Form 990 for tax year 2022
Filed by INTERNATIONAL COMMUNITY HEALTHSERVICES FOUNDATION.
Totals
- Total revenue
- $556,990
- Total expenses
- $1,097,842
- Contributions and grants received
- $564,820
- Grants paid
- $430,163
- Program services expenses (Part IX)
- $430,163
- Management and general expenses
- $382,614
- Fundraising expenses
- $285,065
- Program service expenses (Part III)
- $430,163
Program services were 39.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
TERESITA BATAYOLA
DIRECTOR (THROUGH NOVEMBER 2022)
- Total calculated
- $451,620
- From this org
- $0
- From related orgs
- $416,636
- Other
- $34,984
- Hours/week
- 2 + 52 related
Schedule J breakdown matched by us
- Base
- $0 + $359,451 related
- Bonus
- $0 + $31,295 related
- Other
- $0 + $25,890 related
- Deferred
- $0 + $15,972 related
- Nontaxable benefits
- $0 + $19,012 related
- Filer's total
- $0 + $451,620 related
-
HERMES SHAHBAZIAN
CHIEF FINANCIAL OFFICER
- Total calculated
- $257,318
- From this org
- $0
- From related orgs
- $239,287
- Other
- $18,031
- Hours/week
- 2 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $232,089 related
- Bonus
- $0 + $2,710 related
- Other
- $0 + $4,488 related
- Deferred
- $0 + $9,382 related
- Nontaxable benefits
- $0 + $8,649 related
- Filer's total
- $0 + $257,318 related
-
HEIDI WONG EXECUTIVE
DIRECTOR (THROUGH NOVEMBER 2022)
- Total calculated
- $140,647
- From this org
- $0
- From related orgs
- $125,960
- Other
- $14,687
- Hours/week
- 20 + 20 related
-
CHRISTINE CONSOLACION
INTERIM EXECTIVE DIRECTOR
- Total calculated
- $91,943
- From this org
- $0
- From related orgs
- $80,090
- Other
- $11,853
- Hours/week
- 20 + 20 related
-
KELLI NOMURA
DIRECTOR
- Total calculated
- $33,516
- From this org
- $0
- From related orgs
- $31,290
- Other
- $2,226
- Hours/week
- 2 + 40 related
-
LEECHING TRAN
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
JENNY SHIN
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
TOM VAN BRONKHORST
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
LUMOR CHET
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
TESSA CHU
DIRECTOR (THROUGH APRIL 2022)
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
JOHN FOZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 3 related
-
BRYAN IMANISHI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
AMANDA KIMURA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
ARIGIN SAKDA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
CHARLES WU
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 6b · Pay contingent on a related organization's net earnings
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE CEO OF INTERNATIONAL COMMUNITY HEALTH SERVICES (ICHS) IS A MEMBER OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS DETERMINED BY ICHS, THE SUPPORTED ORGANIZATION. ICHS USES THE FOLLOWING TO DETERMINE THE CEO'S COMPENSATION. 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
- 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 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
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
TO SUPPORT CLINICAL OPERATIONS
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
INTERNATIONAL COMMUNITY HEALTH SERVICES
501(C)(3) · MEDICAL AND DENTAL CLINICS · WA
-
501(C)(3) · PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY · WA
Directly controlled by INTERNATIONAL COMMUNITY HEALTH SERVICES
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 24 July 2023
- IRS schema version
- 2022v5.0
- Source object
- 202322069349300112
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