2020-08-04T12:17:15-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 910947084 INTERNATIONAL COMMUNITY HEALTH SERVICES INTE 2067883618 720 8TH AVENUE SOUTH NO 100 SEATTLE WA 98104 TERESITA BATAYOLA PRESIDENT/CEO 2067883618 2020-07-29 1 KURT BENNION P01469618 4252506100 2020-07-29 67.137.57.251 2020-07-29 20:02:10 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EA5DF6E669932F7E786335D4514F3B18C0726D97 2019 2020-09-23 17:36:50Z TERESITA BATAYOLA 720 8TH AVENUE SOUTH NO 100 SEATTLE WA 98104 53738935 0 X WWW.ICHS.COM X 1973 WA PROVIDE HEALTH SERVICES TO IMPROVE THE HEALTH OF ASIAN PACIFIC ISLANDER AND OTHER COMMUNITIES. 15 15 738 37 0 0 6712649 10233357 42250139 42885843 11546 129578 410916 458374 49385250 53707152 0 27000 0 0 35731025 40695531 0 0 273676 14975223 17198349 50706248 57920880 -1320998 -4213728 49327430 48801537 25088061 28775896 24239369 20025641 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. 1 0 20224847 0 22303274 ICHS PROVIDES MEDICAL SERVICES TO PEOPLE, REGARDLESS OF ABILITY TO PAY. THESE SERVICES INCLUDE PHYSICAL EXAMS, IMMUNIZATIONS, MINOR SURGERY, HOME VISITS, AND INFANT AND WELL-CHILD CHECK-UPS. DURING 2019, ICHS PROVIDED 78,471 PRIMARY HEALTH CARE VISITS TO PATIENTS AND $280,621 OF CHARITY CARE. 10901666 0 11405013 ICHS PROVIDES FULL DENTAL CARE FOR THE ENTIRE FAMILY. ICHS PROVIDES EXTENSIVE DENTURE WORK, FULL CLEANING FOR ADULTS AND CHILDREN, PREVENTIVE DENTISTRY, MINOR ORAL SURGERY, RESTORATIVE SERVICES, ORTHODONTIA, AND EMERGENCY CARE. THE STAFF ALSO PROVIDES ORAL HEALTH EDUCATION IN THE COMMUNITY. DURING 2019, ICHS PROVIDED 49,358 DENTAL CARE VISITS TO PATIENTS AND $717,430 OF CHARITY CARE. 12149108 0 8163075 ICHS PROVIDES A VARIETY OF OTHER HEALTH CARE SERVICES TO THE COMMUNITY. THESE SERVICES INCLUDE CHINESE TRADITIONAL MEDICINE TECHNIQUES, DISEASE PREVENTION, HEALTH EDUCATION, BEHAVIORAL HEALTH, NUTRITION SERVICES, AND FAMILY PLANNING FOR TEENS AND ADULTS. DURING 2019, ICHS PROVIDED 11,808 HEALTH CARE VISITS TO PATIENTS AND $105,980 OF CHARITY CARE. 5566863 27000 1014481 THE HEALTHY AGING AND WELLNESS PROGRAM INCLUDES PACE, ASSISTED LIVING, ADULT DAY SERVICES AND ADULT NUTRITION.PROGRAMS OF ALL-INCLUSIVE CARE OF THE ELDERLY (PACE) PROVIDES COMPREHENSIVE, COMMUNITY-BASED SERVICES TO THE FRAIL ELDERLY WHO RESIDE IN DESIGNATED ZIP CODES WITHIN THE KING COUNTY AREA. AUTHORIZATION FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES AGING AND LONG-TERM SUPPORT ADMINISTRATION (DSHS-ALTSA) MAKE THE OPERATION OF ICHS PACE POSSIBLE. ICHS PACE WAS GRANTED PERMANENT MEDICARE PROVIDER STATUS AS OF JULY 1ST, 2019.PACE IS A MEDICARE PROGRAM FOR OLDER ADULTS OVER AGE 55 WHO REQUIRE A NURSING HOME LEVEL OF CARE. PACE WAS CREATED AS A WAY TO PROVIDE FLEXIBILITY TO MEET THE HEALTH CARE NEEDS OF THE FRAILEST INDIVIDUALS, WHILE ENABLING THEM TO CONTINUE LIVING IN THE COMMUNITY. THE PACE PHILOSOPHY IS CENTERED ON THE BELIEF THAT IT IS BETTER FOR THE WELL-BEING OF SENIORS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY WHENEVER POSSIBLE. PACE HAD 82 MEMBER-MONTHS BETWEEN MARCH AND DECEMBER OF 2019. 5566863 27000 1014481 48842484 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 60 0 738 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 NO 100 SEATTLE WA 98104 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 CRIS KRISOLOG-ELLIOTT 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 0.00 X 0 0 0 MARVIN ENG DIRECTOR 1.50 0.00 X 0 0 0 AMANDA KIMURA 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 0.00 X 0 0 0 BARBARA OBENA DIRECTOR 1.50 0.00 X 0 0 0 TERESITA BATAYOLA CHIEF EXECUTIVE OFFICER 50.00 2.00 X 268738 0 23256 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 40.00 2.00 X 217316 0 17139 RAYBURN LEWIS CMO (THROUGH 10/27/19) 20.00 0.00 X 139735 0 14217 ASQUAL GETANEH CMO (AS OF 10/28/19) 40.00 0.00 X 256428 0 18911 RACHEL KOH CHIEF OPERATING OFFICER 40.00 0.00 X 188815 0 16174 DAVID CHEN CHIEF DENTAL OFFICER 40.00 0.00 X 189948 0 21495 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 268903 0 24648 TERESA LEE ASSISTANT MEDICAL DIRECTOR 36.00 0.00 X 171285 0 7260 ERIC TROYER PACE MEDICAL DIRECTOR 40.00 0.00 X 246635 0 22133 GRANDY AU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 197164 0 21968 HARVEY WU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 198695 0 18149 SAMANTHA LEE-CHIU ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 176082 0 19140 MOLLY MELBYE ASSISTANT DENTAL DIRECTOR 40.00 0.00 X 161099 0 15181 JESSICA GUH FAMILY MEDICINE RESIDENCY DIRECTOR 40.00 0.00 X 200946 0 16972 BETH WEITENSTEINER ARNP RESIDENCY DEPUTY DIRECTOR 32.00 0.00 X 186500 0 17393 UYENVY PHAM MD PROVIDER 36.00 0.00 X 209204 0 16998 CHINDA ROACH MD PROVIDER 36.00 0.00 X 193194 0 21780 ONZU WELED DDS PROVIDER 40.00 0.00 X 174564 0 15771 JENNIFER ABRAMS MD PROVIDER 40.00 0.00 X 172071 0 15191 HAMED SAHARI-RASHTI DDS PROVIDER 40.00 0.00 X 169343 0 16599 GRACE WANG FORMER OFFICER 28.00 0.00 X 173890 0 15238 4160555 0 375613 61 1 1 0 JR ABBOTT CONTSTRUCTION INC 3408 1ST AVENUE S SEATTLE WA 98134 CONSTRUCTION SERVICES 1155612 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 INTERPRETATION SERVICES 349010 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 NEXTGEN MAINTENANCE & BILLING SERVICES 294592 COMAGINE HEALTH 10700 MERIDIAN AVENUE N SUITE 100 SEATTLE WA 98133 OPIOID USE DISORDER CONSULTING 150000 DENTAL PROFESSIONALS 4700 42ND AVENUE SW SUITE 460 SEATTLE WA 98116 DENTAL TEMP SERVICES 149901 9 401011 9138434 693912 712149 10233357 PATIENT SERVICE FEES 624100 39206231 39206231 POOL SAVINGS REVENUE 900099 2589117 2589117 HEALTHY WELLNESS & AGING 623000 1014481 1014481 OTHER MEDICAL REVENUE 900099 76014 76014 42885843 148004 148004 190 0 190 190 190 13357 0 31783 13357 -31783 -18426 -18426 MANAGEMENT FEES 900099 290717 290717 MISCELLANEOUS REVENUE 900099 167467 167467 458184 53707152 42885843 0 587952 27000 27000 3342325 1552929 1789396 30065270 26720287 3115867 229116 1171123 1042221 120216 8686 3266991 2867533 383622 15836 2849822 2441174 388610 20038 129790 17795 111995 71287 1200 70087 3510291 2450676 1059615 110612 43019 67593 336449 278106 58343 251600 177048 74552 2654482 2383631 270851 142933 94670 48263 123443 58898 64545 397343 367856 29487 2284467 1929555 354912 159748 117322 42426 HEALTHCARE ENROLLEES 246805 246805 MEDICAL SUPPLIES 3921507 3507048 414459 BAD DEBT 1027859 1027859 PATIENT EXPENSE 890508 890455 53 939225 599397 339828 57920880 48842484 8804720 273676 11581005 5762950 2014157 1784454 2651227 2702950 3478930 218406 314896 1029342 1203008 46796561 16835810 28788233 29960751 1200000 1200000 2023040 2215618 49327430 48801537 13163585 15194810 776020 759262 9019265 8776173 2129191 4045651 25088061 28775896 X 23661722 19413099 577647 612542 24239369 20025641 49327430 48801537 -4213728 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 3913 0 1 4183 8096 0 PART II-B, LINE 1: INTERNATIONAL COMMUNITY HEALTH SERVICES ("ICHS") STAFF ATTENDED THE CHC/API LEGISLATIVE DAY. ICHS SUPPORTED ADVOCACY ORGANIZATIONS, CONDUCTED OUTREACH TO STATE LEGISLATORS AND STAFF IN SUPPORT OF ICHS' INCLUSION IN THE 2019 WASHINGTON STATE CAPITAL BUDGET, CONDUCTED OUTREACH TO THE COMMUNITY REGARDING ICHS' POSITION ON AN ANTIDISCRIMINATION STATE BALLOT INITIATIVE, AND ATTENDED COALITION MEETINGS AT WHICH STRATEGIES WERE DISCUSSED TO INFLUENCE PROPOSED OR PENDING HEALTHCARE LEGISLATION. 3528037 3528037 26644823 7313127 19331696 5196373 3300845 1895528 8693825 6221838 2471987 2733503 2733503 29960751 X 53196622 520631 491403 1012034 52184588 1522564 1522564 53707152 57413652 520631 520631 56893021 1027859 1027859 57920880 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 FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF EQUIPMENT 31,783. NET ASSETS RELEASED FROM RESTRICTIONS 459,620. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,027,859. CONTRIBUTIONS WITH DONOR RESTRICTIONS 494,515. RENTAL INCOME 190. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,027,859. 1 AGING IN PACE WASHINGTON PO BOX 3007 SEATTLE WA 981143007 810856014 501(C)(3) 27000 EQUITY CONTRIBUTION 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 0 0 0 1 0 0 0 0 0 TERESITA BATAYOLA CHIEF EXECUTIVE OFFICER 231093 0 20907 0 16738 0 10599 0 12657 0 291994 0 0 0 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 212544 0 500 0 4272 0 8522 0 8617 0 234455 0 0 0 RAYBURN LEWIS CMO (THROUGH 10/27/19) 139466 0 0 0 269 0 5600 0 8617 0 153952 0 0 0 ASQUAL GETANEH CMO (AS OF 10/28/19) 239594 0 16834 0 0 0 10294 0 8617 0 275339 0 0 0 RACHEL KOH CHIEF OPERATING OFFICER 188815 0 0 0 0 0 7557 0 8617 0 204989 0 0 0 DAVID CHEN CHIEF DENTAL OFFICER 172138 0 5000 0 12810 0 7598 0 13897 0 211443 0 0 0 KIMO HIRAYAMA ASSISTANT MEDICAL DIRECTOR 243722 0 12250 0 12931 0 10751 0 13897 0 293551 0 0 0 TERESA LEE ASSISTANT MEDICAL DIRECTOR 153285 0 10800 0 7200 0 6563 0 697 0 178545 0 0 0 ERIC TROYER PACE MEDICAL DIRECTOR 208102 0 15000 0 23533 0 9394 0 12739 0 268768 0 0 0 GRANDY AU ASSISTANT DENTAL DIRECTOR 162424 0 16000 0 18740 0 8071 0 13897 0 219132 0 0 0 HARVEY WU ASSISTANT DENTAL DIRECTOR 178667 0 13250 0 6778 0 7972 0 10177 0 216844 0 0 0 SAMANTHA LEE-CHIU ASSISTANT DENTAL DIRECTOR 167959 0 3833 0 4290 0 7043 0 12097 0 195222 0 0 0 MOLLY MELBYE ASSISTANT DENTAL DIRECTOR 156849 0 4250 0 0 0 6564 0 8617 0 176280 0 0 0 JESSICA GUH FAMILY MEDICINE RESIDENCY DIRECTOR 180886 0 10000 0 10060 0 7775 0 9197 0 217918 0 0 0 BETH WEITENSTEINER ARNP RESIDENCY DEPUTY DIRECTOR 163681 0 10000 0 12819 0 7216 0 10177 0 203893 0 0 0 UYENVY PHAM MD PROVIDER 197504 0 11700 0 0 0 8381 0 8617 0 226202 0 0 0 CHINDA ROACH MD PROVIDER 173007 0 8550 0 11637 0 7883 0 13897 0 214974 0 0 0 ONZU WELED DDS PROVIDER 163564 0 11000 0 0 0 7154 0 8617 0 190335 0 0 0 JENNIFER ABRAMS MD PROVIDER 154791 0 9600 0 7680 0 6574 0 8617 0 187262 0 0 0 HAMED SAHARI-RASHTI DDS PROVIDER 143765 0 10000 0 15578 0 6422 0 10177 0 185942 0 0 0 GRACE WANG FORMER OFFICER 168290 0 5600 0 0 0 6861 0 8377 0 189128 0 0 0 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 10160000 CONSTRUCTION 0 0 0 A 1383827 10160000 1316561 185641 131346 10160000 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 2 712149 COST 0 0 1 0 FORM 990, PART III, LINE 2 DURING 2019, ICHS ADDED A HEALTHY AGING AND WELLNESS PROGRAM THAT INCLUDES PACE, ASSISTED LIVING, ADULT DAY SERVICES AND ADULT NUTRITION. FORM 990, PART VI, SECTION A, LINE 1 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 OF DIRECTORS PERFORM AN ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT/CEO WITH ASSISTANCE FROM A THIRD PARTY CONSULTANT. THE EXECUTIVE COMMITTEE OF THE BOARD (CHAIRS OF ALL THE COMMITTEES) MEETS WITH THE PRESIDENT/CEO TO NEGOTIATE COMPENSATION THAT IS CONSISTENT WITH MARKET PAY. THIS PROCESS IS UNDERTAKEN ANNUALLY. THE CHIEF FINANCIAL OFFICER AND OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED BY PERFOMANCE EVALUATIONS AND A COMPENSATION STUDY THAT IS UNDERTAKEN EVERY TWO YEARS. 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 0 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 401011 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION L 290717 FAIR MARKET VALUE INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION M 401011 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION O 290717 FAIR MARKET VALUE