2026-07-20T15:10:45-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2025-01-01 910947084 INTERNATIONAL COMMUNITY HEALTH SERVICES INTE 2067883618 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 KELLI NOMURA CEO 2067883618 2026-07-11 1 KURT BENNION P01469618 4252506100 2026-06-26 2025 2025-03-06 01:10:19Z ICHS KELLI NOMURA 720 8TH AVENUE SOUTH 100 SEATTLE WA 98104 126225378 0 X WWW.ICHS.COM X 1973 WA DEEPLY ROOTED IN THE ASIAN PACIFIC ISLANDER COMMUNITY, ICHS PROVIDES CULTURALLY AND LINGUISTICALLY APPROPRIATE HEALTH AND WELLNESS SERVICES AND PROMOTES HEALTH EQUITY FOR ALL. 13 13 842 35 0 0 13556123 33372897 85046376 90076337 1731012 1528922 872211 1210532 101205722 126188688 4411214 10353540 0 0 60106506 62698674 0 0 481444 32456894 36535770 96974614 109587984 4231108 16600704 102974559 117546222 42699604 40672815 60274955 76873407 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 1 37095001 10353540 40300105 ICHS PROVIDES MEDICAL SERVICES TO PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY. THESE SERVICES INCLUDE PRIMARY CARE, PREVENTATIVE CARE, PHYSICAL EXAMS, IMMUNIZATIONS, MINOR PROCEDURES, INFANT AND WELL-CHILD CHECK-UPS, MEDICARE ANNUAL WELLNESS VISITS, DIAGNOSTIC SERVICES, MINOR INJURIES, COMMON ILLNESSES, OBSTETRIC AND GERIATRIC CARE. ICHS BEGAN A MOBILE MEDICAL VAN THAT VISITS VARIOUS COMMUNITIES TO OFFER SAME-DAY APPOINTMENTS AND VACCINES. DURING 2025, ICHS PROVIDED 87,283 PRIMARY HEALTH CARE VISITS TO PATIENTS AND $487,375 OF CHARITY CARE. 22902443 0 18621318 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. THIS PROGRAM INCLUDES AN INTERDISCIPLINARY TEAM THAT CARES FOR EVERY ASPECT OF THE INDIVIDUAL (PRIMARY CARE PHYSICIAN, NURSES, SOCIAL WORKERS, PHYSICAL, OCCUPATIONAL, AND RECREATIONAL THERAPISTS, DIETICIANS, PERSONAL CARE AIDES, AND ADDITIONAL CONTRACTED SPECIALTY CARE). (CONTINUED IN SCHEDULE O)THIS ALSO INCLUDES TRANSPORTATION TO THE PACE CENTER, WHERE MEALS, ACTIVITIES, SOCIALIZATION, A MEDICAL CLINIC, A DAY CENTER, AND THERAPY EXIST. PACE HAD 1,317 MEMBER MONTHS IN 2025.- 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, AND ADULT NUTRITION. ICHS CLOSED THIS PROGRAM IN MAY OF 2025.- CONGREGATE MEAL PROGRAM A SENIOR-FRIENDLY MEAL PROGRAM WHERE SENIORS CAN COME TO RECEIVE NUTRITIOUS, CULTURALLY APPROPRIATE LUNCHES DAILY, FROM MONDAY THROUGH FRIDAY. 20028203 0 16255715 ICHS PROVIDES A VARIETY OF OTHER HEALTH CARE SERVICES TO THE COMMUNITY, INCLUDING ACUPUNCTURE, VISION, DISEASE PREVENTION, HEALTH EDUCATION, BEHAVIORAL HEALTH, PATIENT NAVIGATION, NUTRITION SERVICES, WIC, AND FAMILY PLANNING FOR TEENS AND ADULTS. DURING 2025, ICHS PROVIDED 18,160 HEALTH CARE VISITS TO PATIENTS AND $107,452 OF CHARITY CARE. 10975250 0 14899199 ICHS PROVIDES COMPREHENSIVE DENTAL CARE FOR THE ENTIRE FAMILY, INCLUDING EXTENSIVE DENTURE WORK, FULL DENTAL CLEANINGS FOR ADULTS AND CHILDREN, PREVENTIVE DENTISTRY, MINOR ORAL SURGERY, RESTORATIVE SERVICES, ORTHODONTIA, AND EMERGENCY CARE. ICHS ALSO BRINGS DENTAL SERVICES TO KING COUNTY COMMUNITIES AND SCHOOLS THROUGH ITS MOBILE DENTAL CLINIC, AS WELL AS ORAL HEALTH EDUCATION. DURING 2025, ICHS PROVIDED 42,342 DENTAL CARE VISITS TO PATIENTS AND $387,299 OF CHARITY CARE. 10975250 0 14899199 91000897 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 69 0 1 842 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 1 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 KELLI NOMURA CEO 40.00 4.00 X 353409 0 30894 JEFFREY GIBBS CHIEF HEALTH OFFICER 40.00 0.00 X 332101 0 30398 KIMO HIRAYAMA SITE MEDICAL DIRECTOR 40.00 0.00 X 297116 0 38851 BETH WEITENSTEINER SITE MEDICAL DIRECTOR 40.00 0.00 X 298468 0 28815 MANDEEP WALIA PACE MEDICAL DIRECTOR 40.00 0.00 X 277021 0 38047 HERMES SHAHBAZIAN CFO 40.00 4.00 X 264307 0 19738 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 40.00 0.00 X 232373 0 37125 HIEU PHAM FAMILY MEDICINE RESIDENCY DIRECTOR 40.00 0.00 X 249827 0 19124 GRANDY AU SITE DENTAL DIRECTOR 40.00 0.00 X 221698 0 43253 JADE EAST CHIEF OPERATING OFFICER 40.00 0.00 X 223718 0 26263 DANIEL CHANG DDS PROVIDER 40.00 0.00 X 209377 0 38036 CHINDA ROACH MD PROVIDER 36.00 0.00 X 218796 0 27528 UYENVY PHAM MD PROVIDER 36.00 0.00 X 217381 0 18433 HARVEY WU SITE DENTAL DIRECTOR 40.00 0.00 X 207575 0 26699 NAM-PHUONG HONG CHIEF INFORMATION OFFICER 40.00 0.00 X 212918 0 17215 HAMED SAHARI-RASHTI DDS PROVIDER 40.00 0.00 X 196931 0 24734 LILI SPERRY MD PROVIDER 36.00 0.00 X 194643 0 23154 DANTE BATINGAN VICE PRES OF ADMIN. SERVICES (THROUGH JUNE 2025) 40.00 0.00 X 199422 0 12320 GILDAS CHEUNG CHAIR 4.00 0.00 X X 0 0 0 CHENGZHEN DAI VICE CHAIR 3.00 0.00 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 (THROUGH JULY 2025) 1.50 0.00 X 0 0 0 TESSA CHU DIRECTOR (INACTIVE) 1.50 0.00 X 0 0 0 MARVIN ENG DIRECTOR 1.50 0.00 X 0 0 0 JOHN FOZ DIRECTOR 1.50 0.50 X 0 0 0 MICHAEL HAN DIRECTOR 1.50 0.00 X 0 0 0 CAREY JENKINS DIRECTOR 1.50 0.00 X 0 0 0 GINA KANG DIRECTOR 1.50 0.00 X 0 0 0 AMANDA KIMURA DIRECTOR 1.50 0.00 X 0 0 0 CRISTINA KRISOLOGO-ELLIOTT DIRECTOR 1.50 0.00 X 0 0 0 HIROSHI NAKANO DIRECTOR 1.50 0.00 X 0 0 0 FATIMA NOBLE DIRECTOR (THROUGH MAY 2025) 1.50 0.00 X 0 0 0 4407081 0 500627 119 0 1 0 ABBOTT CONSTRUCTION INC 3408 1ST AVENUE S SEATTLE WA 98134 CONSTRUCTION 4804511 LEASE CRUTCHER LEWIS 2200 WESTERN AVENUE SUITE 500 SEATTLE WA 98121 CONSTRUCTION 2338760 DEPARTMENT OF SOCIAL AND HEALTH SERVICES PO BOX 45600 OLYMPIA WA 98504 PERSONAL CARE SERVICES 1436610 PRIME ELECTRIC LLC 3460 161ST AVENUE SE BELLEVUE WA 98008 ELECTRICAL CONSTRUCTION 710927 SIEMENS INDUSTRY INC PO BOX 2134 CAROL STREAM IL 601322134 BUILDING MAINTENANCE 514981 26 20259258 12559306 554333 20535494 33372897 PATIENT SERVICE FEES 624100 66095315 66095315 HEALTHY WELLNESS & AGING 623000 15585234 15585234 POOL SAVINGS REVENUE 900099 6931860 6931860 OTHER MEDICAL REVENUE 900099 1463928 1463928 90076337 1565612 1565612 272883 0 272883 272883 272883 36690 -36690 -36690 -36690 MISCELLANEOUS REVENUE 900099 493495 493495 MANAGEMENT FEES 900099 444154 444154 937649 126188688 90076337 0 2739454 10353540 10353540 3738695 1929088 1809607 47175391 37432987 9398958 343446 1842578 1483159 351167 8252 6214086 4936222 1250860 27004 3727924 2927093 785231 15600 370390 370390 123055 123055 5445082 3283496 2161586 358707 16210 334837 7660 489812 250784 215698 23330 448247 351804 94370 2073 4114184 3477343 636841 129520 80276 48810 434 155066 110319 44747 303172 295550 7622 2100685 2155553 -54868 370024 307293 62731 MEDICAL SUPPLIES 10575167 10567923 7244 HEALTHCARE ENROLLEES 10234794 10234794 MISCELLANEOUS EXPENSES 384979 43193 325829 15957 LICENSE AND TAXES 305552 216291 67336 21925 627334 547979 63592 15763 109587984 91000897 18105643 481444 42579079 25402976 2254482 21230190 3667605 3113733 2836353 2852235 311175 414128 437286 2670362 80484369 25914846 32842437 54569523 18046142 7293075 102974559 117546222 14731054 13447074 57136 4470 15845950 15367272 12065464 11853999 42699604 40672815 X 59913612 76561524 361343 311883 60274955 76873407 102974559 117546222 16600704 -2252 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 21413 0 1 21413 0 PART II-B, LINE 1: IN 2025, INTERNATIONAL COMMUNITY HEALTH SERVICES (A) COMMUNICATED CALLS TO ACTION TO ICHS STAFF ON ADVOCACY ISSUES ESSENTIAL TO ICHS BUSINESS ACTIVITIES; (B) SUPPORTED OTHER ORGANIZATIONS ON MISSION-RELATED POLICIES/ISSUES AND PROVIDED LIMITED SUPPORT FOR CALLS TO ACTION ON MISSION-RELATED ISSUES LED BY OTHER ORGANIZATIONS; AND (C) COORDINATED MEETINGS WITH SENIOR ICHS STAFF, ICHS BOARD MEMBERS, MEMBERS OF CONGRESS, AND OTHER STATE AND LOCAL ELECTED OFFICIALS. 3528037 3528037 52540658 15484536 37056122 5628632 4986314 642318 9515680 5443996 4071684 9271362 9271362 54569523 RIGHT OF USE LEASE ASSETS 6444352 DEPOSITS 848723 7293075 REFUNDABLE GRANTS 5156600 RIGHT-OF-USE LEASE LIABILITIES 6697399 11853999 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) 637735 0 GENERAL OPERATING SUPPORT AGING IN PACE WASHINGTON PO BOX 3007 SEATTLE WA 98114 810856014 501(C)(3) 9715805 0 GENERAL OPERATING SUPPORT 2 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 1 0 0 0 0 1 0 0 0 KELLI NOMURA CEO 283802 0 55700 0 13907 0 13796 0 17098 0 384303 0 0 0 JEFFREY GIBBS CHIEF HEALTH OFFICER 327101 0 5000 0 0 0 13300 0 17098 0 362499 0 0 0 KIMO HIRAYAMA SITE MEDICAL DIRECTOR 288208 0 0 0 8908 0 11885 0 26966 0 335967 0 0 0 BETH WEITENSTEINER SITE MEDICAL DIRECTOR 292817 0 250 0 5401 0 11717 0 17098 0 327283 0 0 0 MANDEEP WALIA PACE MEDICAL DIRECTOR 268113 0 0 0 8908 0 11081 0 26966 0 315068 0 0 0 HERMES SHAHBAZIAN CFO 264307 0 0 0 0 0 10590 0 9148 0 284045 0 0 0 SAMANTHA LEE-CHIU CHIEF DENTAL OFFICER 223461 0 0 0 8912 0 9159 0 27966 0 269498 0 0 0 HIEU PHAM FAMILY MEDICINE RESIDENCY DIRECTOR 246427 0 0 0 3400 0 9716 0 9408 0 268951 0 0 0 GRANDY AU SITE DENTAL DIRECTOR 206405 0 0 0 15293 0 8799 0 34454 0 264951 0 0 0 JADE EAST CHIEF OPERATING OFFICER 223718 0 0 0 0 0 9165 0 17098 0 249981 0 0 0 DANIEL CHANG DDS PROVIDER 188470 0 0 0 20907 0 7871 0 30165 0 247413 0 0 0 CHINDA ROACH MD PROVIDER 216309 0 800 0 1687 0 8690 0 18838 0 246324 0 0 0 UYENVY PHAM MD PROVIDER 217381 0 0 0 0 0 8521 0 9912 0 235814 0 0 0 HARVEY WU SITE DENTAL DIRECTOR 202175 0 0 0 5400 0 8201 0 18498 0 234274 0 0 0 NAM-PHUONG HONG CHIEF INFORMATION OFFICER 212918 0 0 0 0 0 8517 0 8698 0 230133 0 0 0 HAMED SAHARI-RASHTI DDS PROVIDER 188079 0 0 0 8852 0 7636 0 17098 0 221665 0 0 0 LILI SPERRY MD PROVIDER 192842 0 0 0 1801 0 7616 0 15538 0 217797 0 0 0 DANTE BATINGAN VICE PRES OF ADMIN. SERVICES (THROUGH JUNE 2025) 61580 0 0 0 137842 0 3621 0 8699 0 211742 0 0 0 PART I, LINE 4A IN 2025, DANTE BATINGAN - VICE PRESIDENT OF ADMINISTRATIVE SERVICES - RECEIVED SEVERANCE PAYMENTS OF $85,000. PART I, LINE 6 AT THE DISCRETION OF THE ICHS BOARD, THE CEO MAY RECEIVE A PERFORMANCE BONUS NOT TO EXCEED 20% OF THE CEO'S ANNUAL SALARY FOR THE CALENDAR YEAR. THE PERFORMANCE BONUS CRITERIA INCLUDE THE FIVE FOLLOWING EQUALLY WEIGHTED AREAS: FINANCIAL, STRATEGIC, COMMUNITY, EMPLOYEE/PATIENT SATISFACTION, AND QUALITY. A WASHINGTON HEALTH CARE FACILITIES AUTHORITY 911108929 2024-06-21 16269500 SEE PART VI 0 0 0 A 681067 16729864 439858 216460 1913697 7578789 6581059 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 1 18931619 NET BOOK VALUE X 114 1009126 COST X EQUIPMENT 1 590596 NET BOOK VALUE X MISCELLANEOUS 16 4153 FAIR MARKET VALUE 0 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 III, LINE 3 THE ADULT DAY SERVICES PROGRAM ENDED ON MAY 31, 2025. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE ELECTED OFFICERS OF THE BOARD, OTHER DIRECTORS AS APPROVED BY A MAJORITY VOTE OF THE BOARD, AND THE CEO 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. IN THE ABSENCE OF A RESOLUTION EXPRESSLY GRANTING AUTHORITY TO THE EXECUTIVE COMMITTEE, THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT FOR THE BOARD OF DIRECTORS, EXCEPT THAT IT DOES NOT HAVE AUTHORITY TO: (I) AMEND, ALTER OR REPEAL THE BYLAWS; (II) ELECT, APPOINT OR REMOVE ANY MEMBER OF ANY SUCH COMMITTEE, ANY DIRECTOR, OR OFFICER; (III) AMEND THE ARTICLES OF INCORPORATION; (IV) ADOPT A PLAN OF MERGER OR CONSOLIDATION; (V) AUTHORIZE THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY AND ASSETS NOT IN THE ORDINARY COURSE OF BUSINESS; (VI) AUTHORIZE THE ORGANIZATION'S VOLUNTARY DISSOLUTION OR REVOKE PROCEEDINGS THEREFOR; (VII) ADOPT A PLAN FOR THE DISTRIBUTION OF THE ORGANIZATION'S ASSETS; OR (VIII) AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN NOVEMBER 2025 AND INCLUDED THE FOLLOWING SIGNIFICANT CHANGES: (A) UPDATE THE ORGANIZATION'S PURPOSE; (B) IDENTIFY PROHIBITED ACTIVITIES BY THE ORGANIZATION, ITS DIRECTORS AND OFFICERS; (C) UPDATE TEH BOARD OF DIRECTORS' RESPONSIBILITIES; (D) CHANGE THE BOARD'S OFFICERS FROM REQUIRING FOUR VICE CHAIRS TO HAVING AS MANY VICE CHAIRS AS THE BOARD OF DIRECTORS' DEEMS NECESSARY; (E) ELIMINATE VARIOUS COMMITTEES AS STANDING COMMITTEES OF THE BOARD; AND (F) TO UPDATE THE MEMBERS AND AUTHORITY OF THE BOARD'S EXECUTIVE COMMITTEE. 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 2025. 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 637735 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION C 728291 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION L 728291 CASH INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION N 444154 FMV INTERNATIONAL COMMUNITY HEALTH SERVICES FOUNDATION O 444154 FMV AGING IN PACE WASHINGTON B 9715805 CASH AGING IN PACE WASHINGTON C 19530967 CASH & NET BOOK VALUE