2021-11-15T16:55:57-06:00 2020-12-31 221478099 COHNREZNICK LLP 400 CAPITOL MALL SUITE 1200 SACRAMENTO CA 95814 990 2020-01-01 753046480 WATTS HEALTHCARE CORPORATION WATT 3235683093 10300 COMPTON AVE LOS ANGELES CA 90002 MICHAEL JOHNSON PRESIDENT & CEO 3235683093 2021-11-13 1 MICHAEL JOHNSON 999009999 LISA M CUMMINGS CPA P00043433 9164429100 2021-11-13 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RODERICK N SEAMSTER MD 10300 COMPTON AVE LOS ANGELES CA 90002 34089683 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. 10 10 406 10 0 0 8708405 10434222 30596618 23648146 0 0 0 7315 39305023 34089683 0 0 0 0 28199973 24045442 0 0 68006 12278770 11238483 40478743 35283925 -1173720 -1194242 24909403 30022192 8540315 14847346 16369088 15174846 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 23696951 16931162 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. 2848965 3504783 IN ADDITION TO CLINICAL SERVICES WHCC OPERATES WOMEN, INFANT AND CHILDREN NUTRITION PROGRAM SITES. 2832663 3219516 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. 29378579 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 1 109 0 1 406 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 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 TREASURER 1.00 X X 0 0 0 MARY ANN CORTEZ VICE CHAIRMAN 1.00 X X 0 0 0 MARYANN MARIE CORTEZ DIRECTOR 1.00 X 0 0 0 RAPHAEL IRVING DIRECTOR 1.00 X 0 0 0 SARA HEALEY MEMBER 1.00 X 0 0 0 DR JOE H WALLER CHAIRMAN 1.00 X 0 0 0 DR OLIVER BROOKS CHIEF MEDICAL OFFICER 40.00 X 299530 0 40049 DR OSAZUWA OMEDE SECRETARY 1.00 X 0 0 0 DR RODERICK SEAMSTER CHIEF EXECUTIVE OFFICER 40.00 X 379863 0 42246 DR YOKO SUGIHARA OUTGOING TREASURER 1.00 X 0 0 0 HAREGEWOIN YOHANNES CHIEF FINANCIAL OFFICER 40.00 X 230266 0 22641 OLUSHEYI LAWOYIN CHIEF OPERATIONS OFFICER 40.00 X 173961 0 21053 VICTOR CORTEZ OUTGOING VICE CHAIR 1.00 X 0 0 0 DR COZZETTE LYONS-JONES CHIEF ADULT MEDICINE 40.00 X 227598 0 39910 DR DUANE COX CCHC - CHIEF PHYSICIAN 40.00 X 231519 0 37284 DR KHANG HOANG STAFF PHYSICIAN URGENT CARE 40.00 X 216746 0 18374 DR LUIS APARICIO SDC - CHIEF PHYSICIAN 40.00 X 249025 0 35882 DR VILMA GONZALEZ-BARRETO OB/GYN - CHIEF PHYSICIAN 40.00 X 235575 0 33984 2244083 0 291423 31 0 1 0 UNIVERSAL PROTECTION SERVICES P O BOX 31001-2374 PASADENA CA 911102374 SECURITY SERVICES 733120 UNISERVE FACILITIES 2363 S ATLANTIC BLVD COMMERCE CA 90040 JANITORIAL SERVICE 519746 LITTLER MENDELSON PO BOX 45547 SAN FRANCISCO CA 94145 LEGAL SERVICES 293557 ECLINICAL WORKS PO BOX 847950 BOSTON MA 22484 ELECTRONIC HEALTH RECORDS SERVICES 254398 HITCARE 1310 REDWOOD WAY PETALUMA CA 94954 IT & EMR ASSESSMENT 230077 7 9417107 1017115 10434222 MEDI-CAL MANAGED CARE 621400 12173712 12173712 STATE CONTRACT SERVICES 621400 5027608 5027608 OTHER THIRD PARTY PAYORS 621400 3600810 3600810 MEDI-CAL FEE FOR SERVICE 621400 1420884 1420884 MEDICARE/DUAL ELIGIBLE 621400 1183725 1183725 241407 241407 23648146 MEDICAL RECORDS 900099 7315 7315 7315 34089683 23655461 0 0 1209609 1017480 192129 16645260 13977502 2667758 703450 600403 103047 4226025 3606961 619064 1261098 1076362 184736 407986 207723 200263 595748 303320 292428 80482 40977 39505 1486416 828582 589828 68006 1183791 1005661 178130 459341 310904 148437 2827496 2767219 60277 12250 8465 3785 77136 53304 23832 185099 184884 215 703031 659200 43831 227287 137270 90017 EQUIPM RENTALS & MAINT 1031705 829513 202192 MEDICAL SUPPLIES 1027417 1027417 HEALTHCARE CLAIMS 474430 474430 DUES AND SUBSCRIPTIONS 276341 134603 141738 182527 126399 56128 35283925 29378579 5837340 68006 4819973 13345439 3081032 1827373 6251114 4272250 157051 227104 16800510 6901212 10243218 9899298 357015 450728 24909403 30022192 4395571 3460596 1273693 3751640 3635141 393104 6477916 8540315 14847346 X 16369088 15174846 16369088 15174846 24909403 30022192 -1194242 0 X X 0 1 X 1 1 1 X 8177522 7942636 8973051 8708405 10434222 44235836 8177522 7942636 8973051 8708405 10434222 44235836 44235836 80505 100526 7315 188346 44424182 199626063 0.99580 0.98950 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2016 AMOUNT: $ 80,505. 2017 AMOUNT: $ 100,526. 2020 AMOUNT: $ 7,315. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5386653 5386653 3936239 1344529 2591710 37471 36768 703 6688541 5063262 1625279 751606 456653 294953 9899298 HEALTHCARE CLAIMS 1295281 PAYCHECK PROTECTION PROGRAM 5182635 6477916 X 34089683 0 34089683 0 34089683 35283925 0 35283925 0 35283925 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, 2020. WHCC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2017 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 0 0 0 0 0 0 0 0 0 DR RODERICK SEAMSTER CHIEF EXECUTIVE OFFICER 290855 0 0 0 89008 0 34903 0 7343 0 422109 0 0 0 DR OLIVER BROOKS CHIEF MEDICAL OFFICER 299530 0 0 0 0 0 23962 0 16087 0 339579 0 0 0 DR LUIS APARICIO SDC - CHIEF PHYSICIAN 249025 0 0 0 0 0 19922 0 15960 0 284907 0 0 0 DR VILMA GONZALEZ-BARRETO OB/GYN - CHIEF PHYSICIAN 235575 0 0 0 0 0 18846 0 15138 0 269559 0 0 0 DR DUANE COX CCHC - CHIEF PHYSICIAN 231519 0 0 0 0 0 15049 0 22235 0 268803 0 0 0 DR COZZETTE LYONS-JONES CHIEF ADULT MEDICINE 227598 0 0 0 0 0 11380 0 28530 0 267508 0 0 0 HAREGEWOIN YOHANNES CHIEF FINANCIAL OFFICER 188990 0 41276 0 0 0 15119 0 7522 0 252907 0 0 0 DR KHANG HOANG STAFF PHYSICIAN URGENT CARE 216746 0 0 0 0 0 10837 0 7537 0 235120 0 0 0 OLUSHEYI LAWOYIN CHIEF OPERATIONS OFFICER 168961 0 5000 0 0 0 13517 0 7536 0 195014 0 0 0 SCHEDULE J, PART II, COLUMN B(III): INCLUDED IN COLUMN B(III) IS VACATION PAYOUT FOR DR. RODERICK SEAMSTER. 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.