2025-08-27T14:33:45-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 910947084 INTERNATIONAL COMMUNITY HEALTH SERVICES INTE 2067883618 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 KELLI NOMURA CEO 2067883618 2025-08-19 1 0 KURT BENNION P01469618 4252506100 2025-08-19 2024 2025-03-06 01:10:19Z ICHS KELLI NOMURA 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 101210900 0 X WWW.ICHS.COM X 1973 WA PROVIDE HEALTH SERVICES TO IMPROVE THE HEALTH OF ASIAN PACIFIC ISLANDER AND OTHER COMMUNITIES. 14 14 802 32 0 0 14104683 13556123 75988049 85046376 1152620 1731012 504997 872211 91750349 101205722 0 4411214 0 0 52410428 60106506 0 0 611552 29725596 32456894 82136024 96974614 9614325 4231108 87414320 102974559 38598791 42699604 48815529 60274955 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 31950226 4411214 42167965 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 2024, ICHS PROVIDED 77,784 PRIMARY HEALTH CARE VISITS TO PATIENTS AND $125,094 OF CHARITY CARE. 19107203 0 16317740 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 1,185 MEMBER MONTHS IN 2024.- 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. (CONTINUED IN SCHEDULE O)- 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. 11437219 0 12252256 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 2024, ICHS PROVIDED 38,487 DENTAL CARE VISITS TO PATIENTS AND $256,679 OF CHARITY CARE. 18566165 0 14308415 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 2024, ICHS PROVIDED 13,170 HEALTH CARE VISITS TO PATIENTS AND $15,569 OF CHARITY CARE. 18566165 0 14308415 81060813 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 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 71 0 802 1 0 0 0 0 0 1 1 0 0 0 1 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 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 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 40.00 0.00 X 159775 0 11348 KELLI NOMURA CEO 40.00 4.00 X 340438 0 30263 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 40.00 4.00 X 252547 0 19150 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 40.00 0.00 X 228226 0 37408 NAM-PHUONG HONG CHIEF INFORMATION OFFICER 40.00 0.00 X 208132 0 17720 JADE EAST CHIEF OPERATING OFFICER 40.00 0.00 X 97956 0 10569 KIMO HIRAYAMA SITE MEDICAL DIRECTOR 40.00 0.00 X 301924 0 38870 BETH WEITENSTEINER SITE MEDICAL DIRECTOR 40.00 0.00 X 302072 0 28922 HIEU PHAM MEDICAL RESIDENCY DIRECTOR 40.00 0.00 X 244590 0 18279 GRANDY AU SITE DENTAL DIRECTOR 40.00 0.00 X 217663 0 40422 HARVEY WU SITE DENTAL DIRECTOR 40.00 0.00 X 205284 0 26750 HYELIM PARK CLINICAL INFORMATICS DIRECTOR 40.00 0.00 X 205933 0 17507 DANTE BATINGAN VP COMPLIANCE, HR & RISK MANAGEMENT 40.00 0.00 X 180817 0 24643 MANDEEP WALIA PACE MEDICAL DIRECTOR 40.00 0.00 X 271920 0 37368 CHINDA ROACH MD PROVIDER 32.00 0.00 X 196561 0 27477 TIMOTHY LAM DDS PROVIDER 40.00 0.00 X 188267 0 42702 UYENVY PHAM MD PROVIDER 36.00 0.00 X 214400 0 18386 HAMED SAHARI-RASHTI DDS PROVIDER 40.00 0.00 X 191851 0 24519 DANIEL CHANG DDS DENTIST 40.00 0.00 X 205944 0 37663 4214300 0 509966 116 0 1 0 DEPARTMENT OF SOCIAL AND HEALTH SERVICES POBOX 45600 OLYMPIA WA 98504 PERSONAL CARE SERVICES 1253068 ABBOTT CONSTRUCTION INC 3408 1ST AVENUE S SEATTLE WA 98134 CONSTRUCTION 773599 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 INTERPRETING SERVICES 721815 TEGRIA SERVICES GROUP-US INC PO BOX 735734 DALLAS TX 75373 I.T. SERVICES 433409 HEALTH MANAGEMENT ASSOCIATES INC 120 N WASHINGTON SQ STE 705 LANSING MI 48933 CONSULTING SERVICES 275885 28 407330 11977103 1171690 1107483 13556123 PATIENT SERVICE FEES 624100 62282550 62282550 HEALTHY WELLNESS & AGING 623000 13558659 13558659 POOL SAVINGS REVENUE 900099 7939491 7939491 OTHER MEDICAL REVENUE 900099 1265676 1265676 85046376 1736190 1736190 202529 0 202529 202529 202529 5178 -5178 -5178 -5178 MANAGEMENT FEES 900099 547748 547748 MISCELLANEOUS REVENUE 900099 121934 121934 669682 101205722 85046376 0 2603223 4411214 4411214 4340349 2338612 2001737 44782486 37082865 7260660 438961 1730633 1429632 283643 17358 5707433 4743501 922000 41932 3545605 2865012 653573 27020 164580 19130 145450 118237 115087 3150 4974697 3468755 1448709 57233 429523 17085 412438 531589 420574 111015 486768 267270 217848 1650 3633500 3107524 525902 74 149956 77037 72919 241632 150634 90998 599790 236991 348801 13998 2375119 2044406 330713 322710 264011 58699 HEALTHCARE ENROLLEES 8088530 8088530 MEDICAL SUPPLIES 7603284 7596374 6910 PATIENT EXPENSE 1823186 1822729 407 50 LICENSE AND TAXES 313309 299994 13315 600484 308933 288335 3216 96974614 81060813 15302249 611552 41230104 42579079 2148354 2254482 3296687 3667605 2835230 2836353 317456 311175 388198 437286 57529908 24687471 24151503 32842437 13046788 18046142 87414320 102974559 13431413 14731054 8161990 57136 7609234 15845950 9396154 0 12065464 38598791 42699604 X 48250363 59913612 565166 361343 48815529 60274955 87414320 102974559 4231108 19468 7208850 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 6799 0 1 2600 9399 0 PART II-B, LINE 1: IN 2024, 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 30636962 14039554 16597408 5589313 4886369 702944 8375161 5761548 2613613 9400435 9400435 32842437 RECEIVABLE FROM RELATED ORGANIZATION 9688772 RIGHT OF USE LEASE ASSETS 8143249 DEPOSITS 214121 18046142 REFUNDABLE GRANT 3656600 RIGHT-OF-USE LEASE LIABILITIES 8408864 12065464 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 CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT EVALUATED ICHS, THE FOUNDATION, AND AIPACE'S 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 (ASC). 1 INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION 720 8TH AVENUE S SUITE 100 SEATTLE WA 98104 260493856 501(C)(3) 4411214 0 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: INTERNATIONAL COMMUNITY HEALTH SERVICES ONLY GRANTED MONEY TO INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION, A SUBSIDIARY ORGANIZATION. BOTH ORGANIZATIONS ARE UNDER COMMON CONTROL. X X 0 0 0 0 0 1 0 0 0 KELLI NOMURA CEO 272275 0 52500 0 15663 0 13206 0 17057 0 370701 0 0 0 KIMO HIRAYAMA SITE MEDICAL DIRECTOR 289041 0 4027 0 8856 0 11979 0 26891 0 340794 0 0 0 BETH WEITENSTEINER SITE MEDICAL DIRECTOR 292768 0 3872 0 5432 0 11865 0 17057 0 330994 0 0 0 MANDEEP WALIA PACE MEDICAL DIRECTOR 251927 0 11137 0 8856 0 10477 0 26891 0 309288 0 0 0 HERMES SHAHBAZIAN CHIEF FINANCIAL OFFICER 249180 0 3367 0 0 0 10087 0 9063 0 271697 0 0 0 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 216785 0 2585 0 8856 0 9017 0 28391 0 265634 0 0 0 HIEU PHAM MEDICAL RESIDENCY DIRECTOR 239124 0 2901 0 2565 0 9519 0 8760 0 262869 0 0 0 GRANDY AU SITE DENTAL DIRECTOR 199617 0 2901 0 15145 0 8593 0 31829 0 258085 0 0 0 DANIEL CHANG DDS DENTIST 183285 0 1803 0 20856 0 7722 0 29941 0 243607 0 0 0 UYENVY PHAM MD PROVIDER 212017 0 2383 0 0 0 8497 0 9889 0 232786 0 0 0 HARVEY WU SITE DENTAL DIRECTOR 197030 0 2872 0 5382 0 8093 0 18657 0 232034 0 0 0 TIMOTHY LAM DDS PROVIDER 176539 0 2872 0 8856 0 7711 0 34991 0 230969 0 0 0 NAM-PHUONG HONG CHIEF INFORMATION OFFICER 207931 0 201 0 0 0 8325 0 9395 0 225852 0 0 0 CHINDA ROACH MD PROVIDER 190812 0 2454 0 3295 0 7856 0 19621 0 224038 0 0 0 HYELIM PARK CLINICAL INFORMATICS DIRECTOR 192385 0 2872 0 10676 0 7832 0 9675 0 223440 0 0 0 HAMED SAHARI-RASHTI DDS PROVIDER 180060 0 3041 0 8750 0 7462 0 17057 0 216370 0 0 0 DANTE BATINGAN VP COMPLIANCE, HR & RISK MANAGEMENT 174703 0 2617 0 3497 0 7286 0 17357 0 205460 0 0 0 LAKSHMI DEEPA YERRAM CHIEF MEDICAL OFFICER 158085 0 0 0 1690 0 4444 0 6904 0 171123 0 0 0 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 2024-06-21 16269500 SEE PART VI 0 0 0 A 194627 16411490 117434 216460 1913697 7578789 6585109 1 0 0 1 A 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 0 0 0 1 A 1 PART I, COLUMN F: THE BOND WAS ISSUED TO FINANCE CAPITAL PROJECTS, TO CURRENT REFUND A PRIOR BOND REISSUED ON OCTOBER 18, 2020 AND TO PAY COSTS OF ISSUANCE. PART II, LINE 3: THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2B: THE REFUNDING PORTION OF THE BOND MET THE 6-MONTH EXCEPTION TO REBATE. X 132 1092894 COST X MISCELLANEOUS 7 14589 FAIR MARKET VALUE 1 0 1 0 PART I, COLUMN (B): THE NUMBERS REPORTED IN PART I, COLUMN B REPRESENT 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 REPORTS 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 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 2024. 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 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION B 4411214 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION C 407330 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION L 547748 FMV INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION M 407330 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION N 547748 FMV INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION O 547748 FMV