2024-08-09T09:36:33-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 910947084 INTERNATIONAL COMMUNITY HEALTH SERVICES INTE 2067883618 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 KELLI NOMURA CEO 2067883618 2024-08-06 1 1 KURT BENNION P01469618 4252506100 2024-08-06 2023 2024-08-08 14:25:15Z KELLI NOMURA 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 91819751 0 X WWW.ICHS.COM X 1973 WA PROVIDE HEALTH SERVICES TO IMPROVE THE HEALTH OF ASIAN PACIFIC ISLANDER AND OTHER COMMUNITIES. 14 14 784 35 0 0 16730576 14104683 62317581 75988049 93310 1152620 488516 504997 79629983 91750349 0 0 0 0 48035772 52410428 0 0 332065 26252608 29725596 74288380 82136024 5341603 9614325 73073543 87414320 33910451 38598791 39163092 48815529 X DEEPLY ROOTED IN THE ASIAN PACIFIC ISLANDER COMMUNITY, ICHS PROVIDES CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH AND WELLNESS SERVICES AND PROMOTES HEALTH EQUITY FOR ALL. 0 0 24918559 0 28007505 ICHS PROVIDES MEDICAL SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY. THESE SERVICES INCLUDE PHYSICAL EXAMS, IMMUNIZATIONS, MINOR SURGERY, HOME VISITS, INFANT AND WELL-CHILD CHECK-UPS, OBSTETRIC AND GERIATRIC CARE. DURING 2023, ICHS PROVIDED 72,713 PRIMARY HEALTH CARE VISITS TO PATIENTS AND $194,530 OF CHARITY CARE. 10383030 0 11670132 ICHS PROVIDES FULL DENTAL CARE FOR THE ENTIRE FAMILY, INCLUDING EXTENSIVE DENTURE WORK, FULL CLEANING FOR ADULTS AND CHILDREN, PREVENTATIVE DENTISTRY, MINOR ORAL SURGERY, RESTORATIVE SERVICES, ORTHODONTIA, AND EMERGENCY CARE. ICHS ALSO BRINGS DENTAL SERVICES INTO KING COUNTY COMMUNITIES AND SCHOOLS WITH ITS MOBILE DENTAL CLINIC, AS WELL AS ORAL HEALTH EDUCATION IN THE COMMUNITY. DURING 2023, ICHS PROVIDED 39,215 DENTAL CARE VISITS TO PATIENTS AND $251,095 OF CHARITY CARE. 15832561 0 17795199 ICHS PROVIDES A VARIETY OF OTHER HEALTH CARE SERVICES TO THE COMMUNITY INCLUDING ACUPUNCTURE, VISION, DISEASE PREVENTION, HEALTH EDUCATION, BEHAVIORAL HEALTH, NUTRITION SERVICES, AND FAMILY PLANNING FOR TEENS AND ADULTS. DURING 2023, ICHS PROVIDED 9,241 HEALTH CARE VISITS TO PATIENTS AND $7,192 OF CHARITY CARE. 16473165 0 18515213 ICHS' HEALTHY AGING & WELLNESS PROGRAM (HAWP) MEETS THE UNIQUE NEEDS OF ADULTS AGE 55 AND OLDER. SERVICES INCLUDE:- PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) - INDIVIDUALIZED SERVICES TO KEEP NURSING-HOME ELIGIBLE ELDERS LIVING INDEPENDENTLY AT HOME OR IN THE COMMUNITY. PACE HAD 1,162 MEMBER MONTHS IN 2023.- ASSISTED LIVING AT LEGACY HOUSE - SENIOR-FRIENDLY LIVING SPACE WITH 24/7 SERVICES TO SUPPORT RESIDENTS TO LIVE INDEPENDENTLY AND SAFELY IN CULTURALLY-FAMILIAR SURROUNDINGS. - ADULT DAY SERVICES FOR SENIORS WITH CHANGING PHYSICAL OR COGNITIVE ABILITIES THRIVE AND CAREGIVERS WITH RESPITE. SERVICES INCLUDE FITNESS, SOCIAL AND RECREATIONAL GROUP ACTIVITIES, NUTRITIOUS, ASIAN-STYLE LUNCHES, TRANSPORTATION COORDINATION, RN OVERSIGHT, REHABILITATIVE OCCUPATIONAL THERAPY, PERSONAL CARE SERVICES, RESPITE FOR CAREGIVERS, ADULT NUTRITION.- EBSHP (EVIDENCE-BASED SENIOR HEALTH PROMOTION) SUCH AS TAI JI QUAN: MOVING FOR BETTER BALANCE (WEEKLY CLASSES TO HELP SENIORS IMPROVE MUSCLE STRENGTH, BALANCE, FLEXIBILITY, MOBILITY, AND REDUCE RISK OF FALLS. 16473165 0 18515213 67607315 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 73 0 784 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X HERMES SHAHBAZIAN 2067883618 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 291582 0 38306 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 40.00 0.00 X 294607 0 28140 TERESITA BATAYOLA FORMER OFFICER 0.00 0.00 X 307775 0 13144 BETH WEITENSTEINER ASSOCIATE CHIEF MEDICAL OFFICER 40.00 0.00 X 292260 0 28496 KELLI NOMURA CEO 40.00 4.00 X 268517 0 27513 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 40.00 4.00 X 241612 0 18606 HIEU PHAM MEDICAL RESIDENCY DIRECTOR 40.00 0.00 X 239478 0 19613 GRANDY AU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 211120 0 41895 CHINDA ROACH MD PROVIDER 32.00 0.00 X 201878 0 27617 HARVEY WU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 201676 0 27139 TIMOTHY LAM DDS PROVIDER 40.00 0.00 X 180818 0 42899 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 40.00 0.00 X 189004 0 34222 UYENVY PHAM MD PROVIDER 36.00 0.00 X 205233 0 17567 HYELIM PARK CLINICAL INFORMATICS DIRECTOR 40.00 0.00 X 193713 0 16709 ONZU WELED DDS PROVIDER 40.00 0.00 X 181673 0 27314 WINNIE LEE ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 167184 0 36662 JU HUI LEE PHARMACY DIRECTOR 40.00 0.00 X 166127 0 34286 DENNIS PANG MD PROVIDER 40.00 0.00 X 183751 0 15488 DANTE BATINGAN VP COMPLIANCE, HR & RISK MANAGEMENT 40.00 0.00 X 169147 0 25220 TERESA LEE FORMER KEY EMPLOYEE 36.00 0.00 X 170709 0 8684 LAUREN LAWLER FORMER KEY EMPLOYEE 28.00 0.00 X 141289 0 37369 HANNAH GORDON ASSISTANT MEDICAL DIRECTOR 36.00 0.00 X 151501 0 14396 NAM-PHUONG HONG CHIEF INFORMATION OFFICER 40.00 0.00 X 15616 0 625 PEGGY CHIN EVANS COO (THROUGH JANUARY 2023) 40.00 0.00 X 15404 0 375 GILDAS CHEUNG CHAIR 4.00 1.00 X X 0 0 0 JOHN FOZ 1ST VICE CHAIR 3.00 0.50 X X 0 0 0 MARVIN ENG 2ND VICE CHAIR 3.00 0.00 X X 0 0 0 CHENGZHEN DAI 3RD VICE CHAIR 3.00 0.00 X X 0 0 0 AMANDA KIMURA 4TH VICE CHAIR 3.00 0.50 X X 0 0 0 MARIAM ABARIENTOS TREASURER 3.00 0.00 X X 0 0 0 CATHERINE JOHNSON SECRETARY 3.00 0.00 X X 0 0 0 PATRICIA BUSTOS DIRECTOR 1.50 0.00 X 0 0 0 TESSA CHU DIRECTOR 1.50 0.00 X 0 0 0 CRISTINA KRISOLOGO-ELLIOTT DIRECTOR 1.50 0.00 X 0 0 0 WILMA LAM DIRECTOR 1.50 0.00 X 0 0 0 TED LEW DIRECTOR 1.50 0.00 X 0 0 0 HIROSHI NAKANO DIRECTOR 1.50 1.00 X 0 0 0 FATIMA NOBLE DIRECTOR 1.50 0.00 X 0 0 0 4681674 0 582285 48 1 1 0 DEPARTMENT OF SOCIAL AND HEALTH SERVICES POBOX 45600 OLYMPIA WA 98504 PERSONAL CARE SERVICES 1183614 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 INTERPRETING SERVICE 605031 TEGRIA SERVICES GROUP-US INC PO BOX 735734 DALLAS TX 75373 I.T. SERVICES 373743 NEIGHBORHOOD HOUSE 1225 S WELLER STREET 510 SEATTLE WA 98114 GRANT SUBCONTRACTOR 285698 RINGCENTRAL PO BOX 734232 DALLAS TX 75373 CLOUD-BASED COMMUNICATION 226256 19 403982 12818319 882382 1194206 14104683 PATIENT SERVICE FEES 624100 54947774 54947774 HEALTHY WELLNESS & AGING 623000 12238171 12238171 POOL SAVINGS REVENUE 900099 7627829 7627829 OTHER MEDICAL REVENUE 900099 1174275 1174275 75988049 1222022 1222022 69402 -69402 -69402 -69402 MANAGEMENT FEES 900099 366314 366314 MISCELLANEOUS REVENUE 900099 138683 138683 504997 91750349 75988049 0 1657617 3661954 2010812 1651142 678971 358052 320919 39000180 32768968 5952682 278530 1535183 1288915 235382 10886 4369976 3695113 651896 22967 3164164 2587404 560059 16701 49696 20841 28855 79686 79686 5321425 2659717 2661708 418700 13286 405414 721871 490387 229890 1594 285143 229470 55673 3573139 3108226 464913 120649 70201 50448 200311 114617 84307 1387 381225 361521 19704 2607853 2137458 470395 294203 237191 57012 HEALTHCARE ENROLLEES 7079527 7079527 MEDICAL SUPPLIES 6090997 6090997 PATIENT EXPENSE 1798021 1755095 42926 LICENSE AND TAXES 238625 226369 12256 464525 303148 161377 82136024 67607315 14196644 332065 27619460 41230104 2037673 2148354 2900200 3296687 2289136 2835230 307603 317456 403980 388198 46810220 22658717 25821736 24151503 11693755 13046788 73073543 87414320 14773382 13431413 735732 8161990 7924587 7609234 10476750 9396154 33910451 38598791 X 38776738 48250363 386354 565166 39163092 48815529 73073543 87414320 9614325 38112 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 4592 0 1 2424 7016 0 PART II-B, LINE 1: IN 2023, INTERNATIONAL COMMUNITY HEALTH SERVICES (A) COMMUNICATED CALLS TO ACTION TO ICHS STAFF ON ADVOCACY ISSUES ESSENTIAL TO ICHS BUSINESS ACTIVITIES; (B) SUPPORTED OTHER ADVOCACY ORGANIZATIONS ON MISSION-RELATED POLICIES/ISSUES AND SUPPORTED CALLS TO ACTION ON APPROXIMATELY A DOZEN ADVOCACY ISSUES AS LED BY OTHER ORGANIZATIONS; AND (C) COORDINATED MEETINGS WITH SENIOR ICHS STAFF, ICHS BOARD MEMBERS, MEMBERS OF CONGRESS AND OTHER STATE ELECTED OFFICIALS. 3528037 3528037 30627164 12632057 17995107 5494475 4593398 901077 7139543 5433262 1706281 21001 21001 24151503 RECEIVABLE FROM RELATED ORGANIZATION 7038327 RIGHT OF USE LEASE 5697362 DEPOSITS 311099 13046788 X PART X, LINE 2: THE ORGANIZATION HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION (ASC). X X X 1 0 0 0 0 1 0 0 0 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 275889 0 3293 0 12400 0 11497 0 26809 0 329888 0 0 0 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 288073 0 2533 0 4001 0 11650 0 16490 0 322747 0 0 0 TERESITA BATAYOLA FORMER OFFICER 111048 0 193600 0 3127 0 7473 0 5671 0 320919 0 0 0 BETH WEITENSTEINER ASSOCIATE CHIEF MEDICAL OFFICER 281568 0 4129 0 6563 0 11484 0 17012 0 320756 0 0 0 KELLI NOMURA CEO 255954 0 0 0 12563 0 10501 0 17012 0 296030 0 0 0 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 239047 0 2565 0 0 0 9676 0 8930 0 260218 0 0 0 HIEU PHAM MEDICAL RESIDENCY DIRECTOR 233853 0 3208 0 2417 0 9389 0 10224 0 259091 0 0 0 GRANDY AU ASSISTANT DENTAL DIRECTOR 188883 0 3508 0 18729 0 8300 0 33595 0 253015 0 0 0 CHINDA ROACH MD PROVIDER 196019 0 2658 0 3201 0 8078 0 19539 0 229495 0 0 0 HARVEY WU ASSISTANT DENTAL DIRECTOR 191984 0 3129 0 6563 0 8027 0 19112 0 228815 0 0 0 TIMOTHY LAM DDS PROVIDER 165289 0 3129 0 12400 0 7440 0 35459 0 223717 0 0 0 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 174037 0 2565 0 12402 0 7413 0 26809 0 223226 0 0 0 UYENVY PHAM MD PROVIDER 202280 0 2882 0 71 0 8084 0 9483 0 222800 0 0 0 HYELIM PARK CLINICAL INFORMATICS DIRECTOR 175083 0 3879 0 14751 0 7060 0 9649 0 210422 0 0 0 ONZU WELED DDS PROVIDER 172170 0 2940 0 6563 0 7252 0 20062 0 208987 0 0 0 WINNIE LEE ASSISTANT MEDICAL DIRECTOR 151174 0 3610 0 12400 0 6763 0 29899 0 203846 0 0 0 JU HUI LEE PHARMACY DIRECTOR 157919 0 3208 0 5000 0 7017 0 27269 0 200413 0 0 0 DENNIS PANG MD PROVIDER 172581 0 11170 0 0 0 6839 0 8649 0 199239 0 0 0 DANTE BATINGAN VP COMPLIANCE, HR & RISK MANAGEMENT 163314 0 2565 0 3268 0 6870 0 18350 0 194367 0 0 0 TERESA LEE FORMER KEY EMPLOYEE 168826 0 1883 0 0 0 6736 0 1948 0 179393 0 0 0 LAUREN LAWLER FORMER KEY EMPLOYEE 122092 0 1720 0 17477 0 5560 0 31809 0 178658 0 0 0 HANNAH GORDON ASSISTANT MEDICAL DIRECTOR 145955 0 5546 0 0 0 5747 0 8649 0 165897 0 0 0 PART I, LINE 4A DURING 2023, PEGGY EVANS RECEIVED A SEVERANCE PAYMENT OF $36,910. PART I, LINE 6 AT THE DISCRETION OF THE ICHS BOARD, THE CEO RECEIVES PERFORMANCE BONUSES NOT TO EXCEED 20% OF THE CEO ANNUAL SALARY FOR THE CALENDAR YEAR. THE PERFORMANCE BONUS CRITERIA ARE AS FOLLOWS: - FINANCIAL: REMAIN WITHIN 5% OF THE APPROVED ICHS ANNUAL BUDGET OR EXPECTED MARGIN - STRATEGY: PRESENTATION OF YEARLY IMPLEMENTATION PLAN AND PROGRESS ON AT LEAST 3 INITIATIVES - COMMUNITY: MEET WITH MINIMUM OF 12 EXISTING OR POTENTIAL PARTNERS TO UNDERSTAND COMMUNITY NEEDS AND REPORT BACK TO THE BOARD - PEOPLE: CONDUCT AND REPORT STAFF SATISFACTION SURVEY (2X A YEAR) AND STAFF TURNOVER OF <25% - QUALITY: MEET OR EXCEED 3 OF 7 QUALITY MEASURES FROM ICHS SCORECARD A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2013-10-18 10107500 CONSTRUCTION 0 0 0 A 2550766 10107500 131346 9976154 2014 0 0 0 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: WASHINGTON HEALTH CARE FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/04/2023 X 2 1194206 COST 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN PART I, COLUMN B REPRESENTS THE NUMBER OF DONATIONS RECEIVED DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS CHAIRED BY THE CHAIR OF THE BOARD AND ONLY CONSISTS OF THE ELECTED OFFICERS OF THE BOARD AND THE PRESIDENT/CEO OF ICHS AS AN EX OFFICIO MEMBER. THE EXECUTIVE COMMITTEE IS EXCLUSIVELY AUTHORIZED TO ACT FOR THE BOARD IN URGENT SITUATIONS DURING THE INTERIM PERIOD BETWEEN MEETINGS OF THE BOARD IN A MANNER CONSISTENT WITH ESTABISHED BOARD POLICIES AND/OR DIRECTION, AND SHALL REPORT ALL ACTIVITIES AND ACTIONS AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 WAS REVIEWED BY THE CFO AND DESIGNATED STAFF, INCLUDING THE CONTROLLER. THE ORGANIZATION'S FINANCE DEPARTMENT THEN REVIEWED AND SUBMITTED A DRAFT COPY OF THE FORM 990 TO THE FINANCE, AUDIT AND EXECUTIVE COMMITTEES OF THE THE BOARD OF DIRECTORS, WHO RECOMMENDED APPROVAL OF THE FORM TO THE FULL BOARD. THE FORM 990 WAS SUBSEQUENTLY PRESENTED TO THE FULL BOARD AT THE FOLLOWING BOARD MEETING FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ICHS REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICIES. ICHS HAS TWO CONFLICT OF INTEREST POLICIES. THE FIRST POLICY IS AN OVERARCHING POLICY FOR THE ENTIRE AGENCY, WHICH WORKS TO ENSURE EFFECTIVE MANAGEMENT OF CONFLICTS OF INTEREST AT ICHS. THE SECOND POLICY IS SET TO ENSURE ALL BOARD-RELATED ACTIVITIES ARE CONDUCTED IN A WAY THAT ENSURES COMPLIANCE WITH APPLICABLE LAWS, PRESERVES THE PUBLIC'S TRUST, ENSURES GOOD STEWARDSHIP OF ICHS RESOURCES, AND UPHOLDS HIGH STANDARDS OF CONDUCT AND PERSONAL INTEGRITY AMONG ALL BOARD DIRECTORS AND BOARD ASSOCIATES. THE CONFLICT OF INTEREST POLICY REQUIRES ALL EMPLOYEES AND NON-EMPLOYEE REPRESENTATIVES TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY COMPROMISE THEIR JUDGMENT OR IF PERSONAL INTERESTS ARE IN SUBSTANTIAL CONFLICT WITH THE BEST INTERESTS OF ICHS. SIMILARLY, INDIVIDUALS ARE EXPECTED TO REMOVE THEMSELVES FROM A POSITION OF DECISION-MAKING AUTHORITY OR SIGNIFICANT INFLUENCE WITH RESPECT TO ANY CONFLICT SITUATION THAT ARISES. A SITUATION IS CONSIDERED A CONFLICT OF INTEREST IF AN INTEREST OR ACTIVITY INFLUENCES OR APPEARS TO INFLUENCE THE ABILITY OF AN INDIVIDUAL TO EXERCISE OBJECTIVITY OR IMPAIRS THE INDIVIDUAL'S ABILITY TO PERFORM HIS OR HER EMPLOYMENT OR REPRESENTATIVE WORK RESPONSIBILITIES IN THE BEST INTEREST OF ICHS. ANY UNETHICAL ABUSE OF EMPLOYEES OR NON-EMPLOYEE REPRESENTATIVES CAN RESULT IN DISCIPLINARY ACTION (INCLUDING TERMINATION OF EMPLOYMENT). THE CONFLICT OF INTEREST POLICY FOR BOARD DIRECTORS AND BOARD ASSOCIATES REQUIRES BOARD DIRECTORS AND ASSOCIATES TO DISCLOSE ANY REAL OR APPARENT CONFLICT OF INTEREST TO THE BOARD AND EXCUSE HIMSELF OR HERSELF FROM VOTING, AS APPROPRIATE. ADDITIONALLY, NO BOARD MEMBER CAN ALSO BE AN EMPLOYEE OR RELATED TO AN EMPLOYEE OF ICHS. IF A CONFLICT OF INTEREST IS PERCEIVED TO EXIST BUT IS NOT DISCLOSED, THE BOARD MAY VOTE WHETHER THERE IS A REAL CONFLICT OF INTEREST. IF THE VOTE IS AFFIRMATIVE, THE BOARD MEMBER IN QUESTION IS NOT ENTITLED TO VOTE ON THAT ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND DETERMINES THE COMPENSATION OF THE CEO BY USING EXTERNAL MARKET DATA. 1) NWRPCA BIENNIAL REGION X HEALTH CENTER SALARY AND BENEFITS SURVEY 2) NACHC HEALTH CENTER SALARY AND BENEFITS REPORT 3) MILLIMAN'S NW HEALTHCARE EXECUTIVE COMPENSATION SURVEY 4) MERCES CONSULTING CEO COMPENSATION FOR FQHCS ICHS HR SETS PAY LEVELS TO THOSE IN THE EXISTING MARKETPLACE BY USING THE FOLLOWING: 1) NWRPCA BIENNIAL REGION X HEALTH CENTER SALARY AND BENEFITS SURVEY 2) NACHC HEALTH CENTER SALARY AND BENEFITS REPORT 3) MILLIMAN'S NW HEALTHCARE EXECUTIVE COMPENSATION SURVEY 4) MILLIMAN'S NW HEALTHCARE COMPENSATION SURVEY ICHS USES AN INDEPENDENT CONSULTANT TO REVIEW ITS COMPENSATION PHILOSOPHY/STRUCTURE EVERY 5 YEARS TO MAINTAIN A COMPENSATION/BENEFITS PROGRAM THAT REMAINS COMPETITIVE TO ATTRACT AND RETAIN TOP TALENT. THE EXECUTIVE COMPENSATION REVIEW PROCESS MOST RECENTLY INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUTHORITY TO SELECT THE FINANCIAL STATEMENT AUDITOR AND TO OVERSEE THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE FISCAL YEAR. INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION 720 8TH AVENUE S SUITE 100 SEATTLE WA 98104 260493856 FUNDRAISING WA 501(C)(3) LINE 12A, I INTERNATIONAL COMMUNITY HEALTH SERVICES 1 AGING IN PACE WASHINGTON PO BOX 3007 SEATTLE WA 98114 810856014 PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY WA 501(C)(3) LINE 12A, I INTERNATIONAL COMMUNITY HEALTH SERVICES 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION C 403982 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION L 366314 FMV INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION M 403982 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION N 366314 FMV