2020-10-23T12:25:53-05:00 2019-12-31 221478099 COHNREZNICK LLP 400 CAPITOL MALL SUITE 1200 SACRAMENTO CA 95814 990 2019-01-01 753046480 WATTS HEALTHCARE CORPORATION WATT 3235683093 10300 COMPTON AVE LOS ANGELES CA 90002 RODERICK N SEAMSTER MD MPH CEO 3235683093 2020-10-19 1 LISA M CUMMINGS CPA P00043433 9164429100 2020-10-16 209.59.243.22 2020-10-19 09:14:15 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-01-29 14:40:06Z RODERICK N SEAMSTER MD 10300 COMPTON AVE LOS ANGELES CA 90002 39305023 0 X WWW.WATTSHEALTH.ORG X 2002 CA THE MISSION OF WATTS HEALTHCARE CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES THAT WE SERVE BY ENSURING ACCESS TO COMPASSIONATE, QUALITY, CULTURALLY-SENSITIVE, PREVENTIVE AND PRIMARY HEALTH CARE SERVICES. 12 12 431 12 0 0 8973051 8708405 29320756 30596618 0 0 0 0 38293807 39305023 0 0 0 0 26553741 28199973 0 0 76692 12045140 12278770 38598881 40478743 -305074 -1173720 25806778 24909403 8263970 8540315 17542808 16369088 THE MISSION OF WATTS HEALTHCARE CORPORATION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES THAT WE SERVE BY ENSURING ACCESS TO COMPASSIONATE, QUALITY, CULTURALLY-SENSITIVE, PREVENTIVE AND PRIMARY HEALTH CARE SERVICES. 0 0 28867336 23328659 WATTS HEALTHCARE CORPORATION PROVIDES PRIMARY CARE PROGRAM SERVICES FEDERALLY UNDER AN HRSA GRANT SECTION 330 OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. THROUGH THIS PROGRAM WITH ADDED STATE MEDI-CAL REVENUE AND FEDERAL FUNDING SUCH AS MEDICARE, WHCC PROVIDES PRIMARY MEDICAL CARE, DENTAL SERVICES, BEHAVIORAL HEALTH AND SPECIALTY SERVICES SUCH AS PODIATRY, OPHTALMOLOGY AND OPTOMETRY. 3113679 3711465 IN ADDITION TO CLINICAL SERVICES WHCC OPERATES WOMEN, INFANT AND CHILDREN NUTRITION PROGRAM SITES. 2926324 3556494 WHCC OPERATES A RESIDENTIAL AND OUT-PATIENT SUBSTANCE USE DISORDER PROGRAM KNOWN AS THE HOUSE OF UHURU. THE PROGRAM OPERATES 24/7 AND IS LICENSED FOR 66 BEDS. 34907339 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 120 0 1 431 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X THE ORGANIZATION 3235683093 10300 COMPTON AVE LOS ANGELES CA 90002 DR TICEY M BROWN DIRECTOR 1.00 X 0 0 0 EARNESTENE WILSON DIRECTOR 1.00 X 0 0 0 GLENN C FORD DIRECTOR 1.00 X 0 0 0 LINDA DANIELS DIRECTOR 1.00 X 0 0 0 MARY ANN CORTEZ DIRECTOR 1.00 X 0 0 0 MARYANN MARIE CORTEZ MEMBER 1.00 X 0 0 0 RAPHAEL IRVING DIRECTOR 1.00 X 0 0 0 SARA HEALEY MEMBER 1.00 X 0 0 0 CARROLL MCNEELY CFO (OUTGOING) 40.00 X 207142 0 20485 DR JOE H WALLER CHAIR 1.00 X 0 0 0 DR OLIVER BROOKS CHIEF MEDICAL OFFICER 40.00 X 290750 0 39355 DR OSAZUWA OMEDE SECRETARY 1.00 X 0 0 0 DR RODERICK SEAMSTER PRESIDENT & CEO 40.00 X 288473 0 48381 DR YOKO SUGIHARA TREASURER 1.00 X 0 0 0 HAREGEWOIN YOHANNES INTERIM CHIEF FINANCIAL OFFICER 40.00 X 147363 0 18799 OLUSHEYI LAWOYIN ADMIN - CHIEF OPERATION OFFICER 40.00 X 135118 0 5850 VICTOR CORTEZ VICE CHAIR 1.00 X 0 0 0 DR DUANE COX CCHC - CHIEF PHYSICIAN 40.00 X 206956 0 28555 DR LUIS APARICIO SDC - CHIEF PHYSICIAN 40.00 X 238398 0 42113 DR LYNN DEWGARDE PEDIATRICIAN 40.00 X 216676 0 28426 DR KHANG HOANG SDC - STAFF PHYSICIAN URGENT CARE 40.00 X 206984 0 12208 DR VILMA GONZALEZ-BARRETO OB/GYN - CHIEF PHYSICIAN 40.00 X 203813 0 30284 2141673 0 274456 31 0 1 0 UNIVERSAL PROTECTION SERVICES P O BOX 31001-2374 PASADENA CA 911102374 SECURITY SERVICES 593601 UNISERVE FACILITIES 2363 S ATLANTIC BLVD COMMERCE CA 90040 HOUSEKEEPING/JANITORIAL 529658 ECLINICAL WORKS PO BOX 847950 BOSTON MA 22484 ELECTRONIC HEALTH RECORDS SERVICES 246223 COMPHEALTH PO BOX 972651 DALLAS TX 75397 TEMPORARY HEALTH SERVICES 154683 ATLANTIS EYE CARE 1595 E 17TH ST SANTA ANA CA 92705 EYECARE SPECIALISTS 131500 9 8408736 299669 8708405 PATIENT SERVICES 621400 24366628 24366628 STATE CONTRACT SERVICES 621400 5284612 5284612 OTHER REVENUE 621400 945378 945378 30596618 39305023 30596618 0 0 1201716 1055354 146362 20089275 17661383 2427892 782985 681705 101280 4636471 4036741 599730 1489526 1296855 192671 209358 150761 58597 212514 153033 59481 109191 78630 30561 2148292 1491780 579820 76692 1278766 977819 300947 1949963 1914074 35889 221516 82603 138913 235221 87731 147490 192653 190662 1991 702092 626231 75861 218329 151475 66854 MEDICAL SUPPLIES 1318836 1201855 116981 EQUIPMENT RENTAL 855564 727853 127711 HEALTHCARE CLAIMS 680360 680360 SECURITY 597226 586272 10954 1348889 1074162 274727 40478743 34907339 5494712 76692 5571368 4819973 2400555 3081032 7639720 6251114 137538 157051 16441398 6198180 9974604 10243218 82993 357015 25806778 24909403 4260694 4395571 23169 3854848 3751640 125259 393104 8263970 8540315 X 17542808 16369088 17542808 16369088 25806778 24909403 -1173720 0 X X 0 1 X 1 1 1 X 14391347 8177522 7942636 8973051 8708405 48192961 14391347 8177522 7942636 8973051 8708405 48192961 48192961 328512 80505 100526 509543 48702504 214744935 0.98950 0.96440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5386653 5386653 3853552 1175342 2678210 37471 35599 1872 6464652 4593461 1871191 699070 393778 305292 10243218 HEALTHCARE CLAIMS 393104 393104 X 39305023 0 39305023 0 39305023 40478743 0 40478743 0 40478743 PART X, LINE 2: WHCC IS A NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE REVENUE TAXATION CODE OF CALIFORNIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. WHCC HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2019. WHCC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2016 ARE CLOSED. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, WHCC RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF INCOME TAX EXPENSE AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. X X X 0 0 0 0 0 0 0 0 0 CARROLL MCNEELY CFO (OUTGOING) 173234 0 1600 0 32308 0 13995 0 6490 0 227627 0 0 0 DR OLIVER BROOKS CHIEF MEDICAL OFFICER 290750 0 0 0 0 0 23533 0 15822 0 330105 0 0 0 DR RODERICK SEAMSTER PRESIDENT & CEO 288473 0 0 0 0 0 35433 0 12948 0 336854 0 0 0 HAREGEWOIN YOHANNES INTERIM CHIEF FINANCIAL OFFICER 146726 0 0 0 637 0 11779 0 7020 0 166162 0 0 0 DR DUANE COX CCHC - CHIEF PHYSICIAN 206956 0 0 0 0 0 10645 0 17910 0 235511 0 0 0 DR LUIS APARICIO SDC - CHIEF PHYSICIAN 238398 0 0 0 0 0 19463 0 22650 0 280511 0 0 0 DR LYNN DEWGARDE PEDIATRICIAN 216676 0 0 0 0 0 17674 0 10752 0 245102 0 0 0 DR KHANG HOANG SDC - STAFF PHYSICIAN URGENT CARE 206984 0 0 0 0 0 5188 0 7020 0 219192 0 0 0 DR VILMA GONZALEZ-BARRETO OB/GYN - CHIEF PHYSICIAN 203813 0 0 0 0 0 16454 0 13830 0 234097 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE WHCC FINANCE AND AUDIT COMMITTEE REVIEWS THE 990 WITH ASSISTANCE OF TAX PREPARER PRINCIPAL AND STAFF, IE THE WHCC CFO. THE 990 DRAFT IS FORWARDED FOR BOARD REVIEW AT THE NEXT AVAILABLE MEETING PRIOR TO THE FILING DEADLINE. IF ANY FACTS, GRAMMAR OR STYLE ARE REQUESTED FOR CHANGE ON THE DRAFT FORMS, THE CHANGES ARE MADE, AND, AFTER FULL BOARD REVIEW, THE 990 IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE COMMITTEE MANAGES THE TRAINING OF CONFLICT OF INTEREST POLICY AND PROCEDURE AND REVIEWS SITUATIONS WHERE CONFLICT OF INTEREST MIGHT OCCUR. WHERE CONFLICT OF INTEREST MIGHT HAPPEN THE COMMITTEE EVALUATES THE FACTS AGAINST THE POLICY AND PROCEDURE. FORM 990, PART VI, SECTION B, LINE 15 WHCC USES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE SALARIES OF THE CEO, OFFICERS AND KEY EMPLOYEES PER THE CALIFORNIA NOT-FOR-PROFIT INTEGRITY ACT AND IRS IMPLIED GOAL THAT ALL NOT-FOR-PROFITS USE INDEPENDENT JUDGEMENT IN COMPENSATION MATTERS FOR TOP MANAGEMENT. USUALLY THE CEO AND DIRECTOR OF HUMAN RESOURCES PLUS INDEPENDENT CONSULTANT REVIEW THE COMPENSATION REPORT RESULTS WITH THE BOARD IN EXECUTIVE SESSION. ALSO BOARD MEMBERS APPROVE THE CEO'S COMPENSATION PURSUANT TO CEO'S CONTRACT PROVISIONS. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE WATTS HEALTHCARE CORPORATION DID NOT CHANGE EITHER ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.