Re: TORRANCE (CA), HOSPITAL REVENUE BONDS SERIES 2001A
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1 TORRANCE MEMORIAL MEDICAL CENTER Annual Disclosure Report Per Continuing Disclosure Agreement Section 3 FY 2015 Re: TORRANCE (CA), HOSPITAL REVENUE BONDS SERIES 2001A
2 BOARD OF TRUSTEES -TMMC & TMHS Effective May 21, 2015 Board Members Greg Geiger, Chairman Vinh Cam, MD William Collier; Esq., Treasurer Pamela Crane, Secretary Sally Eberhard Amir Kaviani, MD Sherry Kramer Craig Leach, President/CEO & Assistant Treasurer Charlotte Lesser Susan Liebson Rich Lucy David Rand, MD, Vice Chairman Mark Lurie, Ex-Officio Member
3 B Torrance Memorial Medical Center Annual Capital Expenditure Budget ($ in OOO's) December 31, Annual Capital Expenditure Budget 21, ,074 Copy of Annua1Filing2016
4 Torrance Memorial Medical Center Physician Data C.1 Number of Physicians on the Medical Staff 1,096 C.2 Number of Physicians on Staff Board Certified 920 C.3 Top 10 Admitting Physicians Inpatient Last Name First Name Specialty Age Admission Miller, MD Katherine V Internal Medicine Kim, MD Chong U Internal Medicine Nguyen, MD Gina P Internal Medicine Jensen MD Steven C Pediatric Critical Car Ramos, MD Valente C Internal Medicine Tehrani, MD Taraneh Internal Medicine Haider, MD Tauseef Internal Medicine Tong, MD Anhtuan Internal Medicine Tran, MD Aaron K Internal Medicine Bholat, MD Tasneem A Internal Medicine Percentage of Total Inpatient Discharges 2.84% 2.32% 1.86% 1.85% 1.70% 1.63% 1.61% 1.57% 1.55% 1.55% 18.48% Total number of discharges: 26,764 Annua1Filing2015Bond2001 Final.xis
5 C Torrance Memorial Medical Staff Detail Primarv Soecialtv Number on Staff Number Certified Average Age Allergy and Immunology Anesthesiology Burn and Reconstructive Plastic SL Cardioloav Cardiovascular Surgery Colon and Rectal Surgery Dentistry Dermatology Electrophysiology Emergency Medicine Endocrinology Family Practice Gastroenteroloqy General Surgery Gynecology Infectious Diseases Infertility Internal Medicine lnterventional Cardiology Neonatology Nephroloav Neurology Neurosurgery OB/GYN Oncoloqv/Hematology Ophthalmology Oral Surgery Orthopedics Otolaryngology Pain Management Palliative Care Pathology Pediatric Allerav/lmmunology Pediatric Cardiology Pediatric Critical Care Pediatric Dentistry Pediatric Endocrinology Pediatric Gastroenterology Pediatric Infectious Disease Pediatric Ophthalmoloqy Pediatric Orthopedic Pediatric Otolaryngology Pediatric Pulmonary Pediatric Surgery Pediatric Uroloav Pediatrics Perinatology Physical Medicine/Rehab Plastic Surgery Podiatry Psychiatry
6 C Torrance Memorial Medical Staff Detail Primarv Soecialtv Number on Staff Number Certified Average Age Pulmonoloqy Radiation Oncoloqy Radiology Reproductive Endocrinology Rheumatology Teleneurology T elerad ioloav Thoracic Surqery Uroloqy Vascular Surgery
7 Torrance Memorial Medical Center Other Data D.1 The Estimate number of FTE's 2,919 D.2 The Estimated number of FT/PT RN's/LPN's Full-time Part-time RN LPN 19 9 FTE'S E Percentage admissions pursuant to managed care contracts 71.0% F G Licensed Beds Available and in use beds Medical/Surgical ICU CICU BURN PEDIATRICS OB NICU-5TH FLR NICU-TRQNSITION NICU-3RD FLR TCU Copy of Annua1Filing2016
8 Torrance Memorial Medical Center Historic Utilization The Corporation's utilization statistics for its three fiscal years ended December 31, 2015 and for the fiscal quarters ended December 31, 2015 and December 31, 2014 are presented below. Historic Utilization Fiscal Quarter Ended Inpatient Statistics: December 31, December 31, Licensed beds Beds in use Discharges* 25,238 23,964 23,215 6,353 6,006 Patient Days 109,273 97,210 95,384 26,834 24,337 Inpatient surgeries 6,979 6,409 6,284 1,688 1,554 Newborn discharges 3,126 3,150 3, Average length of stay (acute days)* Percent occupancy (beds in use)* 74% 73% 73% 72% 70% Outpatient Statistics: Emergency visits 77,618 70,478 63,730 19,476 17,703 Outpatient visits 293, , ,454 76,440 69,023 Outpatient surgeries 9,825 10,787 10,996 2,516 2,450 *Excludes newborns. Source: Corporation Copy of HistorUtilizDec2015.xlsx
9 Torrance Memorial Medical Center Other Data Source of Net Patient Service Revenue Medicare 26.0% Medical 2.0% Managed Care 70.3% Other/Self Pay 1. 7% Copy of Annua1Filing2016
10 J Torrance Memorial Medical Center Liquidity Data-Cash and Investments ($ in OOO's) December 31, 2015 Cash and Cash Equivalents Board Designated Investments Subtotal:Unrestricted Cash and Investments Trustee Held Funds for: Bond Reserve Fund Managed Care and Endowment Subtotal: Trustee-Held Funds 41,666 b 174,320 a 215,986 5,010 c 88,307 d 93,317 Total Cash and Investments 309,303 Copy of Annua1Filing2016
11 K Torrance Memorial Medical Center Unrestricted Cash and Investments to Daily Operating Expense ($ in OOO's) December 31, 2015 Unrestricted Cash and Investments 215,986 Total Expenses Less: Depreciation and Amortization Subtotal Days Cash on Hand 571,251 (43,387) 527, Copy of Annua1Filing2016
12 L Torrance Memorial Medical Center Unrestricted Cash and Investments to Long-Term Debt ($000's) December 31, 2015 Unrestricted Cash and Investments Long-Term Debt Unrestricted Cash and Investments to Long-Term Debt Ratio 215, ,785 77% Copy of Annua1Filing2016
13 M Torrance Memorial Medical Center Long-Term Debt to Total Capitalization($ in OOO's) December 31, 2015 Long-Term Debt Unrestricted Net Assets Total Capitalization Long-Term Debt to Capitalization Ratio 281, , , % Copy of Annua1Filing2016
14 N Torrance Memorial Medical Center Income Available for Debt Service to Actual Debt Service ($ in OOO's) December 31, 2015 Excess Revenues Over Expenses Add :Depreciation and Amortization Add : Interest Expense $ ,387 10,697 Amount Available for Debt Service Annual Debt Service on Long-Term Debt: 2001 Bond Debt Payment Interest Expense Interest Expense Capitalized Annual Debt Service Coverage Ratio $ $ 54,596 1,755 10, , Annua1Filing2016wip.xls
15 Torrance Memorial Medical Center 0 Additional Long Term Indebtedness ($ in OOO's) December 31, 2015 None Annua1Filing2016wip.xls
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