2022-11-15T21:37:30-06:00 2021-12-31 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2021-01-01 753046480 WATTS HEALTHCARE CORPORATION WATT 3235683093 10300 COMPTON AVENUE LOS ANGELES CA 90002 MICHAEL JOHNSON PRESIDENT & CEO 3235683093 2022-11-15 1 MICHAEL JOHNSON 999009999 REGINA PRINCE CPA P00576936 2138731700 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z MICHAEL JOHNSON 10300 COMPTON AVENUE LOS ANGELES CA 90002 39954426 0 X WWW.WATTSHEALTH.ORG X 2002 CA 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. 10 10 369 10 0 0 10434222 23313309 23648146 16641117 0 0 7315 0 34089683 39954426 0 0 0 0 24045442 23391898 0 0 88947 11238483 12274015 35283925 35665913 -1194242 4288513 30022192 28641562 14847346 9178203 15174846 19463359 TO OPERATE A MEDICAL CLINICS AND SHALL PROMOTE HEALTH AND OTHER PROGRAMS WITHIN THE CITY OF LOS ANGELES AND THE IMMEDIATELY SURROUNDING AREAS. 0 0 22032283 16641117 WATTS HEALTHCARE CORPORATION PROVIDES PRIMARY CARE PROGRAM SERVICES FEDERALLY UNDER 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, OPTHALMOLOGY, AND OPTOMETRY. 3760546 IN ADDITION TO CLINICAL SERVICES WHCC OPERATES WOMEN, INFANT, AND CHILDREN NUTRITION PROGRAM SITES. 3255780 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. 29048609 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 1 119 0 1 369 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X HAREGEWOIN YOHANNES 3235683093 10300 COMPTON AVENUE LOS ANGELES CA 90002 DR JOE H WALLER BOARD CHAIR 1.00 X X 0 0 0 DR TICEY BROWN BOARD MEMBER 1.00 X 0 0 0 DR OSAZUWA OMEDE BOARD SECRETARY 1.00 X X 0 0 0 LINDA DANIELS BOARD TREASURER 1.00 X X 0 0 0 GLENN C FORD BOARD MEMBER 1.00 X 0 0 0 EARNESTENE WILSON BOARD MEMBER 1.00 X 0 0 0 SARA HEALEY BOARD MEMBER 1.00 X 0 0 0 RAPHAEL G IRVING BOARD MEMBER 1.00 X 0 0 0 MARY ANN CORTEZ VICE CHAIR 1.00 X X 0 0 0 MARYANN MARIE CORTEZ BOARD MEMBER 1.00 X 0 0 0 RODERICK SEAMSTER FORMER CEO - SEPARATED IN 2021 0.00 X 337500 0 0 HAREGEWOIN YOHANNES CFO 40.00 X 206788 0 15956 MICHAEL JOHNSON CEO 40.00 X 177500 0 14200 OLIVER BROOKS CHIEF MED DIRECTOR 40.00 X 296894 0 23477 DUANE COX CHIEF PHYSICIAN 40.00 X 248972 0 14766 COZZETTE LYONS-JONES CHIEF ADULT ME 40.00 X 246106 0 12158 VILMA GONZALEZ-BARRETO CHIEF PHYSICIAN OB/GYN 40.00 X 243285 0 19221 LYNN DEWGARDE CHIEF PHYSICIAN PEDIATRICS 40.00 X 201416 0 15926 REGINALD MOORE DIRECTOR OF DENTAL 40.00 X 198865 0 11787 RUTH YOON STAFF PHYSICIAN PEDIATRICS 40.00 X 190845 0 15085 OLUSHEYI LAWOYIN COO 40.00 X 182541 0 9014 DAWN BERNARD DIRECTOR OF QUALITY 40.00 X 157559 0 12445 DANA GRANT-KNOLL VP PROGRAMS 40.00 X 157494 0 12444 KHANG HOANG STAFF PHYSICIAN URGENT 40.00 X 215967 0 17057 RACHEL BARANCO STAFF PHSICIAN PEDIATRICS 40.00 X 189717 0 14991 JAMES BROWN PODIATRIST 40.00 X 179190 0 2933 KIMBERLY EDDINGS-REECE STAFF PHYSICIAN ADULT 40.00 X 170312 0 13625 GREGORY ALBRECHT PODIATRIST 40.00 X 155074 0 7655 3756025 0 232740 32 0 1 0 ALLIED UNIVERSAL SECURITY SERVICE PO BOX 31001-2374 PASADENA CA 91110 SECURITY SERVICES 535763 UNISERVE FACILITIES SCVS CORP 2363 S ATLANTIC BL COMMERCE CA 90040 CLEANING SERVICES 485440 COMPHEALTH MEDICAL STAFFING PO BOX 972651 DALLAS TX 75397 PROVIDE HEALTHCARE STAFFING 418881 LITTLER MENDELSON PC NAT'L EMP & LABO PO BOX 207137 DALLAS TX 75320 LEGAL SERVICES 350771 TALENT STRATEGIES LLC 26090 TOWNE CENTRE DR FOOTHILL RANCH CA 92610 PROVIDE TEMPORARY CLINICAL STAFFING 306263 9 21524563 1788746 23313309 NET PATIENT SERVICES 624100 12089360 12089360 CAPITATION REVENUE 624100 4119950 4119950 PHARMACY REVENUE 624100 320304 320304 OTHER PROGRAM REVENUE 624100 103453 103453 MEDICAL RECORD 624100 8050 8050 16641117 39954426 16641117 0 0 3022244 2476344 545900 14596419 11959908 2636511 625043 512143 112900 3908590 3202593 705997 1239602 1015696 223906 432814 406075 26739 73210 68687 4523 1754179 1556862 108370 88947 714418 573772 140646 430289 430274 15 3550065 3267114 282951 97215 96496 719 175421 146088 29333 671681 627977 43704 304347 115288 189059 MEDICAL SUPPLIES 1566125 462853 1103272 EQUIPMENT RENTAL & MAIN 952962 806903 146059 OTHER PROGRAM SUPPLIES 594269 577221 17048 DUES & SUBSCRIPTIONS 402196 225424 176772 554824 520891 33933 35665913 29048609 6528357 88947 13345439 12885591 1827373 1537468 4272250 3409700 227104 303590 17849316 7572893 9899298 10276423 450728 228790 30022192 28641562 3460595 3309668 1273694 178202 3635141 3508710 6477916 2181623 14847346 9178203 X 13174846 17463359 2000000 2000000 15174846 19463359 30022192 28641562 4288513 0 X 0 1 X 1 1 1 X 7942636 8973051 8708405 10434222 23313309 59371623 7942636 8973051 8708405 10434222 23313309 59371623 59371623 59371623 129220723 1.00000 0.99580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5386653 5386653 2897716 1037508 1860208 1255165 527102 728063 8309782 6008283 2301499 10276423 CLAIMS PAYABLE 2181623 2181623 X 39954426 0 39954426 0 39954426 35665913 0 35665913 0 35665913 PART X, LINE 2: WHC IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, WHC IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. GAAP REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2021, WHC HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS, TAX PENALTIES, OR INTEREST. AS OF DECEMBER 31, 2021, INFORMATION RETURNS SUBSEQUENT TO 2017 FILED BY WHC ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. X X 1 0 0 0 0 0 0 0 0 RODERICK SEAMSTER FORMER CEO - SEPARATED IN 2021 0 0 337500 0 0 0 0 0 0 0 337500 0 0 0 OLIVER BROOKS CHIEF MED DIRECTOR 293468 0 3426 0 0 0 23477 0 0 0 320371 0 0 0 DUANE COX CHIEF PHYSICIAN 246100 0 2872 0 0 0 14766 0 0 0 263738 0 0 0 VILMA GONZALEZ-BARRETO CHIEF PHYSICIAN OB/GYN 240262 0 3023 0 0 0 19221 0 0 0 262506 0 0 0 COZZETTE LYONS-JONES CHIEF ADULT ME 243158 0 2948 0 0 0 12158 0 0 0 258264 0 0 0 KHANG HOANG STAFF PHYSICIAN URGENT 213209 0 2758 0 0 0 17057 0 0 0 233024 0 0 0 HAREGEWOIN YOHANNES CFO 199445 0 7343 0 0 0 15956 0 0 0 222744 0 0 0 LYNN DEWGARDE CHIEF PHYSICIAN PEDIATRICS 199075 0 2341 0 0 0 15926 0 0 0 217342 0 0 0 REGINALD MOORE DIRECTOR OF DENTAL 196447 0 2418 0 0 0 11787 0 0 0 210652 0 0 0 RUTH YOON STAFF PHYSICIAN PEDIATRICS 188564 0 2281 0 0 0 15085 0 0 0 205930 0 0 0 RACHEL BARANCO STAFF PHSICIAN PEDIATRICS 187390 0 2327 0 0 0 14991 0 0 0 204708 0 0 0 MICHAEL JOHNSON CEO 177500 0 0 0 0 0 14200 0 0 0 191700 0 0 0 OLUSHEYI LAWOYIN COO 180274 0 2267 0 0 0 9014 0 0 0 191555 0 0 0 KIMBERLY EDDINGS-REECE STAFF PHYSICIAN ADULT 170312 0 0 0 0 0 13625 0 0 0 183937 0 0 0 JAMES BROWN PODIATRIST 177744 0 1446 0 0 0 2933 0 0 0 182123 0 0 0 DAWN BERNARD DIRECTOR OF QUALITY 155568 0 1991 0 0 0 12445 0 0 0 170004 0 0 0 DANA GRANT-KNOLL VP PROGRAMS 155548 0 1946 0 0 0 12444 0 0 0 169938 0 0 0 GREGORY ALBRECHT PODIATRIST 153108 0 1966 0 0 0 7655 0 0 0 162729 0 0 0 PART I, LINE 4A RODERICK SEAMSTER FORMER PRESIDENT & CEO RECEIVED A SEVERANCE PAY OF $337,500. FORM 990, PART VI, SECTION B, LINE 11B THE WHCC FINANCE AND AUDIT COMMITTEE REVIEWS THE 990 WITH THE ASSISTANCE OF TAX PREPARER PARTNER AND STAFF, I.E. 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 ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE COVERED PERSONS UNDER WHCC'S CONFLICT OF INTEREST POLICY. AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED TO BE COMPLETED BY ALL COVERED PERSONS WHEREIN THEY AFFIRM THAT THEY 1) HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAVE READ AND UNDERSTAND THE CONFLICT OF INTEREST POLICY; 3) AGREE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY; 4) AFFIRM ANY TRANSACTIONS THEY OR A FAMILY MEMBER HAVE ENTERED INTO, DIRECTLY OR INDIRECTLY, WITH WHCC; 5) AFFIRM WHETHER THEY OR A FAMILY MEMBER HELD A POSITION WITH AN ORGANIZATION THE WHCC HAS ANY BUSINESS RELATIONSHIP WITH; 6) AFFIRM WHETHER THEY OR A FAMILY MEMBER HAD A FINANCIAL INTEREST IN ANY ORGANIZATION THAT WHCC HAS OR IS CONTEMPLATING ENTERING INTO A BUSINESS RELATIONSHIP WITH; AND 7) AFFIRM WHETHER THEY OR A FAMILY MEMBER RECEIVED ANY GIFTS, MONEY, LOANS OR OTHER TYPE OF SERVICE OR FAVOR WITH A MARKET VALUE OF $200 OR MORE FROM ANY PERSON OR ORGANIZATION THAT HAS, OR IS SEEKING TO HAVE, A BUSINESS RELATIONSHIP WITH THE WHCC. THE BOARD OF DIRECTORS REVIEWS THE ANNUAL DISCLOSURES AND ADDRESSES ANY POTENTIAL CONFLICTS OF INTEREST, WITH ANY INTERESTED PERSON ABSTAINING FROM THE DELIBERATION AND DISCUSSION OF THE MATTER. 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 THE TOP MANAGEMENT. USUALLY THE CEO AND DIRECTOR OF THE 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 MAYBE AVAILABLE UPON REQUEST.