2015-10-26T12:48:26-05:00 2014-12-31 330743144 VASQUEZ & CO LLP 801 S GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2014-01-01 753046480 WATTS HEALTHCARE CORPORATION WATT 3235683093 10300 COMPTON AVENUE LOS ANGELES CA 90002 WILLIAM D HOBSON JR CEO 3235683093 2015-10-16 GILBERT R VASQUEZ P00743144 2138731700 2014 2016-04-25 22:37:26Z WILLIAM D HOBSON JR 10300 COMPTON AVE LOS ANGELES CA 90002 32887778 0 X WWW.WATTSHEALTH.ORG X 2002 CA THE PROVISION OF HEALTHCARE TO LOW INCOME PEOPLE AND COMMUNITIES 13 13 374 0 0 0 13533460 13745967 19544372 17684137 11894 7914 417212 1449760 33506938 32887778 0 0 0 0 21541173 22418403 0 0 106847 11864862 9602546 33406035 32020949 100903 866829 20568851 19867921 9398905 7831146 11169946 12036775 X TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES BY ENSURING ACCESS TO COMPASSIONATE, QUALITY, CULTURALLY-SENSITIVE PREVENTIVE AND PRIMARY HEALTH CARE SERVICES. 0 0 26993636 19133897 IN 2014, WATTS HEALTHCARE CORP. (WHCC) PROVIDED 87,955 ENCOUNTERS FOR MEDICAL AND DENTAL SERVICES OF WHICH 73,225 WERE MEDICAL AND 14,730 ENCOUNTERS WERE PROVIDED FOR DENTAL SERVICES. FQHC SERVICES INCLUDING ENABLING SERVICES WERE PROVIDED TO 24,352 UNDUPLICATED PATIENTS. ALL PATIENTS RECEIVED A FACE TO FACE VISIT FOR DIRECT HEALTH AND ENABLING SERVICES DURING THE YEAR. THE PRIMARY AND PREVENTATIVE HEALTH SERVICES WERE PROVIDED AT FOUR FEDERALLY QUALIFIED HEALTH CENTER SITES: WATTS HEALTH CENTER, CRENSHAW COMMUNITY HEALTH CENTER, LOCK WELLNESS CENTER AND JORDAN WELLNESS CENTER. SUBSTANCE ABUSE TREATMENT AND COUNSELING ARE PROVIDED THROUGH PROGRAMS AT TWO OTHER WHCC OWNED FACILITIES: THE HOUSE OF UHURU AND THE LUMPKIN HOUSE. THE STATE OF CALIFORNIA FUNDS WHCC'S WOMEN, INFANT, AND CHILDREN NUTRITION PROGRAM (WIC). 26993636 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 0 0 0 0 0 0 0 0 0 0 0 0 1 304 0 1 374 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 CA X X CARROLL MCNEELY 3235683093 10300 COMPTON AVENUE LOS ANGELES CA 90002 VICTOR CORTEZ BOARD MEMBER 1.00 X 0 0 0 MORRIS R GEARRING BOARD MEMBER 1.00 X 0 0 0 REV DR LLC HAMMOND BOARD MEMBER 1.00 X 0 0 0 CYNTHIA M PATTON BOARD MEMBER 1.00 X 0 0 0 DR MICHAEL PRELIP BOARD MEMBER 1.00 X 0 0 0 LYNELLE ROBINSON BOARD SECRETARY 1.00 X X 0 0 0 DR TICEY M BROWN BOARD MEMBER 1.00 X 0 0 0 DR JOE H WALLER BOARD CHAIR 1.00 X X 0 0 0 IMELDA ZAMBRANO BOARD MEMBER 1.00 X 0 0 0 DR OSAZUWA OMEDE BOARD MEMBER 1.00 X 0 0 0 RAPHAEL G IRVING BOARD VICE CHAIR 1.00 X X 0 0 0 EARNESTENE WILSON BOARD MEMBER 1.00 X 0 0 0 JEREMY D CORTEZ BOARD TREASURER 1.00 X X 0 0 0 WILLIAM D HOBSON CEO 40.00 X 221905 0 0 CARROLL J MCNEELY CFO 40.00 X 175000 0 0 RODERICK N SEAMSTER CHIEF MEDICAL OFFICER 40.00 X 249205 0 0 OLIVER BROOKS ASSOCIATE MEDICAL DIRECTOR 40.00 X 245111 0 0 LUIS A APARICIO CHIEF PHYSICIAN-URGENT CARE 40.00 X 241862 0 0 DEIRDRE D LOGAN CHIEF PHYSICIAN-OBGYN 40.00 X 207749 0 0 RUTH H YOON STAFF PHYSICIAN PEDS 40.00 X 183212 0 0 VILMA G GONZALEZ-BARRETO STAFF PHYSICIAN OBGYN 40.00 X 173457 0 0 FRAZIER MOORE DENTAL DIRECTOR 40.00 X 168798 0 0 BARANCHO RACHEL STAFF PHYSICIAN-PED 40.00 X 165262 0 0 LYNN DEWGARDE STAFF PHYSICIAN-PED 40.00 X 159934 0 0 AHMED RABIA STAFF PHYSICIAN-INTERNAL MED 40.00 X 154404 0 0 SINHA SANTOSH STAFF PHYSICIAN-INTERNAL MED 40.00 X 148369 0 0 JAGDISCHANDRA PARIKH STAFF PHYSICIAN 40.00 X 145894 0 0 KIMBERLY A FLETCHER STAFF PHYSICIAN-URGENT CARE 40.00 X 124302 0 0 HAREGEWOIN YOHANNES VP OF FINANCE 40.00 X 129900 0 0 ERNEST SALAZAR STAFF DENTIST 40.00 X 119574 0 0 3013938 0 0 25 0 1 0 PACIFIC NATIONAL SECURITY 3719 S ROBERTSON BLVD CULVER CITY CA 90232 SECURITY SERVICES 440072 QUEST DIAGNOSTTICS FILE NUMBER 50368 LOS ANGELES CA 90074 LABORATORY SERVICES 318153 NS & ASSOCIATES 700 E BIRCH ST BREA CA 92822 DISPENSE PHARMACEUTICALS 305242 UNISERVE FACILITIES SERVICES CORP 2363 SOUTH ATLANTIC BLVD COMMERCE CA 90040 JANITORIAL SERVICES 301975 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING REGISTRY 215781 5 13465250 280717 13745967 NET PATIENT REVENUE 621400 17684137 17684137 17684137 7914 7914 LOAN FORGIVENESS 900099 1348880 1348880 OTHER INCOME 621400 100880 100880 1449760 32887778 19133897 0 7914 3013938 3013938 12707607 10465809 2241798 628065 538562 89503 4746693 4070266 676427 1322100 1133694 188406 2459120 1808987 543286 106847 2099522 2082991 16531 270774 261276 9498 635086 406429 228657 154220 66908 87312 SUPPLIES 1752713 1514023 238690 HEALTHCARE CLAIMS 432596 432596 EQUIPMENT RENTAL & LEAS 415693 349035 66658 DATA PROCESSING 324379 246948 77431 1058443 602174 456269 32020949 26993636 4920466 106847 650082 1824656 1816157 1347617 8331030 7431991 25084 49123 12372279 3213216 9456293 9159063 290205 55471 20568851 19867921 3260114 3293826 554082 158910 5318548 4256761 266161 121649 9398905 7831146 X 9169946 10036775 2000000 2000000 11169946 12036775 20568851 19867921 866829 0 X 0 1 X 1 1 1 X 1367979 15138221 13760657 13533460 13745967 57546284 1367979 15138221 13760657 13533460 13745967 57546284 57546284 13826 11346 11894 7914 44980 26680 233576 330187 417212 1449760 2457415 60048679 73166640 0.95830 0.97560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5386653 5386653 2897716 530407 2367309 235144 79456 155688 3852766 2603353 1249413 9159063 HEALTHCARE CLAIMS 121649 121649 X 32887778 0 32887778 0 32887778 32020949 0 32020949 0 32020949 PART X, LINE 2: THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. X X 1 THURLOW ASSOCIATES 15342 HAWTHORNE BLVD 404 LAWNDALE CA 90260 FUNDRAISING CONSULTING 0 0 106163 0 106163 CA SCHEDULE G, PART I, LINE 2B, COLUMN (V) CONSULTING PAYMENTS REGARDING FUNDRAISING EVENTS X X X X 0 0 0 0 0 0 0 0 0 WILLIAM D HOBSON CEO 221905 0 0 0 0 0 0 0 0 0 221905 0 0 0 CARROLL J MCNEELY CFO 175000 0 0 0 0 0 0 0 0 0 175000 0 0 0 RODERICK N SEAMSTER CHIEF MEDICAL OFFICER 249205 0 0 0 0 0 0 0 0 0 249205 0 0 0 OLIVER BROOKS ASSOCIATE MEDICAL DIRECTOR 245111 0 0 0 0 0 0 0 0 0 245111 0 0 0 LUIS A APARICIO CHIEF PHYSICIAN-URGENT CARE 241862 0 0 0 0 0 0 0 0 0 241862 0 0 0 DEIRDRE D LOGAN CHIEF PHYSICIAN-OBGYN 207749 0 0 0 0 0 0 0 0 0 207749 0 0 0 RUTH H YOON STAFF PHYSICIAN PEDS 183212 0 0 0 0 0 0 0 0 0 183212 0 0 0 VILMA G GONZALEZ-BARRETO STAFF PHYSICIAN OBGYN 173457 0 0 0 0 0 0 0 0 0 173457 0 0 0 FRAZIER MOORE DENTAL DIRECTOR 168798 0 0 0 0 0 0 0 0 0 168798 0 0 0 BARANCHO RACHEL STAFF PHYSICIAN-PED 165262 0 0 0 0 0 0 0 0 0 165262 0 0 0 LYNN DEWGARDE STAFF PHYSICIAN-PED 159934 0 0 0 0 0 0 0 0 0 159934 0 0 0 AHMED RABIA STAFF PHYSICIAN-INTERNAL MED 154404 0 0 0 0 0 0 0 0 0 154404 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 WATTS HEALTHCARE CORPORATION (WHCC) FINANCE AND AUDIT COMMITTEE RECEIVES TO BE FILED RETURN FOR REVIEW. AFTER APPROPRIATE REVIEW OF THE FULL TO BE FILED DOCUMENT BY THE FINANCE AND AUDIT COMMITTEE, THE DOCUMENT IS THEN SUPPLIED TO FULL WHCC BOARD FOR REVIEW BEFORE EVENTUAL TIMELY SUBMISSION TO IRS. PREPARER REPRESENTATIVE WILL BE AVAILABLE FOR BOARD QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C WATTS HEALTHCARE CORPORATION (WHCC) DOES ANNUAL CODE OF CONDUCT TRAINING FOR BOARD AND STAFF OF WHCC WHERE CONFLICT OF INTEREST POLICY IS REVIEWED AND REITERATED . EACH BOARD MEMBER AND STAFF IS REQUESTED TO SIGN OFF AN ATTESTATION THAT THEY UNDERSTAND AND AGREE TO IMMEDIATELY DISCLOSE ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS ARE AVAILABLE UPON REQUEST.