TORRANCE MEMORIAL MEDICAL CENTER Annual Disclosure Report Per Continuing Disclosure Agreement Section 3 FY 2015 Re: TORRANCE (CA), HOSPITAL REVENUE BONDS SERIES 2001A
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
B Torrance Memorial Medical Center Annual Capital Expenditure Budget ($ in OOO's) December 31, 2015 2016 Annual Capital Expenditure Budget 21, 103 47,074 Copy of Annua1Filing2016
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 49 761 Kim, MD Chong U Internal Medicine 50 621 Nguyen, MD Gina P Internal Medicine 32 497 Jensen MD Steven C Pediatric Critical Car 59 496 Ramos, MD Valente C Internal Medicine 51 456 Tehrani, MD Taraneh Internal Medicine 41 435 Haider, MD Tauseef Internal Medicine 45 430 Tong, MD Anhtuan Internal Medicine 48 420 Tran, MD Aaron K Internal Medicine 36 416 Bholat, MD Tasneem A Internal Medicine 35 414 4946 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
C - 1 - Torrance Memorial Medical Staff Detail - 2015 Primarv Soecialtv Number on Staff Number Certified Average Age Allergy and Immunology 8 8 54 Anesthesiology 51 43 49 Burn and Reconstructive Plastic SL 1 0 44 Cardioloav 19 15 56 Cardiovascular Surgery 12 10 57 Colon and Rectal Surgery 3 3 45 Dentistry 2 0 65 Dermatology 22 15 52 Electrophysiology 4 4 50 Emergency Medicine 32 28 44 Endocrinology 17 17 46 Family Practice 74 54 56 Gastroenteroloqy 29 28 53 General Surgery 20 17 54 Gynecology 11 9 59 Infectious Diseases 10 10 50 Infertility 2 2 68 Internal Medicine 169 138 47 lnterventional Cardiology 18 16 53 Neonatology 10 9 52 Nephroloav 17 16 56 Neurology 15 15 54 Neurosurgery 4 3 62 OB/GYN 45 39 55 Oncoloqv/Hematology 21 21 51 Ophthalmology 41 39 54 Oral Surgery 9 3 54 Orthopedics 54 45 53 Otolaryngology 23 22 58 Pain Management 11 8 47 Palliative Care 1 0 62 Pathology 4 4 50 Pediatric Allerav/lmmunology 2 2 68 Pediatric Cardiology 5 4 50 Pediatric Critical Care 2 2 60 Pediatric Dentistry 5 2 52 Pediatric Endocrinology 7 5 47 Pediatric Gastroenterology 13 12 44 Pediatric Infectious Disease 4 4 50 Pediatric Ophthalmoloqy 3 2 48 Pediatric Orthopedic 1 1 45 Pediatric Otolaryngology 5 5 44 Pediatric Pulmonary 3 3 40 Pediatric Surgery 4 4 50 Pediatric Uroloav 2 1 44 Pediatrics 91 78 52 Perinatology 10 8 47 Physical Medicine/Rehab. 8 8 50 Plastic Surgery 22 21 54 Podiatry 27 15 47 Psychiatry 12 6 66
C - 1 - Torrance Memorial Medical Staff Detail - 2015 Primarv Soecialtv Number on Staff Number Certified Average Age Pulmonoloqy 14 12 58 Radiation Oncoloqy 4 4 55 Radiology 29 27 57 Reproductive Endocrinology 7 7 49 Rheumatology 12 9 52 Teleneurology 9 6 40 T elerad ioloav 10 9 48 Thoracic Surqery 2 1 50 Uroloqy 20 17 55 Vascular Surgery 4 4 44 1096 920 52
Torrance Memorial Medical Center Other Data - 2015 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 782 374 LPN 19 9 FTE'S 881.58 17.2 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 649 246 24 12 12 20 28 12 5 8 40 407 Copy of Annua1Filing2016
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, 2015 2014 2013 2015 2014 Licensed beds 649 446 401 649 446 Beds in use 407 378 377 407 378 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 3,057 727 801 Average length of stay (acute days)* 4.0 3.8 3.9 3.8 3.8 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 293,612 271,234 210,454 76,440 69,023 Outpatient surgeries 9,825 10,787 10,996 2,516 2,450 *Excludes newborns. Source: Corporation Copy of HistorUtilizDec2015.xlsx
Torrance Memorial Medical Center Other Data - 2015 Source of Net Patient Service Revenue Medicare 26.0% Medical 2.0% Managed Care 70.3% Other/Self Pay 1. 7% Copy of Annua1Filing2016
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
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) 527,864 149 Copy of Annua1Filing2016
L Torrance Memorial Medical Center Unrestricted Cash and Investments to Long-Term Debt ($000's) December 31, 2015 Unrestricted Cash and Investments Long-Term Debt Unrestricted Cash and Investments to Long-Term Debt Ratio 215,986 281,785 77% Copy of Annua1Filing2016
M Torrance Memorial Medical Center Long-Term Debt to Total Capitalization($ in OOO's) December 31, 2015 Long-Term Debt Unrestricted Net Assets Total Capitalization Long-Term Debt to Capitalization Ratio 281,785 472,369 754, 154 37% Copy of Annua1Filing2016
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 $ 512 43,387 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 10,697 199 12,468 4.38 Annua1Filing2016wip.xls
Torrance Memorial Medical Center 0 Additional Long Term Indebtedness ($ in OOO's) December 31, 2015 None Annua1Filing2016wip.xls