND EXERCISE, PROVIDE PUBLIC ACCESS DEFIBRILLATION PROGRAM AND AED AWARENESS AND TRAINING.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM EFFECTIVE FEBRUARY 1, 2018, TORRANCE MEMORIAL MEDICAL CENTER ENTERED INTO AN AFFILIATION AGREEMENT WITH CEDARS-SINAI MEDICAL CENTER. BY COMING TOGETHER, THE NEW AFFILIATED HEALTH CARE SYSTEM, CEDARS-SINAI HEALTH SYSTEM, FOCUSES ON NEW OPPORTUNITIES FOR COORDINATION OF CARE AND RESOURCES BETWEEN THE TWO ORGANIZATIONS, JOINT PROGRAMS TO PROVIDE ACCESS TO MORE PEOPLE FOR NEEDED MEDICAL SERVICES AND ACCESS TO CLINICAL TRIALS AND THE LATEST DEVELOPMENTS IN MEDICAL RESEARCH. BY COMING TOGETHER IN THE CEDARS-SINAI HEALTH SYSTEM, OUR COLLECTIVE ABILITY TO SERVE THE REGION IS ENHANCED EVERY DAY.
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT THE ANNUAL COMMUNITY BENEFIT IS FILED WITH THE STATE OF CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT.

Schedule H (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number
95-1644042

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HARBOR INTERFAITH SERVICE 670 W 9TH STREET SAN PEDRO,CA90731	33-0031099	501(c)(3)	22,000	EMPOWER HOMELESS
(2) CARING HOUSE 2842 EL DORADO STREET TORRANCE,CA90503	20-2201206	501(c)(3)	15,000	End of life care
(3) CANCER SUPPORT 109 W TORRANCE BLVD 100 REDONDO BEACH,CA90277	95-4076131	501(c)(3)	10,000	FREE PROGRAMS TO CANCER PTS.
(4) SALVATION ARMY PO BOX 93002 LONG BEACH,CA90809	94-1156347	501(c)(3)	7,500	CA COMMUNITY CENTINELA PTR
(5) PALOS VERDES PENNINSULA 707 SILVER SPUR RD 100 RH ESTATES,CA90274	95-2923332	501(c)(3)	8,320	SUPPORT INNOVATIVE RESEARCH

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

SCHEDULE I, PART I, LINE 2

GRANT FUNDS ARE AWARDED TO NOT-FOR-PROFIT ORGANIZATIONS WHOSE MISSION AND TARGET POPULATION SERVED ALIGN WITH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHECK IS ACCOMPANIED WITH A LETTER STATING THAT THE DONATION IS TO BE USED FOR OR A SPECIFIC PROGRAM OR SERVICE. SOMETIMES A MEMORANDUM OF UNDERSTANDING, SIGNED BY BOTH ORGANIZATIONS, PRECEDES THE GRANT, SPECIFYING PURPOSE OF THE GRANT, AS WELL AS A REQUIRED OUTCOME REPORTING PERIOD.

Schedule I (Form 990) 2019

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CRAIG LEACH PRESIDENT/CEO/ASSIST TREASURER	(i) (ii)	0 ------------- 692,655	0 ------------- 389,055	0 ------------- 0	0 ------------- 281,313	0 ------------- 18,626	0 ------------- 1,381,649	0 ------------- 0
2JOHN MCNAMARA CMO	(i) (ii)	0 ------------- 401,153	0 ------------- 163,517	0 ------------- 54,396	0 ------------- 58,966	0 ------------- 8,269	0 ------------- 686,301	0 ------------- 54,396
3DEREK BERZ SR VP CHIEF ADMIN OFFICER	(i) (ii)	0 ------------- 371,432	0 ------------- 156,972	0 ------------- 0	0 ------------- 70,061	0 ------------- 24,104	0 ------------- 622,569	0 ------------- 0
4LAURA SCHENASI EXEC VP TMMC FOUNDATION	(i) (ii)	0 ------------- 306,158	0 ------------- 60,338	0 ------------- 0	0 ------------- 30,432	0 ------------- 25,423	0 ------------- 422,351	0 ------------- 0
5DEBRA KELLEY VP ANCILLARY SUPPORT SERVICES	(i) (ii)	0 ------------- 292,272	0 ------------- 55,872	0 ------------- 0	0 ------------- 30,037	0 ------------- 18,549	0 ------------- 396,730	0 ------------- 0
6MARY WRIGHT VP NURSING SERVICES	(i) (ii)	0 ------------- 285,810	0 ------------- 59,132	0 ------------- 0	0 ------------- 32,931	0 ------------- 16,731	0 ------------- 394,604	0 ------------- 0
7WILLIAM LARSON CFO	(i) (ii)	0 ------------- 274,421	0 ------------- 53,841	0 ------------- 0	0 ------------- 27,440	0 ------------- 30,918	0 ------------- 386,620	0 ------------- 0
8BERNADETTE REID VP INFORMATION SERVICES	(i) (ii)	0 ------------- 279,863	0 ------------- 53,841	0 ------------- 0	0 ------------- 33,359	0 ------------- 16,334	0 ------------- 383,397	0 ------------- 0
9HEATHER SHAY VP ACCRED & QUALITY SERVICES	(i) (ii)	0 ------------- 280,842	0 ------------- 53,841	0 ------------- 0	0 ------------- 26,037	0 ------------- 14,309	0 ------------- 375,029	0 ------------- 0
10LINDA DOBIE VP RISK MANAGEMENT	(i) (ii)	0 ------------- 246,085	0 ------------- 53,841	0 ------------- 0	0 ------------- 33,627	0 ------------- 30,482	0 ------------- 364,035	0 ------------- 0
11SHANNA HALL VP NURSING SERVICES	(i) (ii)	0 ------------- 273,405	0 ------------- 53,841	0 ------------- 0	0 ------------- 11,650	0 ------------- 23,155	0 ------------- 362,051	0 ------------- 0
12ROBIN CAMRIN VP MED STAFF SERVICES	(i) (ii)	0 ------------- 265,115	0 ------------- 50,361	0 ------------- 0	0 ------------- 30,037	0 ------------- 10,752	0 ------------- 356,265	0 ------------- 0
13STACEY KIMURA NICU UNIT LEAD RN	(i) (ii)	305,926 ------------- 0	0 ------------- 0	0 ------------- 0	13,608 ------------- 0	23,609 ------------- 0	343,143 ------------- 0	352 ------------- 0
14SALLY EBERHARD BOARD MEMBER/SR VP TMHS	(i) (ii)	0 ------------- 267,016	0 ------------- 0	0 ------------- 43,561	0 ------------- 28,386	0 ------------- 0	0 ------------- 338,963	0 ------------- 43,561
15BARBARA LEQUIRE SR VP NURSING SERVICES	(i) (ii)	0 ------------- 113,197	0 ------------- 111,692	0 ------------- 93,044	0 ------------- 300	0 ------------- 5,880	0 ------------- 324,113	0 ------------- 78,241

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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 2019, THE FOLLOWING INDIVIDUALS RECEIVED SERP PAYMENTS RELATED TO PARTIAL AND FULL VESTING IN THE PLAN: BARBARA LEQUIRE - $78,241 JOHN MCNAMARA - $54,398 SALLY EBERHARD - $43,561

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number
95-1644042

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF TORRANCE	95-6000803	891380AR8	09-23-2010	234,272,023	SEE PART VI		X		X		X
B	CITY OF TORRANCE	95-6000803		12-22-2016	64,795,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,240,000		4,770,000
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	234,272,023		64,795,000
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	2,945,578		464,704
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	196,526,445		29,815,866
11 Other spent proceeds .............	34,800,000		34,514,430
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2014		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X
b Exception to rebate? ........		X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........	0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A, COLUMN (F)	THE PROCEEDS OF THE 2010 BOND ISSUE WERE USED TO REFUND THE 05/01/1992 BOND ISSUE AND TO FINANCE CONSTRUCTION AND EQUIPPING OF A NEW HOSPITAL FACILITY.
SCHEDULE K, PART I, LINE B, COLUMN (F)	THE PROCEEDS OF THE 2016 BOND ISSUE WERE USED TO REFUND THE 06/01/2001 BOND ISSUE AND TO FINANCE CAPITAL EXPENDITURES FOR EQUIPMENT AND OTHER PLANNED IMPROVEMENTS TO HOSPITAL FACILITIES.

Schedule K (Form 990) 2019

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MARISSA SIMKO	DAUGHTER OF BOARD MEMBER	19,192	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Return Reference	Explanation
FORM 990, PART I, LINE 1 AND PART III, LINE 1	TORRANCE MEMORIAL MEDICAL CENTER IS A LOCALLY GOVERNED COMMUNITY, NON-PROFIT MEDICAL CENTER WHOSE PURPOSE IS TO PROVIDE QUALITY HEALTHCARE SERVICES, PREDOMINANTLY TO THE RESIDENTS OF THE SOUTH BAY/PENINSULA COMMUNITIES. UNDER THE GOVERNANCE OF A COMMUNITY-BASED BOARD OF TRUSTEES. TORRANCE MEMORIAL medical center SERVES THE PUBLIC INTEREST BY: - IMPROVING THE COMMUNITY HEALTH WITHIN THE SCOPE AND EXPERTISE OF OUR RESOURCES; - OFFERING THE MOST CURRENT AND EFFECTIVE TECHNOLOGIES RENDERED IN A COMPASSIONATE, CARING MANNER; AND - MAINTAINING LONG-TERM STABILITY IN ORDER TO ASSURE OUR STRENGTH AND VIABILITY FOR THE BENEFIT OF THE COMMUNITY.
FORM 990, PART III, LINE 4A	FULFILLING OUR MISSION TO MEET COMMUNITY HEALTH NEEDS: SINCE 1925, COMMUNITY ACCESS TO QUALITY HEALTHCARE SERVICES HAS BEEN A TOP PRIORITY FOR TORRANCE MEMORIAL MEDICAL CENTER. IN 2018, TORRANCE MEMORIAL AFFILIATED WITH CEDARS-SINAI MEDICAL CENTER UNDER THE UMBRELLA OF CEDARS-SINAI HEALTH SYSTEM TO FURTHER ENHANCE ACCESS, COORDINATION AND QUALITY OF CARE, AND TO BRING MORE EXPERTISE IN THE AREAS OF NEUROSCIENCE, CANCER AND HEART FAILURE TO THE COMMUNITIES OF THE SOUTH BAY. MOST IMPORTANT TO OUR MISSION IS TO SECURE ACCESS TO ACUTE HOSPITAL SERVICES AND REMAIN STABLE WHERE OTHER HOSPITALS HAVE FAILED. THE BOARD OF TRUSTEES ADDRESSES THE PRIORITIES FOR COMMUNITY HEALTH NEEDS THROUGH ITS BOARD LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE. THIS COMMITTEE REVIEWS THE RESULTS OF A TRIENNIAL COMMUNITY NEEDS ASSESSMENT WHICH SUMMARIZED THE HEALTH ISSUES WHICH HAVE THE GREATEST PRIORITY. WITHIN THE RESOURCE CONSTRAINTS OF THE MEDICAL CENTER, WE ADOPT AN ANNUAL COMMUNITY BENEFITS PLAN WHICH PRIORITIZES PROGRAMS AND SERVICES WHICH ARE OFFERED AT COST OR AT A FINANCIAL LOSS AND ARE DESIGNED TO IMPROVE COMMUNITY HEALTH. UPON RECOMMENDATION OF A BOARD-LEVEL COMMUNITY BENEFITS PLANNING COMMITTEE, A COMMUNITY BENEFITS BUDGET IS SEPARATELY DEVELOPED AND INCLUDED IN THE ANNUAL BUDGET SUBMITTED TO THE BOARD FOR APPROVAL AND ITS PROGRESS IS MEASURED ACCORDINGLY. EACH YEAR, THE EXPENDITURES TOWARD COMMUNITY BENEFITS ARE ACCOUNTED FOR AND SUMMARIZED AS FOLLOWS: I) CHARITY CARE POLICY AND FINANCIAL ASSISTANCE TO THE UNINSURED. THE MEDICAL CENTER HAS LONG MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THAN 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR MEDICALLY NECESSARY SERVICES AT NO CHARGE. PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 200-450% OF THE FEDERAL POVERTY LEVEL ARE OFFERED PARTIAL CHARITY CARE AND A FLEXIBLE PAYMENT PLAN. ADDITIONALLY, WE PROVIDE ASSISTANCE TO UNINSURED PATIENTS WHO DON'T QUALIFY FOR CHARITY CARE UNDER THE FAP. IN SUCH SITUATION, PATIENTS ARE OFFERED AN 83 PERCENT DISCOUNT OFF THE HOSPITAL BILL, HIGH END DRUGS AND DEVICES AT COST PLUS 5%, AND A FINANCIAL COUNSELOR WHO IS AVAILABLE TO WORK THROUGH THE ADMINISTRATION OF THIS PROGRAM. THE CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE COMMUNICATED TO EACH PATIENT UPON ADMISSION, THROUGH SIGNS POSTED AT THE MEDICAL CENTER, AND ON OUR WEB SITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE THE FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR YEAR ENDED 06/30/2020, THE TOTAL COST TO TORRANCE MEMORIAL OF PROVIDING SERVICES FOR CHARITY CARE (NOT INCLUSIVE OF FINANCIAL ASSISTANCE TO UNINSURED PATIENTS WHO ARE PROVIDED SUBSTANTIAL DISCOUNTS) WAS APPROXIMATELY $4,852,430. II) SERVICES AND BENEFITS FOR VULNERABLE POPULATIONS AND THE BROADER COMMUNITY. TORRANCE MEMORIAL OFFERS AN EXTENSIVE ARRAY OF FREE OR LOW-COST PROGRAMS TO IMPROVE COMMUNITY HEALTH. FOR EXAMPLE, IN 2015 WE LAUNCHED "WELCOME BABY A PARTNERSHIP WITH PROVIDENCE LITTLE CO. OF MARY & FIRST 5 LA. WELCOME BABY IS A FREE PROGRAM TARGETING PRE- AND POST-NATAL MOTHERS LIVING IN WILMINGTON TO PROMOTE OVERALL HEALTH DURING THE FIRST YAER OF LIFE, ENSURE CHILDREN HAVE HEALTH COVERAGE AND RECEIVE CONSISTENT CARE, INCREASE BREASTFEEDING RATES, AND ENSURE NEW PARENTS HAVE A SAFE HOME ENVIRONMENT. IN ADDITION, WE OFFER A PROGRAM TO SUPPORT THE PLACEMENT OF 213 AEDS (DEFIBRILLATION DEVICES USED FOR HEART ATTACK VICTIMS) IN ALL PUBLIC BUILDINGS AND WITH PRIVATE EMPLOYERS, WHICH HAS BEEN HIGHLY SUCCESSFUL FOR MANY YEARS. FURTHERMORE, WE PROVIDE VERY LOW-COST VAN TRANSPORTATION TO PEOPLE WHO HAVE NO TRANSPORTATION. IN SUPPORT OF EDUCATION, OUR TEEN DRUG TREATMENT PROGRAM SENDS COUNSELORS AT NO CHARGE TO 9 HIGH SCHOOLS AND SEVERAL MIDDLE SCHOOLS IN THE COMMUNITY SEVERAL TIMES A MONTH TO COUNSEL TEENS IN TROUBLE WITH DRUGS AND ALCOHOL. WE SUPPORT A HOMELESS SHELTER, HARBOR INTERFAITH SERVICES, WITH ANNUAL SUPPORT TO THE FOOD PANTRY. ADDITIONALLY, DIRECT DONATIONS AND NUMEROUS EMPLOYEE LED DRIVES SUPPORT HOLIDAY GIFTS TO THOSE IN NEED. THESE ARE BUT EXAMPLES OF A WIDE VARIETY OF PROGRAMS WHICH WE HAVE ESTABLISHED, TRACK AND EVALUATE ON AN ONGOING BASIS. SUPPORTING LOCAL SCHOOLS AND EDUCATION IS ANOTHER PRIORITY ESTABLISHED BY THE COMMUNITY BENEFITS PLANNING COMMITTEE. TOWARD THIS GOAL, WE PROVIDE HEALTH EDUCATION INFORMATION FOR STUDENTS, PATIENTS AND FAMILY MEMBERS, AND THE COMMUNITY, OFFER EDUCATION CLASSES AND HOST CONFERENCES FOR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS, SERVE AS A TRAINING SITE FOR NURSING SCHOOLS AND OTHER PARAPROFESSIONALS, PARTICIPATE ACTIVELY IN COMMUNITY SYMPOSIUMS FOR DISASTER PREPAREDNESS, AND PARTICIPATE IN TORRANCE CHAMBER'S ADOPT-A-SCHOOL PROGRAM. FOR THE YEAR ENDED 06/30/2020, OUR DIRECT EXPENSES (WITHOUT ATTRIBUTION OF OVERHEAD COSTS FOR THESE COMMUNITY PROGRAMS) WERE APPROXIMATELY $5,110,026. III) SUBSIDY OF MEDICAL CARE SERVICES. TO PROVIDE ACCESS TO MEDICAL SERVICES OF PATIENTS COVERED UNDER GOVERNMENT SPONSORED PLANS WHICH DO NOT PAY THE FULL COSTS OF CARE, TORRANCE MEMORIAL ALSO MEASURES THE SUBSIDY TOWARD THE CARE OF THESE PATIENTS. FOR THE YEAR ENDED 06/30/2020, THESE INCLUDED PATIENTS COVERED UNDER THE STATE SPONSORED MEDI-CAL PLAN FOR THE MEDICALLY INDIGENT. TORRANCE MEMORIAL RECEIVED NO DISPROPORTIONATE SHARE FUNDS TO OFFSET THESE LOSSES. IN ADDITION, ACCORDING TO THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION AND THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (TO WHOM WE ALSO SUBMIT A COMMUNITY BENEFITS REPORT), WE HAVE CALCULATED THE SUBSIDY OF OUR COSTS OF PROVIDING CARE TO MEDICARE BENEFICIARIES. FOR THE YEAR ENDED 06/30/2020, THE TOTAL SUBSIDY OF OUR COSTS OF PROVIDING SERVICES TO MEDI-CAL AND MEDICARE PATIENTS WAS APPROXIMATELY $133,271,294. IN ADDITION, WE SUBSIDIZED PROFESSIONAL FEES OF PHYSICIANS FOR PROVIDING COVERAGE TO EMERGENCY DEPARTMENT PATIENTS IN CRITICAL SPECIALTIES WHICH WERE NOT OTHERWISE OBTAINABLE UNLESS THE MEDICAL CENTER OFFERED A SUBSIDY FOR THESE SERVICES. FOR THE YEAR ENDED 06/30/2020, THIS COST WAS APPROXIMATELY $2,064,357. IN TOTAL, TORRANCE MEMORIAL ACCOUNTED FOR APPROXIMATELY $31,422,533 IN COMMUNITY BENEFIT EXPENSE FOR THE YEAR ENDED 06/30/2020. AN ONGOING EVALUATION IS BEING UNDERTAKEN TO ASSESS NEW COMMUNITY NEEDS AND DETERMINE HOW BEST TO ADJUST OUR PRIORITIES TO MOST EFFICIENTLY PROVIDE SUPPORT TO COMMUNITIES IN NEED.
FORM 990, PART VI, LINE 6 AND 7A	TORRANCE HEALTH ASSOCIATION IS THE SOLE CORPORATE MEMBER OF TORRANCE MEMORIAL MEDICAL CENTER.
FORM 990, PART VI, LINE 11B	DESCRIBE THE PROCESS USED TO REVIEW FORM 990 THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT ALONG WITH OUR TAX ADVISORS. THE FORM 990 WAS REVIEWED BY SENIOR MANAGEMENT BEFORE BEING PRESENTED TO THE BOARD OF TRUSTEES. AFTER THE FINAL REVIEW IS COMPLETE, AN OFFICER OF THE ORGANIZATION SIGNS THE FORM 990.
FORM 990, PART VI, LINE 12C	DESCRIPTION OF PROCESS USED TO MONITOR FOR CONFLICTS OF INTEREST TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) MONITORING, REVIEW AND ENFORCEMENT OF ITS CONFLICT OF INTEREST POLICY RESTS WITH ITS NOMINATING COMMITTEE. ANNUALLY, TMMC SENDS ALL TRUSTEES, OFFICERS, EXECUTIVES, AND MANAGERIAL EMPLOYEES A COPY OF TMMC'S CONFLICT OF INTEREST POLICY AND CONFLICT OF INTEREST QUESTIONNAIRE. ALL TRUSTEES, OFFICERS, EXECUTIVES AND MANAGERIAL EMPLOYEES ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST QUESTIONNAIRE. THE QUESTIONNAIRE INQUIRES AS TO ALL INDIVIDUALS CONCERNED WITH CONDUCTING, TRANSACTING OR APPROVING THE BUSINESS MATTERS OF TMMC. ONCE THE CONFLICT OF INTEREST QUESTIONNAIRES HAVE BEEN RECEIVED BACK FROM THE OFFICERS, TRUSTEES AND EXECUTIVES, THEY ARE REVIEWED AND SUMMARIZED BY THE NOMINATION COMMITTEE FOR PRESENTATION TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REPORTS ANY CONFLICTS TO THE BOARD OF TRUSTEES WITH THEIR RECOMMENDATION AS TO THE NATURE OF THE CONFLICTS THAT MAY IMPEDE THE INDEPENDENCE OF THE BOARD MEMBER. IF AN OFFICER, TRUSTEE, OR EXECUTIVE IS FOUND TO HAVE A CONFLICT, THERE IS A PROCESS IN PLACE TO PROHIBIT THIS INDIVIDUAL FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS IN THE TRANSACTION. MANAGERIAL EMPLOYEE'S CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VICE PRESIDENT. CONFLICTS ARE NOTED AND FORWARDED TO HUMAN RESOURCES FOR SUMMARIZATION. IF MATERIAL CONFLICTS EXIST, THEY ARE FORWARDED TO THE CEO, WHO TOGETHER WITH THE AREA VICE PRESIDENT, RESOLVE THE ISSUE WITH THE MANAGER.
FORM 990, PART VI, LINES 15A & 15B	PROCESS FOR DETERMINING COMPENSATION OF OFFICERS AND KEY EMPLOYEES TORRANCE MEMORIAL MEDICAL CENTER'S (TMMC) BOARD OF TRUSTEES HAS ESTABLISHED A COMPENSATION SUBCOMMITTEE (A SUBCOMMITTEE OF THE EXECUTIVE COMMITTEE) TO REVIEW AND RECOMMEND THE COMPENSATION AND BENEFITS OF THE CEO AND KEY LEADERSHIP POSITIONS OF THE CORPORATION. THE COMPENSATION SUBCOMMITTEE IS RESPONSIBLE FOR PERIODIC EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CONFERS WITH THE PRESIDENT CONCERNING THE PRESIDENT'S VALUATION OF THE OTHER EXECUTIVE OFFICERS. THE COMPENSATION SUBCOMMITTEE IS AN ENTIRELY INDEPENDENT COMMITTEE WITH RESPECT TO THE TRANSACTION. THE COMPENSATION SUBCOMMITTEE RETAINS AN OUTSIDE COMPENSATION CONSULTANT TO CONDUCT PERIODIC REVIEWS OF THE TOTAL COMPENSATION OF ALL KEY LEADERSHIP POSITIONS (BASE COMPENSATION, OTHER INCENTIVES/BONUSES, AND BENEFITS). THE CONSULTANTS ARE INDEPENDENT AND ARE QUALIFIED TO ASSESS EXECUTIVE COMPENSATION VALUATIONS. IN REVIEWING AND ESTABLISHING COMPENSATION RECOMMENDATIONS, THE CONSULTANTS COLLECT BACKGROUND INFORMATION ON THE SIZE AND COMPLEXITY OF OPERATIONS AND THE SCOPE OF THE KEY LEADER'S RESPONSIBILITIES. THEY REVIEW VARIOUS SURVEYS, 990'S OF OTHER COMPARABLE OUTSIDE HEALTH CARE ORGANIZATIONS, AND MATCH SURVEYS BASED ON THE ABOVE CRITERIA, TAKING BOTH LOCAL AS WELL AS NATIONAL MARKET DATA INTO CONSIDERATION. AFTER THE DATA HAS BEEN REVIEWED AND ANALYZED THE CONSULTANT PRESENTS THE REPORT TO THE COMPENSATION SUBCOMMITTEE WITH HIS/HER FINDINGS AND RECOMMENDATIONS. THE COMPENSATION SUBCOMMITTEE REVIEWS THE REPORT AND FINDINGS WITH THE CONSULTANT AND RECOMMENDS TO THE EXECUTIVE COMMITTEE ANY CHANGES TO THE KEY LEADERSHIP COMPENSATION AND BENEFIT PACKAGES. THE EXECUTIVE COMMITTEE MAY APPROVE THOSE RECOMMENDATIONS AND REPORT ANY CHANGES TO THE FULL BOARD OF TRUSTEES. THE COMPENSATION SUBCOMMITTEE MAINTAINS WRITTEN RECORDS WHICH INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE CEO AND KEY LEADERSHIP INDIVIDUALS (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE ON THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS OF THE COMPENSATION SUBCOMMITTEE ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING. THE PROCESS WAS LAST COMPLETED IN SEPTEMBER 2019.
FORM 990, PART VI, LINE 19	AVAILABILITY OF DOCUMENTS TO THE PUBLIC FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTIONS. THE ORGANIZATION MAKES ITS audited FINANCIAL STATEMENTS AVAILABLE UPON REQUEST and they are attached to the filing copy of the 990. THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE SECRETARY OF STATE.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PERSION LIABILITY (68,531,310) EQUITY TRANSFER TO THA (PARENT) (20,000,004) CHANGE IN INTEREST OF TMMCF (480,729) CHANGE IN PERM RESTRICTED FDN CRT (92,860) CHANGE IN SCHOLARSHIP FUNDS (51,920) ============ TOTAL (89,156,823)

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TORRANCE MEMORIAL MEDICAL CENTER

Employer identification number

95-1644042

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TORRANCE HEALTH ASSOCIATION 3330 LOMITA BLVD TORRANCE,CA90505 33-0073515	HEALTH SERV	CA	501(c)(3)	12b	CSHS	Yes
(2)TORRANCE MEMORIAL MEDICAL CENTER FDN 3330 LOMITA BLVD TORRANCE,CA90505 95-3528452	FUNDRAISING	CA	501(c)(3)	7	THA	Yes
(3)CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BOULEVARD Los Angeles,CA90048 95-1644600	HOSPITAL	CA	501(c)(3)	3	CSHS	Yes
(4)CEDARS-SINAI MEDICAL CARE FOUNDATION 15821 VENTURA BLVD STE 520 ENCINO,CA91436 95-4457756	FUNDRAISING	CA	501(c)(3)	12a	CSMC	Yes
(5)CALIFORNIA HEART CENTER FOUNDATION 15821 Venture Blvd Ste 520 Encino,CA91436 95-4772979	RESEARCH	CA	501(c)(3)	7	CSMC	Yes
(6)KERLAN-JOBE ORTHOPAEDIC FOUNDATION 6801 PARK TERRANCE LOS ANGELES,CA90045 95-4707606	RESEARCH	CA	501(c)(3)	7	CSMCF	Yes
(7)SANTA MONICA ORTHO & SPORTS MED RSCH FDN 2020 SANTA MONICA BLVD 4TH FL SANTA MONICA,CA90404 95-4789926	RESEARCH	CA	501(c)(3)	PF	CSMCF	Yes
(8)CFHS HOLDINGS INC 4650 LINCOLN BLVD MARINA DEL REY,CA90292 20-1645949	HEALTHCARE	CA	501(c)(3)	3	CSMC	Yes
(9)CEDAR-SINAI HEALTH SYSTEM 8700 BEVERLY BOULEVARD LOS ANGELES,CA90048 30-0990905	HEALTHCARE	CA	501(c)(3)	12c	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) 3565 DEL AMO ASSOCIATES 2175 PARK PLACE EL SEGUNDO,CA90245 33-0554737	RENT REAL ESTATE	CA	NA	N/A								0 %
(2) TORRANCE MEMORIAL SURGICAL CENTER I LLC 23560 CRENSHAW BLVD STE 104 TORRANCE,CA90505 46-5259260	OUTPATIENT SURGIC	CA	TMMC	RELATED	216,952	1,487,778		No	0		No	56.590 %
(3) ENDOSCOPY CTR OF SANTA MONICA 12400 WILSHIRE BLVD STE 100 LOS ANGELES,CA90025 11-3652210	ENDOSCOPY	CA	NA	N/A								0 %
(4) ISS ASC HOLDINGS LLC 27271 LAS RAMBLAS STE 350 MISSION VIEJO,CA92691 47-1890805	HEALTHCARE	CA	NA	N/A								0 %
(5) DEL REY SURGERY CENTER LLC 4640 ADMIRALTY WAY 1020 MARINA DEL REY,CA90292 46-2305372	SURGERY CENTER	CA	NA	N/A								0 %
(6) DEL REY SURGERY INVESTORS LLC 8700 BEVERLY BLVD LOS ANGELES,CA90048 36-4756208	INVESTMENTS	DE	NA	N/A								0 %
(7) INTL SPINE & ORTHOPEDIC INST 8500 W 110TH ST OVERLAND PARK,KS66210 26-3738893	SPINE/ORTHOPEDIC	DE	NA	N/A								0 %
(8) SANTA MONICA IMAGING GROUP LLC 200 N ROBERTSON BLVD 101 BEVERLY HILLS,CA90211 82-0760657	IMAGING CENTER	CA	NA	N/A								0 %
(9) CS-BH ASC HOLDINGS LLC 200 N ROBERTSON BLVD 101 BEVERLY HILLS,CA90211 81-2246488	HOLDING COMPANY	CA	NA	N/A								0 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FL LOS ANGELES,CA90048 95-4522779	INACTIVE	CA	NA	C-Corp			Yes
(2) OTOHARMOMICS CORPORATION 411 SW 6TH AVE PORTLAND,OR97204 46-1119421	HEALTHCARE	DE	NA	C-Corp			Yes
(3) CENTINELA FREEMAN HOLDINGS INC 4650 LINCOLN BLVD MARINA DEL REY,CA90292 59-3811890	REAL ESTATE	CA	NA	C-Corp			Yes

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TORRANCE MEMORIAL HEALTH CARE FOUNDATION	c	15,940,317	ACTUAL
(2) TORRANCE MEMORIAL HEALTH CARE FOUNDATION	m	771,518	ACTUAL
(3) TORRANCE MEMORIAL HEALTH CARE FOUNDATION	n	179,674	ACTUAL
(4) TORRANCE MEMORIAL HEALTH CARE FOUNDATION	o	1,192,847	ACTUAL
(5) TORRANCE HEALTH ASSOCIATION	r	20,000,004	ACTUAL
(6) TORRANCE HEALTH ASSOCIATION	p	5,958,118	ACTUAL
(7) TORRANCE HEALTH ASSOCIATION	q	368,879	ACTUAL
(8) TORRANCE HEALTH ASSOCIATION	k	1,462,954	ACTUAL
(9) TORRANCE HEALTH ASSOCIATION	j	525,132	ACTUAL
(10) TORRANCE HEALTH ASSOCIATION	j	81,541	ACTUAL
(11) CEDARS-SINAI MEDICAL CENTER	A	482,329	ACTUAL
(12) CEDARS-SINAI MEDICAL CENTER	E	30,125,000	ACTUAL

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference

Explanation

SCHEDULE R, PART III

3565 DEL AMO ASSOCIATES EIN: 33-0554737 5017 Carmen Street, Torrance, CA 90503 TORRANCE MEMORIAL SURGERY CENTER, LLC I EIN: 46-5259260 23560 CRENSHAW BLVD, STE 104 TORRANCE, CA 90505 ENDOSCOPY CENTER OF SANTA MONICA, LLC 11-3652210 12400 WILSHIRE BLVD STE 100 LOS ANGELES, CA 90025 ISS ASC HOLDINGS LLC 47-1890805 200 N. Robertson Blvd, Suite 101, Beverly Hills, CA 90211 DEL REY SURGERY CENTER LLC 46-2305372 6500 Wilshire Blvd, 9th floor, Los Angeles, CA 90048 DEL REY SURGERY INVESTORS LLC 36-4756208 6500 Wilshire Blvd, 9th floor, Los Angeles, CA 90048 INTERNATIONAL SPINE & ORTHOPEDIC INSTITUTE, LLC 26-3738893 8500 W. 110TH ST OVERLAND PARK, KS 66210 SANTA MONICA IMAGING GROUP, LLC 82-0760657 200 N. ROBERTSON BLVD #101 BEVERLY HILLS, CA 90211 CS-BH ASC HOLDINGS, LLC 81-2246488 450 N. Roxbury Drive, Ste 602, Beverly Hills, CA 90210

SCHEDULE R, PART III, LINE 2

TORRANCE MEMORIAL MEDICAL CENTER HAS INDIRECT CONTROL AS TORRANCE MEMORIAL SURGERY CENTER, LLC IS THE GENERAL PARTNER OF TORRANCE SURGERY CENTER, LP.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	4,015
6	Total number of volunteers (estimate if necessary) .............	6	982
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,404,998
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	21,783

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	20,320,930	50,543,665
9	Program service revenue (Part VIII, line 2g) .........	665,161,812	649,559,701
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,258,486	6,542,019
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,107,544	3,417,306
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	698,848,772	710,062,691
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	131,020	126,245
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	364,773,223	379,188,189
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,546,476
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	298,445,053	308,886,213
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	663,349,296	688,200,647
19	Revenue less expenses. Subtract line 18 from line 12.......	35,499,476	21,862,044
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,220,360,960	1,300,118,916
21	Total liabilities (Part X, line 26).............	608,364,938	753,850,860
22	Net assets or fund balances. Subtract line 21 from line 20.....	611,996,022	546,268,056

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 591,853,829 including grants of $ 126,245 ) (Revenue $ 652,934,524 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses591,853,829

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) GREG GEIGER........................................................................ CHAIRMAN	1.0 .......................9.0	X	X	0	0	0
(19) SHERRY KRAMER........................................................................ SECRETARY	1.0 .......................1.0	X	X	0	0	0
(20) KRISTINE DOUGLAS........................................................................ BOARD MEMBER(PART YEAR)	1.0 .......................1.0	X		0	0	0
(21) AMIR KAVIANI MD........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0	0
(22) CHARLOTTE LESSER........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0	0
(23) SUSAN LIEBSON........................................................................ BOARD MEMBER(PART YEAR)	1.0 .......................1.0	X		0	0	0
(24) RICHARD LUCY........................................................................ BOARD MEMBER	1.0 .......................1.0	X		0	0	0
(25) THOMAS SIMKO MD........................................................................ BOARD MEMBER(PART YEAR)	1.0 .......................1.0	X		0	0	0
(26) MARY HARRIS........................................................................ Board Member (start 1/2020)	1.0 .......................1.0	X		0	0	0
(27) ERIC MILEFCHIK MD........................................................................ BOARD MEMBER (start 1/2020)	1.0 .......................1.0	X		0	0	0
(28) SUSAN WELCH........................................................................ BOARD MEMBER (start 1/2020)	1.0 .......................1.0	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	305,926	5,856,569	975,325

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	0
d	Related organizations		1d	15,940,317
e	Government grants (contributions)		1e	23,721,579

f	All other contributions, gifts, grants, and similar amounts not included above		1f	10,881,769

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		50,543,665

		Business Code
2a	Patient Services	622110	392,230,721	391,878,556	352,165	0
b	MEDICARE REVENUE	622110	134,750,258	134,750,258	0	0
c	Premium Revenue	622110	81,929,033	81,929,033	0	0
d	Medi-cal Revenue	622110	31,867,040	31,867,040	0	0
e	PHYSICIAN SUPPORT REVENUE	622110	4,952,051	4,952,051	0	0
f	All other program service revenue.		3,830,598	2,777,765	1,052,833	0
g	Total. Add lines 2a–2f .....		649,559,701

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,480,814			5,480,814
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		192,707	6a
b	Less: rental expenses		150,224	6b
c	Rental income or (loss)	0	42,483	6c
d	Net rental income or (loss).......			42,483			42,483
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		265,201,301	7a
b	Less: cost or other basis and sales expenses		264,140,096	7b
c	Gain or (loss)		1,061,205	7c
d	Net gain or (loss).........			1,061,205			1,061,205
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	Rebates and Refunds		900099	2,358,631	2,358,631	0	0
b	Management Fees		900099	1,016,192	1,016,192	0	0
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,374,823
12	Total revenue. See instructions.....			710,062,691	651,529,526	1,404,998	6,584,502

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	126,245	126,245
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	7,295,178	0	7,295,178	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	19,192	0	19,192	0
7	Other salaries and wages........	269,909,199	245,977,061	22,932,891	999,247
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,829,495	11,384,241	1,399,007	46,247
9	Other employee benefits .......	68,039,166	60,374,494	7,419,409	245,263
10	Payroll taxes ...........	21,095,959	18,719,481	2,300,433	76,045
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	315,897	0	315,897	0
c	Accounting ...........	315,262	0	315,262	0
d	Lobbying ...........	28,967	28,967	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	446,132	446,132	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	41,053,706	28,296,530	12,757,176	0
12	Advertising and promotion ....	0	0	0	0
13	Office expenses .......	36,726,739	24,832,614	11,894,125	0
14	Information technology ......	15,491,088	0	15,491,088	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	5,932,249	4,471,646	1,280,929	179,674
17	Travel ............	131,821	105,624	26,197	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	126,510	87,338	39,172	0
20	Interest ...........	9,380,910	9,380,910	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	32,823,095	22,688,775	10,134,320	0
23	Insurance ...	3,157,545	3,157,545	0	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	105,848,021	105,848,021	0	0
b	HOSPITAL FEE	32,917,599	32,917,599	0	0
c	PHYSICIAN FEES	20,863,434	20,863,434	0	0
d	REPAIRS & MAINTENANCE	2,596,022	2,040,304	555,718	0
e	All other expenses	731,216	106,868	624,348
25	Total functional expenses. Add lines 1 through 24e	688,200,647	591,853,829	94,800,342	1,546,476
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).	0

1	Cash–non-interest-bearing ........			5,672,821	1	11,349,369
2	Savings and temporary cash investments .........			10,213,598	2	13,313,846
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			73,331,460	4	68,437,387
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			13,057,577	8	13,964,103
9	Prepaid expenses and deferred charges ......			40,579,000	9	55,639,024
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	696,156,221
b	Less: accumulated depreciation	10b	81,470,835	619,250,408	10c	614,685,386
11	Investments—publicly traded securities .			301,171,669	11	352,992,330
12	Investments—other securities. See Part IV, line 11 .....			29,961,925	12	27,166,618
13	Investments—program-related. See Part IV, line 11 ..			119,760,772	13	119,187,183
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			7,361,730	15	23,383,670
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,220,360,960	16	1,300,118,916

17	Accounts payable and accrued expenses .....	103,354,755	17	120,795,549
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	284,741,816	20	276,903,044
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	220,268,367	25	356,152,267
26	Total liabilities. Add lines 17 through 25..	608,364,938	26	753,850,860

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	490,369,762	27	425,267,306
28	Net assets with donor restrictions ...........	121,626,260	28	121,000,750
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	611,996,022	32	546,268,056
33	Total liabilities and net assets/fund balances ........	1,220,360,960	33	1,300,118,916

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No