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Nonprofiteer
← AGING IN PACE WASHINGTON

Form 990 for tax year 2022

Filed by AGING IN PACE WASHINGTON.

Totals

Total revenue
$504,902
Total expenses
$1,252,727
Contributions and grants received
$504,752
Grants paid
$1,180,689
Program service revenue
$0
Investment income
$0
Other revenue
$150
Total assets, end of year
$1,884,619
Total liabilities, end of year
$1,451,755
Net assets or fund balances, end of year
$432,864
Program services expenses (Part IX)
$1,180,689
Management and general expenses
$10,963
Fundraising expenses
$61,075
Program service expenses (Part III)
$1,180,689

Program services were 94.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $21,819

  • 1f · All other contributions, gifts and grants

    $482,933

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $150 · excluded $150

  • 11e · Other revenue, total

    $150

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,180,689 · program services $1,180,689

  • 11c · Fees: accounting

    total $1,654 · management and general $1,654

  • 11g · Fees: other

    total $66,670 · management and general $5,595 · fundraising $61,075

  • 12 · Advertising and promotion

    total $219 · management and general $219

  • 13 · Office expenses

    total $3,327 · management and general $3,327

  • 19 · Conferences, conventions and meetings

    total $58 · management and general $58

  • 24a · Other expenses: LICENSES & TAXES

    total $110 · management and general $110

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $597,304 · end of year $1,137,364

  • 3 · Pledges and grants receivable

    beginning of year $215,033 · end of year $145,900

  • 10a · Land, buildings and equipment: cost or other basis

    $601,355

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $368,352 · end of year $601,355

  • 17 · Accounts payable and accrued expenses

    end of year $11,896

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,439,859

  • 27 · Net assets without donor restrictions

    beginning of year $1,180,689 · end of year -$69

  • 28 · Net assets with donor restrictions

    end of year $432,933

Mission and programs · 2022

Mission

AIPACE IS A SUPPORTING ORGANIZATION, OPERATED FOR THE BENEFIT OF AND TO SUPPORT INTERNATIONAL COMMUNITY HEALTH SERVICES.

Activities or mission (Part I)

TO BE A SUPPORTING ORGANIZATION, OPERATED FOR THE BENEFIT OF AND TO SUPPORT INTERNATIONAL COMMUNITY HEALTH SERVICES.

  • AGING IN PACE WASHINGTON IS A SUPPORTING ORGANIZATION, OPERATED FOR THE BENEFIT OF AND TO SUPPORT INTERNATIONAL COMMUNITY HEALTH SERVICES'S PACE PROGRAM. THE PACE PROGRAM IS AN INTEGRATED MODEL OF CARE THAT ENABLES MEDICARE AND MEDICAID BENEFICIARIES AGED 55 YEARS OLD OR OLDER WHO ARE CERTIFIED BY THEIR STATE AS NEEDING NURSING HOME CARE TO LIVE AS INDEPENDENTLY AS POSSIBLE IN THEIR OWN HOMES AND COMMUNITY. THE PACE PROGRAM COORDINATES AND PROVIDES ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG TERM CARE SERVICES. THE PACE PROGRAM IS GOVERNED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) AT THE FEDERAL LEVEL AND BY THE STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES (DSHS) AT THE STATE LEVEL. THIS PROGRAM IS HIGHLY REGULATED, SUBJECT TO COMPLIANCE WITH THE CMS RULES AND REGULATION. THE APPLICATION PROCESS IS EXTENSIVE AND REQUIRES PROFESSIONAL HELP FROM SPECIALIZED CONSULTING FIRMS SUCH AS ALTITUDE EDGE CONSULTANTS CURRENTLY ENGAGED IN THE APPLICATION PROCESS.

    Expenses $1,180,689 · Grants $1,180,689

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • TERESITA BATAYOLA

    PRESIDENT

    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

  • GILDAS CHEUNG

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • HIROSHI NAKANO

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1.5 related

  • HERMES SHAHBAZIAN

    CFO

    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

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, and on a Form 990-PF Part VIII's — 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 BOARD PRESIDENT IS THE CEO OF INTERNATIONAL COMMUNITY HEALTH SERVICES ("ICHS"). 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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
24 July 2023
IRS schema version
2022v5.0
Source object
202342069349300619

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