2017-11-15T14:16:10-06:00 2016-12-31 221478099 COHNREZNICK LLP 400 CAPITOL MALL SUITE 1200 SACRAMENTO CA 95814 990 2016-01-01 753046480 WATTS HEALTHCARE CORPORATION WATT 3235683093 10300 COMPTON AVE LOS ANGELES CA 90002 Roderick N Seamster MD MPH ceo 3235683093 2017-11-15 1 LISA M CUMMINGS CPA P00043433 9164429100 66.77.76.5 2017-11-15 14:16:09 PS P 9DBA047294FA86BC4E95E35DACD2DFAEA6923977 9DBA047294FA86BC4E95E35DACD2DFAEA6923977 2016 2021-01-29 14:40:06Z Roderick N Seamster MD 10300 COMPTON AVE LOS ANGELES CA 90002 37382054 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 12 379 12 0 0 14391347 8177522 19383509 29124027 0 0 328512 80505 34103368 37382054 0 0 0 0 23188797 23099596 0 70083 70083 9524854 10210557 32713651 33380236 1389717 4001818 21511269 25951267 8084777 8522957 13426492 17428310 X 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. 1 0 23761157 28840795 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. 3109763 In addition to clinical services WHCC operates women, infant and children nutrition program sites. 1964637 363737 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. 28835557 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 179 0 1 379 1 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 Carroll McNeely 3235683093 10300 Compton Avenue Los Angeles CA 90002 Dr Ticey M Brown Director 1.00 X 0 0 0 Jeremy D Cortez Director 1.00 X 0 0 0 Victor Cortez Vice Chair 1.00 X X 0 0 0 Linda Daniels Director 1.00 X 0 0 0 Raphael Irving Director 1.00 X 0 0 0 Jacqueline Hanan Jackson-Shaheed Director 1.00 X 0 0 0 Gloria Medina Treasurer 1.00 X X 0 0 0 Dr Osazuwa Omede Secretary 1.00 X X 0 0 0 Dr Michael Prelip Director 1.00 X 0 0 0 Dr Yoko Sugihara Director 1.00 X 0 0 0 Rev Joe Waller Chair 1.00 X X 0 0 0 Earnestene Wilson Director 1.00 X 0 0 0 Lynelle Robinson Director 1.00 X 0 0 0 Rev LLC Hammond Director 1.00 X 0 0 0 Morris Gearring Director 2.00 X 0 0 0 Roderick Seamster MD MPH President & CEO 40.00 X 256134 0 24365 Carroll McNeely CFO 40.00 X 178859 0 7989 Dr Duane Cox Chief Crenshaw Com. Health Ctr. 40.00 X 195089 0 23864 Dr Ruth H Yoon Pediatrician 40.00 X 189045 0 16502 Dr Marlene Lopez Internist 28.00 X 183461 0 7017 Dr Vilma Gonzalez- Barreto OB/GYN Physician 40.00 X 176846 0 14148 Dr Fraizer Moore Dental Director 40.00 X 168064 0 7989 Dr Ahmed Rabia Internist 40.00 X 167612 0 7989 Dr Oliver Brooks Associate Med. Director 40.00 X 247285 0 23864 Dr Luis Aparicio Chief SDAC 40.00 X 246160 0 21095 Dr Diedre Logan Chief OB/GYN 36.00 X 214025 0 0 Dr Rachel Baranco Pediatrician 38.00 X 197360 0 18766 Dr Lynn Dewgarde Pediatrician 40.00 X 201550 0 7989 William D Hobson FORMER CEO 40.00 X 157343 0 0 2778833 0 181577 34 1 1 0 Universal Protection Services PO Box 101034 Pasadena CA 91189 Security Guard Services 409305 Uniserve Facilities 2363 South Atlantic Blvd Commerce CA 90040 Facility Housekeeping Services 362322 eClinical Works PO Box 847950 Boston MA 22484 Health e-REcords Services 257531 Quest Diagnostics File Number 50368 Los angeles CA 90074 Med. Diagnostic Lab TEsting 225214 All's Well 6167 Bristol Parkway Suite 440 Culver City CA 90230 Temporary Health Services 173329 9 7848474 329048 8177522 Patient Services 621400 22537226 22537226 STATE CONTRACT SERVICES 621400 6586801 6586801 29124027 Other Revenue 621400 80505 80505 80505 37382054 29204532 0 0 1782316 1559705 222611 15183444 13287410 1896034 772388 675934 96454 4039761 3535288 504473 1321687 1156638 165049 172197 132884 39313 94688 73071 21617 78400 60501 17899 70083 70083 2005648 1547706 457942 991600 790781 200819 1731556 1693654 37902 181114 80505 100609 152228 67650 84578 211117 205319 5798 529064 486419 42645 188474 135586 52888 MEDICAL SUPPLIES 1430783 1291282 139501 HEALTHCARE CLAIMS 499884 499884 EQUIPMENT RENTAL & LEAS 495371 410274 85097 SECURITY 470730 460421 10309 977703 684645 293058 33380236 28835557 4474596 70083 2607458 8090196 1951739 1378722 7888239 6901614 97403 74419 13677627 4252289 8901312 9425338 65118 80978 21511269 25951267 3786998 4371275 4165356 4069900 132423 81782 8084777 8522957 X 11426492 15428310 2000000 2000000 13426492 17428310 21511269 25951267 4001818 0 X X 0 1 X 1 1 1 X 13760657 13533460 13745967 14391347 8177522 63608953 13760657 13533460 13745967 14391347 8177522 63608953 63608953 11346 11894 7914 31154 330187 417212 1449760 328512 80505 2606176 66246283 103273477 0.96020 0.96180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5386653 5386653 3355905 776108 2579797 37471 32092 5379 2549876 1441400 1108476 2347722 2002689 345033 9425338 HEALTHCARE CLAIMS 81782 81782 X 37382054 0 37382054 0 37382054 33380236 0 33380236 0 33380236 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, 2016. WHCC's federal and state income tax returns prior to fiscal year 2013 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 1 THURLOW ASSOCIATES 15342 HAWTHORNE BLVD SUITE 404 LAWNDALE CA 90260 DONOR APPLICATIONS 0 0 70083 -70083 70083 -70083 X X X 1 1 0 0 0 0 0 0 0 Roderick Seamster MD MPH President & CEO 256134 0 0 0 0 0 0 0 24365 0 280499 0 0 0 Carroll McNeely CFO 178859 0 0 0 0 0 0 0 7989 0 186848 0 0 0 Dr Duane Cox Chief Crenshaw Com. Health Ctr. 195089 0 0 0 0 0 0 0 23864 0 218953 0 0 0 Dr Ruth H Yoon Pediatrician 189045 0 0 0 0 0 0 0 16502 0 205547 0 0 0 Dr Marlene Lopez Internist 183461 0 0 0 0 0 0 0 7017 0 190478 0 0 0 Dr Vilma Gonzalez- Barreto OB/GYN Physician 176846 0 0 0 0 0 0 0 14148 0 190994 0 0 0 Dr Fraizer Moore Dental Director 168064 0 0 0 0 0 0 0 7989 0 176053 0 0 0 Dr Ahmed Rabia Internist 167612 0 0 0 0 0 0 0 7989 0 175601 0 0 0 Dr Oliver Brooks Associate Med. Director 247285 0 0 0 0 0 0 0 23864 0 271149 0 0 0 Dr Luis Aparicio Chief SDAC 246160 0 0 0 0 0 0 0 21095 0 267255 0 0 0 Dr Diedre Logan Chief OB/GYN 214025 0 0 0 0 0 0 0 0 0 214025 0 0 0 Dr Rachel Baranco Pediatrician 197360 0 0 0 0 0 0 0 18766 0 216126 0 0 0 Dr Lynn Dewgarde Pediatrician 201550 0 0 0 0 0 0 0 7989 0 209539 0 0 0 William D Hobson FORMER CEO 157343 0 0 0 0 0 0 0 0 0 157343 0 0 0 Part I, Lines 4a-b William D. Hobson, Former CEO, was paid through February 2016 with a lump sum pay all totalling $157,343. He left the position on October 30, 2015. RODERICK N SEAMSTER MD MPH CEO OF THE ORGANIZATION 2756431 WATTS HEALTHCARE CORPORATION IS A KEY MEMBER OF A SAFETY NET IPA AND RECEIVES INCENTIVE AND RISK POOL DISBURSEMENTS VIA THIS IPA. RODERICK N. SEAMSTER IS ONE OF THE BOARD MEMBERS OF THIS IPA. 0 Form 990, Part III, line 2 IN 2016 WATTS HEALTHCARE CORPORATION (WHCC) PROVIDED 92,207 ENCOUNTERS FOR MEDICAL AND DENTAL SERVICES OF WHICH 75,520 WERE MEDICAL AND 16,687 WERE DENTAL. FQHC SERVICES INCLUDING ENABLING SERVICES WERE PROVIDED TO UNDUPLICATED PATIENTS. ALL PATIENTS RECEIVED A FACE-TO-FACE VISIT FOR DIRECT HEALTH CARE AND ENABLING SERVICES DURING 2016. THE PRIMARY AND PREVENTATIVE CARE SERVICES WERE PROVIDED AT FIVE FQHC SITES: WATTS HEALTH CENTER, CRENSHAW COMMUNITY HEALTH CENTER, 9901 WELLNESS CENTER, LOCKE WELLNESS CENTER, AND JORDAN WELLNESS CENTER. SUBSTANCE ABUSE USE DISORDER TREATMENT AND COUNSELING ARE PROVIDED THROUGH PROGRAMS AT TWO WHCC OWNED FACILITIES: THE HOUSE OF UHURU AND THE LUMPKIN HOUSE. MANAGED CARE AND FEE FOR SERVICE, MEDI-CAL, SLIDING FEE AND COVERED CALIFORNIA AS WELL AS THE COUNTY OF LOS ANGELES SUPPORTED INDIGENT PATIENTS THAT ARE SEEN AT WHCC CLINICS. 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.