2022-11-07T09:10:25-06:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-01-01 910947084 INTERNATIONAL COMMUNITY HEALTH SERVICES INTE 2067883618 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 TERESITA BATAYOLA PRESIDENT/CEO 2067883618 2022-10-21 1 TERESITA BATAYOLA 999009999 KURT BENNION P01469618 4252506100 2022-10-21 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z TERESITA BATAYOLA 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 77380242 0 X WWW.ICHS.COM X 1973 WA PROVIDE HEALTH SERVICES TO IMPROVE THE HEALTH OF ASIAN PACIFIC ISLANDER AND OTHER COMMUNITIES. 17 17 718 94 0 0 14144165 21917145 47420516 55033379 80770 -118555 597406 372041 62242857 77204010 120000 50000 0 0 37622190 42774508 0 0 262059 19484619 25507183 57226809 68331691 5016048 8872319 70510972 68689108 45469283 34775100 25041689 33914008 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 23226091 0 22165411 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 2021, ICHS PROVIDED 66,812 PRIMARY HEALTH CARE VISITS TO PATIENTS AND $225,508 OF CHARITY CARE. 9574265 0 10186334 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 2021, ICHS PROVIDED 39,615 DENTAL CARE VISITS TO PATIENTS AND $518,506 OF CHARITY CARE. 12854819 0 14250915 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 2021, ICHS PROVIDED 13,418 HEALTH CARE VISITS TO PATIENTS AND $43,785 OF CHARITY CARE. 12135733 50000 8430719 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 1,011 MEMBER MONTHS IN 2021.- 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. 12135733 50000 8430719 57790908 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 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 59 0 718 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 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 TERESITA BATAYOLA CHIEF EXECUTIVE OFFICER 50.00 2.00 X 380014 0 34454 ASQUAL GETANEH CMO (THROUGH JUNE 2021) 40.00 0.00 X 310720 0 18126 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 276363 0 37756 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 40.00 0.00 X 264101 0 26947 KANNIE CHIM PACE MEDICAL DIRECTOR 40.00 0.00 X 234789 0 38803 BETH WEITENSTEINER ARNP RESIDENCY DEPUTY DIRECTOR & PROVIDER 40.00 0.00 X 239064 0 26381 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 40.00 2.00 X 233038 0 17763 HIEU PHAM PROVIDER MEDICAL RESIDENCY DIRECTOR 40.00 0.00 X 227976 0 17917 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 40.00 0.00 X 203730 0 34852 GRANDY AU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 196974 0 40173 CHINDA ROACH MD PROVIDER 36.00 0.00 X 206169 0 25546 UYENVY PHAM MD PROVIDER 36.00 0.00 X 204194 0 17526 TIMOTHY LAM PROVIDER 40.00 0.00 X 164930 0 47704 HARVEY WU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 180005 0 25293 LAUREN LAWLER ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 159894 0 38109 WINNIE LEE ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 153130 0 36719 HAMED SAHARI-RASHTI PROVIDER 40.00 0.00 X 165459 0 23571 LILI SPERRY MD PROVIDER 36.00 0.00 X 162388 0 21904 JU HUI LEE PHARMACY DIRECTOR 40.00 0.00 X 158928 0 20173 HYELIM PARK PROVIDER CLINICAL INFORMATICS DIRECTOR 40.00 0.00 X 157375 0 14799 SOLOMUNA HABTU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 156035 0 14857 TERESA LEE FORMER KEY EMPLOYEE 36.00 0.00 X 156337 0 6949 JESSICA GUH MD FAMILY FORMER KEY EMPLOYEE 40.00 0.00 X 100654 0 19800 RACHEL KOH CHIEF OPERATING OFFICER 40.00 0.00 X 122599 0 8234 GILDAS CHEUNG CHAIR 4.00 0.00 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 KELLI NOMURA 3RD VICE CHAIR 3.00 0.00 X X 0 0 0 LEE MARCHISIO 4TH VICE CHAIR 3.00 0.00 X X 0 0 0 CATHERINE JOHNSON SECRETARY 3.00 0.00 X X 0 0 0 MARIAM ABARIENTOS TREASURER 3.00 0.00 X X 0 0 0 TRISH BUSTOS DIRECTOR 1.50 0.00 X 0 0 0 NICOLE CHU DIRECTOR 1.50 0.00 X 0 0 0 TESSA CHU DIRECTOR 1.50 0.50 X 0 0 0 CHENGZHEN DAI DIRECTOR 1.50 0.00 X 0 0 0 AMANDA KIMURA DIRECTOR 1.50 0.00 X 0 0 0 CRIS KRISOLOG-ELLIOTT DIRECTOR 1.50 0.00 X 0 0 0 WILMA LAM DIRECTOR 1.50 0.00 X 0 0 0 KRISTINA LAUBNER SMITH DIRECTOR (THROUGH NOVEMBER 2021) 1.50 0.00 X 0 0 0 TED LEW DIRECTOR 1.50 0.00 X 0 0 0 HIROSHI NAKANO DIRECTOR 1.50 0.00 X 0 0 0 BARBARA OBENA DIRECTOR (THROUGH JUNE 2021) 1.50 0.50 X 0 0 0 JOHN PARK DIRECTOR 1.50 0.00 X 0 0 0 4814866 0 614356 65 1 1 0 BAYLEY CONSTRUCTION 8005 SE 28TH STREET MERCER ISLAND WA 98040 CONSTRUCTION 1465539 SCRIBE-X LLC PO BOX 6590 PORTLAND OR 97228 TEMPORARY STAFFING 696640 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 INTERPRETATION SERVICES 589953 COMMUNITY TECHNOLOGIES PO BOX 735740 DALLAS TX 75373 I.T. SERVICES 277471 ASIAN COUNSELING & REFERRAL SERVICE 3639 MARTIN LUTHER KING JR WAY S SEATTLE WA 98144 HEALTHCARE SERVICES 270117 14 735135 20647597 534413 2305197 21917145 PATIENT SERVICE FEES 624100 41753909 41753909 HEALTHY WELLNESS & AGING 623000 8430719 8430719 POOL SAVINGS REVENUE 900099 4216719 4216719 OTHER MEDICAL REVENUE 900099 632032 632032 55033379 57677 57677 45805 130427 -45805 -130427 -176232 -176232 MANAGEMENT FEES 900099 274359 274359 MISCELLANEOUS REVENUE 900099 97682 97682 372041 77204010 55033379 0 253486 50000 50000 4105638 1960689 2144949 31629808 27381852 4024168 223788 1232341 1068437 156268 7636 3268538 2821993 432783 13762 2538183 2099495 421789 16899 175858 32074 143784 72817 72817 4598984 3738214 860770 160458 7619 152839 598673 482535 116166 -28 414241 349677 64564 3338260 2775515 562745 44941 20471 24470 140228 79050 61178 443274 406815 36459 2534185 2011613 522572 250216 204162 46054 HEALTHCARE ENROLLEES 4183872 4183872 MEDICAL SUPPLIES 7595369 7395756 199613 EQUIPMENT 211965 197521 14444 PATIENT EXPENSE 198579 185632 12947 545263 337916 207345 2 68331691 57790908 10278724 262059 18668532 21998926 2091141 2087198 3842741 2533966 4746620 3052605 326264 477641 539804 277059 45772580 19002658 27125229 26769922 13170641 11491791 70510972 68689108 15170678 13067293 7821501 787911 8520066 8228048 13957038 12691848 45469283 34775100 X 24117049 33541844 924640 372164 25041689 33914008 70510972 68689108 8872319 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 2325 0 0 2325 0 PART II-B, LINE 1: DURING THE FISCAL YEAR, SENIOR ICHS STAFF HELD COORDINATED MEETINGS WITH MEMBERS OF CONGRESS. IN ADDITION, SENIOR ICHS STAFF AND BOARD MEMBERS HELD COORDIANTED MEETINGS WITH STATE ELECTED OFFICIALS DURING COMMUNITY HEALTH CENTER LOBBYING DAY. IN ADDITION, ICHS STAFF ATTENDED THE APA LEGISLATIVE DAY AND COALITION MEETINGS WHERE STRATEGIES WERE DISCUSSED TO INFLUENCE PROPOSED OR PENDING HEALTHCARE LEGISLATION. 3528037 3528037 30043981 9818489 20225492 5178652 3921030 1257622 7000360 5263139 1737221 21550 21550 26769922 RECEIVABLE FROM RELATED ORGANIZATION 2830885 RIGHT OF USE LEASE 8403612 DEPOSITS 257294 11491791 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 ICHS' TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. 1 AGING IN PACE WASHINGTON PO BOX 3007 SEATTLE WA 981143007 810856014 501(C)(3) 50000 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: THE ONLY GRANT WAS TO AN ORGANIZATION IN WHICH THE PRESIDENT/CEO SERVES AS A BOARD MEMBER. THROUGH THIS BOARD INVOLVEMENT, ICHS CAN ENSURE ALL TRANSFERRED FUNDS ARE USED APPROPRIATELY. X X X X X 1 0 0 1 0 0 0 0 0 TERESITA BATAYOLA CHIEF EXECUTIVE OFFICER 331241 0 36259 0 12514 0 15501 0 18953 0 414468 0 0 0 ASQUAL GETANEH CMO (THROUGH JUNE 2021) 105975 0 2616 0 202129 0 11393 0 6733 0 328846 0 0 0 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 260772 0 2742 0 12849 0 11053 0 26703 0 314119 0 0 0 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 248791 0 11023 0 4287 0 10564 0 16383 0 291048 0 0 0 KANNIE CHIM PACE MEDICAL DIRECTOR 222057 0 9425 0 3307 0 9930 0 28873 0 273592 0 0 0 BETH WEITENSTEINER ARNP RESIDENCY DEPUTY DIRECTOR & PROVIDER 226298 0 2634 0 10132 0 9428 0 16953 0 265445 0 0 0 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 226592 0 2088 0 4358 0 9147 0 8616 0 250801 0 0 0 HIEU PHAM PROVIDER MEDICAL RESIDENCY DIRECTOR 214703 0 13273 0 0 0 9126 0 8791 0 245893 0 0 0 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 188124 0 2799 0 12807 0 8149 0 26703 0 238582 0 0 0 GRANDY AU ASSISTANT DENTAL DIRECTOR 169608 0 8616 0 18750 0 7865 0 32308 0 237147 0 0 0 CHINDA ROACH MD PROVIDER 194173 0 4604 0 7392 0 8163 0 17383 0 231715 0 0 0 UYENVY PHAM MD PROVIDER 199794 0 4400 0 0 0 8196 0 9330 0 221720 0 0 0 TIMOTHY LAM PROVIDER 147456 0 4667 0 12807 0 7151 0 40553 0 212634 0 0 0 HARVEY WU ASSISTANT DENTAL DIRECTOR 168161 0 4967 0 6877 0 7240 0 18053 0 205298 0 0 0 LAUREN LAWLER ASSISTANT MEDICAL DIRECTOR 140510 0 1831 0 17553 0 6406 0 31703 0 198003 0 0 0 WINNIE LEE ASSISTANT MEDICAL DIRECTOR 137024 0 3299 0 12807 0 6275 0 30444 0 189849 0 0 0 HAMED SAHARI-RASHTI PROVIDER 155883 0 2799 0 6777 0 6618 0 16953 0 189030 0 0 0 LILI SPERRY MD PROVIDER 157290 0 2194 0 2904 0 6511 0 15393 0 184292 0 0 0 JU HUI LEE PHARMACY DIRECTOR 156840 0 2088 0 0 0 6557 0 13616 0 179101 0 0 0 HYELIM PARK PROVIDER CLINICAL INFORMATICS DIRECTOR 144633 0 2134 0 10608 0 5883 0 8916 0 172174 0 0 0 SOLOMUNA HABTU ASSISTANT DENTAL DIRECTOR 151293 0 4742 0 0 0 6241 0 8616 0 170892 0 0 0 TERESA LEE FORMER KEY EMPLOYEE 149962 0 2343 0 4032 0 6253 0 696 0 163286 0 0 0 JESSICA GUH MD FAMILY FORMER KEY EMPLOYEE 85294 0 2667 0 12693 0 3877 0 15923 0 120454 0 0 0 PART I, LINE 4A IN 2021, ASQUAL GETANEH RECEIVED A SEVERANCE PAYMENT OF $146,072. PART I, LINE 5 THE PRESIDENT/CEO RECEIVES A BONUS BASED ON FIVE STRATEGIC GOALS, ONE OF WHICH IS DIVERSIFYING REVENUE. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2013-10-18 10107500 CONSTRUCTION 0 0 0 A 1931952 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: 10/18/2018 X 118 2305197 COST 0 0 1 0 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 ACCOUNTING MANAGER. 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 COMPENSATIONOF THE CEO BY USING EXTERNAL MARKET DATA. 1) NWARPCABIENNIAL REGION X HEALTH CENTER SALARY AND BENEFITS SURVEY; 2) NACHC HEALTH CENTER SALARY AND BENEFITS REPORT; 3) MILLIMAN'S NW HEALTHCARE EXECUTIVE COMPENSATION SURVEY; AND 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; AND 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 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION C 735135 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION L 274359 FAIR MARKET VALUE INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION M 735135 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION N 274359 FAIR MARKET VALUE