4A (Expenses $ 692855015 including grants of $ 165950) (Revenue $ 785625786)
SEE SCHEDULE O.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - Torrance Memorial Medical Center. COMMUNITY INPUT WAS OBTAINED FROM INTERVIEWS WITH COMMUNITY STAKEHOLDERS FROM COMMUNITY AGENCIES AND ORGANIZATIONS THAT REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND/OR BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) POPULATIONS. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. FOR THIS CHNA'S PRIMARY DATA COLLECTION, TORRANCE MEMORIAL WORKED IN PARTNERSHIP WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO. GIVEN THAT THESE PARTNERS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY. THIRTY-SEVEN (37) PHONE INTERVIEWS WERE CONDUCTED DURING NOVEMBER 2021 TO JANUARY 2022. COMMUNITY STAKEHOLDERS WERE IDENTIFIED EQUALLY BY THE HOSPITAL PARTNERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. DURING THE INTERVIEWS, PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES ON THE ISSUES, CHALLENGES AND BARRIERS RELATIVE TO THE IDENTIFIED HEALTH NEEDS (I.E.; WHAT MAKES EACH HEALTH NEED A SIGNIFICANT ISSUE IN THE COMMUNITY? WHAT ARE THE CHALLENGES PEOPLE FACE IN ADDRESSING THESE NEEDS?), ALONG WITH IDENTIFYING KNOWN RESOURCES TO ADDRESS THESE HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS. TORRANCE MEMORIAL ALSO CONDUCTED SURVEYS WITH STAFF MEMBERS OF AREA SCHOOLS TO OBTAIN INPUT ON THE UNMET NEEDS OF STUDENTS AND THEIR FAMILIES. THE SURVEY LINK WAS SENT TO THE HEALTH CARE AND MENTAL HEALTH CARE STAFF WHO WORK AT LOCAL SCHOOLS WITH AN EMAIL INTRODUCTION TO EXPLAIN THE PURPOSE OF THE SURVEY AND ASSURE PARTICIPANTS THE SURVEY WAS VOLUNTARY, AND THEIR RESPONSES WOULD BE CONFIDENTIAL. THE SURVEYS WERE COLLECTED FROM JANUARY 24 TO FEBRUARY 15, 2022. DURING THIS TIME, 24 SCHOOL STAFF MEMBERS COMPLETED THE SURVEY. SURVEY QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: *UNMET NEEDS OF STUDENTS *UNMET NEEDS OF FAMILIES *PRIORITY RANKING OF COMMUNITY NEEDS *HEALTH OR SOCIAL SERVICE NEEDS THAT ARE NOT EASILY ACCESSIBLE *IMPACT OF COVID-19 *AREAS FOR COLLABORATION AND COORDINATION COMMUNITY STAKEHOLDER INTERVIEWEES TITLE/ORGANIZATION DIRECTOR OF COMMUNITY SERVICES, BEACH CITIES HEALTH DISTRICT CHIEF STRATEGY OFFICER, EXECUTIVE DIRECTOR BEHAVIORAL HEALTH SERVICES, INC., NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF THE SOUTH BAY (NCADD) CHIEF EXECUTIVE OFFICER, WILMINGTON COMMUNITY CLINIC PRESIDENT AND CHIEF EXECUTIVE OFFICER, NATIONAL HEALTH FOUNDATION CONSULTING PEDIATRICIAN, COMMUNITY'S CHILD DEVELOPMENT DIRECTOR, SOUTH BAY CHILDREN'S HEALTH CENTER FOUNDER AND CHIEF EXECUTIVE OFFICER, SOUTH BAY VILLAGE PROGRAM EXECUTIVE DIRECTOR, WILMINGTON YMCA INTERIM PRESIDENT, LOS ANGELES HARBOR COLLEGE WORKFORCE DEVELOPMENT, GOODWILL INDUSTRIES DIRECTOR OF COMMUNITY SERVICES, CITY OF LAWNDALE POLICE OFFICER, LOS ANGELES POLICE DEPARTMENT CHIEF EXECUTIVE OFFICER, EXP THE OPPORTUNITY ENGINE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SOUTH BAY FAMILY HEALTH CARE EXECUTIVE DIRECTOR, HARBOR INTERFAITH SERVICES EXECUTIVE DIRECTOR, CHILD LANE ASSISTANT SUPERINTENDENT, BUSINESS SERVICES LAWNDALE ELEMENTARY SCHOOL DISTRICT CHIEF EXECUTIVE OFFICER, BOYS GIRLS CLUBS OF THE LOS ANGELES HARBOR COMMUNITY ACTIVIST, CO-FOUNDER OF HEALTHCARE AND ELDER LAW PROGRAMS CORPORATION (HELP); CO-FOUNDER OF CARING HOUSE EXECUTIVE DIRECTOR, YMCA OF METROPOLITAN LOS ANGELES ADMINISTRATOR, SAN PEDRO COMMUNITY OF SCHOOLS LOS ANGELES UNIFIED SCHOOL DISTRICT, SAN PEDRO COMMUNITY OF SCHOOLS ADMINISTRATIVE PROGRAM DIRECTOR, MYCHAL'S LEARNING PLACE PRESIDENT AND CHIEF EXECUTIVE OFFICER, VOLUNTEER CENTER SOUTH BAY-HARBOR-LONG BEACH MANAGER, COMMUNITY RESOURCE CENTER, WILMINGTON BLUE SHIELD PROMISE/L.A. CARE HEALTH PLAN FOUNDER AND EXECUTIVE DIRECTOR, COMMUNITY'S CHILD HEALTHCARE INTEGRATION COORDINATOR, LOS ANGELES HOMELESS SERVICES AGENCY (LAHSA) EXECUTIVE DIRECTOR, OFFICE OF SAMOAN AFFAIRS CHIEF EXECUTIVE OFFICER, SOUTH BAY CHILDREN'S HEALTH CENTER CHIEF CLINICAL AND PROGRAMS OFFICER, RICHSTONE FAMILY CENTER PUBLIC HEALTH OFFICER, LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH PRODUCT SOLUTIONS, L.A. CARE HEALTH PLAN MSG SENIOR ASSISTED LIVING COORDINATOR, HUMAN SERVICES CITY OF CARSON PRESIDENT AND CHIEF OPERATING OFFICER, UNIHEALTH FOUNDATION SENIOR PROGRAM OFFICER, HEALTH CALIFORNIA COMMUNITY FOUNDATION MLIS CITY LIBRARIAN, CITY OF TORRANCE PASTOR, SAN PEDRO UNITED METHODIST CHURCH DEPUTY DIRECTOR AND CHIEF OPERATIONS OFFICER, VENICE FAMILY CLINIC

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - Torrance Memorial Medical Center. FOR THIS CHNA'S PRIMARY DATA COLLECTION, TORRANCE MEMORIAL WORKED IN PARTNERSHIP WITH PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE AND PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO. GIVEN THAT THESE HOSPITALS SHARE AN OVERLAPPING SERVICE AREA, A COLLABORATIVE EFFORT REDUCED REDUNDANCIES AND INCREASED DATA COLLECTION EFFICIENCY.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - Torrance Memorial Medical Center. THE HOSPITAL EXAMINED THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AND PRIORITIZED THEM WITH COMMUNITY STAKEHOLDER INPUT THROUGH INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND AGENCIES AND SURVEYS WITH STAFF AT LOCAL SCHOOLS. THESE STAKEHOLDERS PROVIDED INPUT ON THE ISSUES AND NEEDS IN THE COMMUNITIES SERVED BY THE HOSPITAL. TORRANCE MEMORIAL WILL ADDRESS THE FOLLOWING HEALTH NEEDS: *ACCESS TO CARE (INCLUDING MENTAL HEALTH AND PREVENTIVE CARE *CHRONIC DISEASES (INCLUDING OVERWEIGHT AND OBESITY AND FOOD INSECURITY) *HOUSING AND HOMELESSNESS *SUBSTANCE USE ACCESS TO CARE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: FINANCIAL ASSISTANCE FOR THE UNINSURED OR UNDERINSURED; COMMUNITY HEALTH WORKER PROGRAM; HEALTH SCREENINGS AND VACCINATIONS; CASE MANAGEMENT AND SOCIAL WORK; SUBSIDIZED MENTAL HEALTH CARE; WELCOME BABY PROGRAM; CHERISHED FUTURES PROGRAM; GRANTS AND IN-KIND COMMUNITY SUPPORT. CHRONIC DISEASE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: DIABETES PREVENTION PROGRAM; SUPPORT GROUPS; COMMUNITY OUTREACH AND EDUCATION; PUBLIC ACCESS DEFIBRILLATION PROGRAM; EXERCISE AND HEALTHY LIFESTYLE PROGRAMS; TORRANCE MEMORIAL LEARNING GARDEN; HEALTHY EVER AFTER; YMCA WEIGHT LOSS PROGRAM; GRANTS AND IN-KIND COMMUNITY SUPPORT. HOUSING AND HOMELESSNESS IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: CONTINUUM OF CARE CONNECTIONS TO RECUPERATIVE CARE; INFORMATION AND REFERRAL; COLLABORATIVE COMMUNITY NETWORK VIA THE SOUTH BAY COALITION TO END HOMELESSNESS' HOSPITAL SUB-COMMITTEE; ADVOCACY; GRANTS AND IN-KIND COMMUNITY SUPPORT. SUBSTANCE USE IS BEING ADDRESSED VIA THE FOLLOWING STRATEGIES AND PROGRAMS: COMMUNITY EDUCATION AND OUTREACH; SUPPORT GROUPS; YOUTH PROGRAMS; DRUG TAKE BACK EVENTS; PROFESSIONAL EDUCATION PROGRAM. HEALTH NEEDS THE HOSPITAL WILL NOT ADDRESS SINCE TORRANCE MEMORIAL CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, TORRANCE MEMORIAL WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING: ECONOMIC INSECURITY AND DENTAL CARE.

Schedule H, Part V, Section B, Line 13 Facility , 1
Facility , 1 - Torrance Memorial Medical Center. 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, Section B, Line 13 Facility , 1
Facility , 1 - Torrance Memorial Medical Center. 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 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 VI, Line 7
THE ANNUAL COMMUNITY BENEFIT REPORT AND PLAN IS FILED WITH THE STATE OF CALIFORNIA DEPARTMENT OF HEALTH CARE ACCESS AND INFORMATION.

Schedule H, Part I, Line 7g Subsidized Health Services
THE ORGANIZATION DID NOT INCLUDE AS SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
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 II Community Building Activities
Torrance Memorial Medical Center (TMMC, Torrance Memorial or medical center) is involved in community building activities to additionally promote the health of the communities it serves. In FY22 the medical center participated in two key programs. Verbum Dei Jesuit's Corporate Work Study Program, and First 5 LA's Welcome Baby Program. Through grant-partnership with Verbum Dei Jesuit's Corporate Work Study Program (CWSP), the medical center advances racial equity and opportunity for four (4) high-school aged youth living in culturally and linguistically diverse communities of color. Our student associates each work four (4) days per month for the duration of the school year in either the health education or accounting departments and perform entry-level skilled tasks. Student associates gain professional work experience and marketable skills before entering college. They create positive relationships within the medical center's professional community, develop a network of business contacts, develop newfound awareness of careers they may not have otherwise considered, and gain exposure to a wide range of career opportunities that inform their college decisions. Medical center staff serve as educators, mentors as co-workers to each student. Torrance Memorial has been a CWSP corporate sponsor since 2018. The medical center receives grant-funding to participate in First 5 LA's Welcome Baby Program (WBP). WBP offers free support, information, and resources to moms during pregnancy and after baby goes home. It was created by First 5 LA and aims to strengthen and support families with young children living in L.A. County neighborhoods that have faced historic disenfranchisement and oppression through social and environmental factors that aggravate chronic family stressors such as violence and poverty. Specifically, WBP builds access to activities that improve the well-being, development and care experienced by pregnant women, new parents and children aged 5 and under. WBP liaisons work on TMMC's mother-baby unit to help new moms with breastfeeding, and coordinate WBP services for families newly enrolled in the program. WBP services include: personal parent coach during pregnancy and until baby reaches 9 months of age, in-hospital visit, personal registered nurse home visit, assistance coordinating health insurance coverage and doctor's appointments for baby, mom-and baby-friendly items, and ongoing connections to resources. Torrance Memorial has been a Welcome Baby hospital partner since 2014, primarily serving families from Wilmington.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
BAD DEBT ON PART III, LINE 2 REPRESENTS THE PORTION OF THE PATIENTS THE ORGANIZATION DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS DETERMINED BY FIRST USING INDUSTRY CONSULTANTS TO IDENTIFY PATIENTS ELIGIBLE FOR CHARITY CARE AT THE TIME THEY ARE IN THE MEDICAL CENTER, AND THEN ESTIMATING THE NUMBER OF PATIENTS WHO MIGHT HAVE QUALIFIED HAD THEY PROVIDED THE REQUIRED INFORMATION. THIS ESTIMATE IS DETERMINED BY PAST EXPERIENCE AND BY REVIEWING ACCOUNTS RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DID NOT HAVE THE ABILITY TO PAY. GENERALLY SPEAKING TORRANCE MEMORIAL MEDICAL CENTER DOES NOT CLAIM THE COST OF SUCH CHARITY CARE THAT WAS INCLUDED IN BAD DEBT EXPENSE AS A COMMUNITY BENEFIT.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
SAME AS RESPONSE TO PART III, LINE 2

Schedule H, Part V, Section B, Line 16a FAP website
- TORRANCE MEMORIAL MEDICAL CENTER: Line 16a URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- TORRANCE MEMORIAL MEDICAL CENTER: Line 16b URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- TORRANCE MEMORIAL MEDICAL CENTER: Line 16c URL: https://www.torrancememorial.org/patients-visitors/billing-insurance/financial-assistance/;

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. IN AUGUST 2021, CEDARS HEALTH SYSTEMS EXPANDED BY BECOMING THE SOLE CORPORATE MEMBER OF PASADENA HOSPITAL ASSOCIATION , LTD AND ITS AFFILIATES.

Schedule H, Part VI, Line 7 State filing of community benefit report
CA

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
FOOTNOTE FROM THE CEDARS-SINAI HEALTH SYSTEM FINANCIAL STATEMENTS FOR THE YEAR ENDED 6/30/2022 FOR UNINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, THE HEALTH SYSTEM RECOGNIZES REVENUE BASED ON ESTABLISHED RATES, SUBJECT TO CERTAIN DISCOUNTS AND IMPLICIT PRICE CONCESSIONS AS DETERMINED BY THE HEALTH SYSTEM. THE HEALTH SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE HEALTH SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. EXPLICIT PRICE CONCESSIONS ARE BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. IMPLICIT PRICE CONCESSIONS REPRESENT DIFFERENCES BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE HEALTH SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
TORRANCE MEMORIAL MEDICAL CENTER (TMMC) PROVIDES CARE TO ALL PATIENTS IN THE BROADER COMMUNITY REGARDLESS OF ABILITY TO PAY. FOR THOSE PATIENTS WITH COMMERCIAL, MANAGED CARE OR OTHER NON-GOVERNMENT INSURANCE COVERAGE, TMMC HAS THE ABILITY TO NEGOTIATE REASONABLE REIMBURSEMENT RATES THAT ARE ADEQUATE TO COVER THE COSTS OF CARE. GOVERNMENTAL INSURANCE PROGRAMS, SUCH AS MEDICARE DO NOT OFFER THIS ABILITY. SINCE TMMC ACCEPTS ALL PATIENTS AS A MATTER OF SERVICE TO THE COMMUNITY, THE ASSOCIATED UNREIMBURSED COSTS OF THE MEDICARE PROGRAM HAVE BEEN DEEMED BY THE MEDICAL CENTER TO BE AN EXTENSION OF ITS COMMUNITY BENEFITS PROGRAM. THE COSTS OF THE PROGRAM HAVE BEEN DETERMINED USING COST-TO-CHARGE RATIOS AS DEFINED BY THE WORKSHEETS INCLUDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE TORRANCE MEMORIAL MEDICAL CENTER (TMMC) DOES NOT PURSUE COLLECTION FOR AMOUNTS KNOWN TO QUALIFY FOR CHARITY CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THE MEDICAL CENTER MAKES EVERY REASONABLE, COST EFFECTIVE EFFORT TO COMMUNICATE PAYMENT OPTIONS, FINANCIAL ASSISTANCE AVAILABILITY AND CHARITY CARE PROGRAMS WITH EACH PATIENT WHO RECEIVES SERVICES AT THE HOSPITAL. IN THE EVENT THAT A PATIENT OR GUARANTOR DOES NOT RESPOND OR COMMUNICATE WITH THE MEDICAL CENTER TO RESOLVE AN OPEN ACCOUNT, AND DOES NOT MEET THE PRESUMPTIVE ELIGIBILITY CRITERIA, THE MEDICAL CENTER MAY FORWARD THE ACCOUNT TO ITS COLLECTION AGENCY. SINCE THE FINANCIAL STATUS OF THE PATIENT IS NOT KNOWN AT THAT POINT, THE AMOUNT IS DISCOUNTED BY 83% PRIOR TO EXTERNAL COLLECTION EFFORTS. SHOULD THE EXTERNAL COLLECTION AGENCY BECOME AWARE OF THE FINANCIAL STATUS OF THE PATIENT IN THE COURSE OF COLLECTION EFFORTS, THE AGENCY MAY ADJUST THE AMOUNT FURTHER TO REFLECT THE LIMITS OUTLINED IN THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. ANY ACCOUNT RETURNED TO THE MEDICAL CENTER FROM AN EXTERNAL COLLECTION AGENCY THAT HAS DETERMINED THE PATIENT OR FAMILY REPRESENTATIVE DOES NOT HAVE THE ABILITY TO PAY MAY ALSO BE DEEMED ELIGIBLE FOR CHARITY CARE. SUCH ACCOUNTS ARE EVALUATED BY MEDICAL CENTER PERSONNEL FOR PROPER APPLICATION OF FINANCIAL ASSISTANCE POLICIES.

Schedule H, Part VI, Line 2 Needs assessment
Torrance Memorial conducted a Community Health Needs Assessment (CHNA), which was adopted in May 2022. The CHNA complied with state and federal regulations guiding tax-exempt hospitals, assessing the significant health needs for the hospital's service area. Torrance Memorial's CHNA utilized primary and secondary data to identify needs, and community stakeholder input to prioritize them. Secondary data includes demographic and health data collected from a variety of local, county and state sources to present community demographics and social determinants of health, as well as a broad range of health indicators. Initially, significant health needs were identified through a review of this secondary health data. Primary data was collected through thirty-seven (37) phone interviews conducted during November 2021 to January 2022. Torrance Memorial also conducted surveys with health and psychology staff members of area schools to obtain input on the unmet needs of students and their families. The surveys were available in an electronic format through a SurveyMonkey link. After identifying the significant health needs, and prioritizing them with input from community stakeholders, an Implementation Strategy was developed to describe the actions the hospital intends to take, including programs and resources it plans to commit, the anticipated impacts of these actions, and planned collaboration between the hospital and other organizations.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
THE MEDICAL CENTER HAS LOING MAINTAINED A CHARITY CARE POLICY AND COMMUNICATED IT TO POTENTIAL BENEFICIARIES. PATIENTS WHOSE FAMILY'S INCOME IS LESS THA 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 WEBSITE. A FULL-TIME FINANCIAL COUNSELOR IS AVAILABLE TO WORK WITH FAMILIES TO HELP SOLVE TEH FINANCIAL CHALLENGE OF MEETING HEALTHCARE EXPENSES. FOR THE YEAR ENDED 06.30.2022, 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 $5,810,382.

Schedule H, Part VI, Line 4 Community information
"Torrance Memorial Medical Center is located at 3330 Lomita Boulevard, Torrance, California 90505. The hospital service area includes 24 ZIP Codes in 15 cities or neighborhoods as follows: Carson, El Segundo, Gardena, Harbor City, Hawthorne, Hermosa Beach, Lawndale, Lomita, Manhattan Beach, Palos Verdes Peninsula, Rancho Palos Verdes, Redondo Beach, San Pedro, Torrance, Wilmington. It comprises a significant portion of Los Angeles City Council District 15 and Service Planning Area 8 (South Bay) in Los Angeles County. The population for the Torrance Memorial service area is 881,149. Children and youth, ages 0-17, make up 22.5% of the population, 62.3% are adults, ages 18-64, and 15.2% of the population are seniors, ages 65 and older. The service area has a lower percentage of young adults, 18 to 34, and a higher percentage of adults, 45 and older, than the county. In the service area, 36.7% of the population is Hispanic/Latino, 29.7% are White, 19.1% are Asian, 9.7% are Black/African American and the remaining 4.8% are American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, other race/ethnicity, or multiple races. There is a higher percentage of Whites, Black/African American and Asian, and a lower percentage of Hispanic/Latino in the service area than found at the county level. English is the predominant language spoke in the home (53.5%). 28.1% of the population speaks Spanish in the home, and 12.4% of the population speaks an Asian language. In the service area, 10.7% of the population lives at or below 100% of the federal poverty level (FPL) and 26.2% of the population in the service area is considered low-income, living at or below 200% of FPL. According to the US Department of Housing and Urban Development, those who spend more than 30% of their income on housing are said to be ""cost-burdened."" In the service area, 41.5% of households spend 30% or more of their income on housing. In the county, 47.3% of households are ""cost-burdened."" Among service area adults, ages 25 and older, 14.4% lack a high school diploma. 18.7% of adults are high school graduates and 47.2% of area adults are college graduates."

Schedule H, Part VI, Line 5 Promotion of community health
"TORRANCE MEMORIAL MEDICAL CENTER (TMMC) IS GOVERNED BY A BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP, CONSISTENT WITH THE IRS ""COMMUNITY BENEFIT STANDARD"". A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS NOR FAMILY MEMBERS OF THE ORGANIZATION. TMMC HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. AS A NOT-FOR-PROFIT ORGANIZATION, SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED BY THE ORGANIZATION TO FUND CAPITAL IMPROVEMENTS AND ACQUIRE STATE OF THE ART MEDICAL EQUIPMENT WITH THE INTENT OF CONTINUALLY IMPROVING PATIENT CARE. ON AN ANNUAL BASIS, STAFF FROM NUMEROUS DEPARTMENTS AT THE MEDICAL CENTER CONDUCT COMMUNITY BENEFITS PROGRAMS AND SERVICES TO CONTINUOUSLY PROVIDE HEALTH EDUCATION AND PROMOTE WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. WHILE MANY OF THE KEY PROGRAMS AND ACTIVITIES REMAIN OR REDUCED IN FY'22 DUE TO COVID, THEY REMAIN CENTRAL TO OUR COMMUNITY HEALTH STRATEGY AND AS SUCH SHALL BE RESUMED APPROPRIATELY. PRIMARY ACTIVITIES INCLUDE: - CONDUCTING HEALTH EDUCATION CLASSES ON TOPICS SUCH AS: VACCINATION SAFETY, HEART HEALTH AND STROKE, SMOKING CESSATION, CANCER, NUTRITION, WEIGHT LOSS, DIABETES, MEDICATION SAFETY, RESPIRATORY PROBLEMS, FALL PREVENTION, BURN, SAFETY, WELLNESS, DISEASE MANAGEMENT, STRESS MANAGEMENT, EXERCISE AND RELAXATION; - OFFERING ONGOING SUPPORT GROUPS INCLUDING AMPUTEE, BEREAVEMENT, BURN, CANCER, CAREGIVERS, CHEMICAL DEPENDENCY, DEPRESSION AND BIPOLAR, FIBROMYALGIA, OSTOMY, DIABETES, HEART DISEASE, LYMPHEDEMA, MEDICATION MANAGEMENT, MEDITATION, STROKE, PARKINSON'S DISEASE AND SURGICAL WEIGHT LOSS; - 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, AND BREAST EXAMINATION TRAINING CENTER) FOR HEALTH INFORMATION AND ASSISTANCE; - PROVIDING HEALTH INFORMATION VIRTUALLY AND IN MULTIPLE FORMATS INCLUDING SPEAKER'S BUREAU, MAGAZINES, WEB SITE, VIDEOS, SOCIAL MEDIA, LIVE STREAM AND A MEDICAL LIBRARY ACCESSIBLE TO THE PUBLIC; - COORDINATING EFFORTS WITH OTHER ORGANIZATIONS TO IMPROVE DISASTER PREPAREDNESS, PROVIDE SUPPORT SERVICES FOR THE WORKING POOR AS WELL AS FOR PEOPLE EXPERIENCING HOMELESS, AND VICTIMS OF DOMESTIC VIOLENCE; - CONDUCTING SCHOOL AND COMMUNITY-BASED EDUCATION FOR CHILDREN ON THE BASICS OF NUTRITION AND EXERCISE, PROVIDE PUBLIC ACCESS DEFIBRILLATION PROGRAM AND AED AWARENESS AND TRAINING."