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Nonprofiteer
← INTERNATIONAL COMMUNITY HEALTH SERVICES

Form 990 for tax year 2022

Filed by INTERNATIONAL COMMUNITY HEALTH SERVICES.

Totals

Total revenue
$79,629,983
Total expenses
$74,288,380
Contributions and grants received
$16,730,576
Grants paid
$0
Program services expenses (Part IX)
$61,958,949
Management and general expenses
$11,987,832
Fundraising expenses
$341,599
Program service expenses (Part III)
$61,958,949

Program services were 83.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TERESITA BATAYOLA

    CEO (THROUGH DECEMBER 2022)

    Total calculated
    $451,620
    From this org
    $416,636
    From related orgs
    $0
    Other
    $34,984
    Hours/week
    50 + 4 related

    Schedule J breakdown matched by us

    Base
    $359,451
    Bonus
    $31,295
    Other
    $25,890
    Deferred
    $15,972
    Nontaxable benefits
    $19,012
    Filer's total
    $451,620

  • KIMO HIRAYAMA

    ASSISTANT MEDICAL DIRECTOR

    Total calculated
    $320,232
    From this org
    $282,221
    From related orgs
    $0
    Other
    $38,011
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,956
    Bonus
    $2,865
    Other
    $12,400
    Deferred
    $11,202
    Nontaxable benefits
    $26,809
    Filer's total
    $320,232

  • LAKSHMI DEEPA YERRAM

    CHIEF MEDICAL OFFICER

    Total calculated
    $308,882
    From this org
    $281,356
    From related orgs
    $0
    Other
    $27,526
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $274,400
    Bonus
    $2,955
    Other
    $4,001
    Deferred
    $11,036
    Nontaxable benefits
    $16,490
    Filer's total
    $308,882

  • BETH WEITENSTEINER ARNP

    RESIDENCY DEPUTY DIRECTOR

    Total calculated
    $308,480
    From this org
    $280,603
    From related orgs
    $0
    Other
    $27,877
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,281
    Bonus
    $2,759
    Other
    $11,563
    Deferred
    $10,815
    Nontaxable benefits
    $17,062
    Filer's total
    $308,480

  • HIEU PHAM PROVIDER

    MEDICAL RESIDENCY DIRECTOR

    Total calculated
    $267,247
    From this org
    $248,777
    From related orgs
    $0
    Other
    $18,470
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,567
    Bonus
    $3,210
    Other
    $0
    Deferred
    $9,771
    Nontaxable benefits
    $8,699
    Filer's total
    $267,247

  • KANNIE CHIM

    PACE MEDICAL DIRECTOR

    Total calculated
    $266,386
    From this org
    $233,287
    From related orgs
    $0
    Other
    $33,099
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,175
    Bonus
    $3,149
    Other
    $2,963
    Deferred
    $9,547
    Nontaxable benefits
    $23,552
    Filer's total
    $266,386

  • HERMES SHAHBAZIAN

    CHIEF FINANCIAL OFFICER

    Total calculated
    $257,318
    From this org
    $239,287
    From related orgs
    $0
    Other
    $18,031
    Hours/week
    40 + 4 related

    Schedule J breakdown matched by us

    Base
    $232,089
    Bonus
    $2,710
    Other
    $4,488
    Deferred
    $9,382
    Nontaxable benefits
    $8,649
    Filer's total
    $257,318

  • GRANDY AU

    ASSISTANT DENTAL DIRECTOR

    Total calculated
    $248,827
    From this org
    $202,743
    From related orgs
    $0
    Other
    $46,084
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,908
    Bonus
    $3,439
    Other
    $18,396
    Deferred
    $8,170
    Nontaxable benefits
    $37,914
    Filer's total
    $248,827

  • CHINDA ROACH MD

    PROVIDER

    Total calculated
    $243,460
    From this org
    $215,668
    From related orgs
    $0
    Other
    $27,792
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $206,054
    Bonus
    $2,318
    Other
    $7,296
    Deferred
    $8,453
    Nontaxable benefits
    $19,339
    Filer's total
    $243,460

  • SAMANTHA LEE-CHIU

    CHIEF DENTAL OFFICER

    Total calculated
    $239,767
    From this org
    $217,074
    From related orgs
    $0
    Other
    $22,693
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $201,314
    Bonus
    $3,360
    Other
    $12,400
    Deferred
    $8,564
    Nontaxable benefits
    $14,129
    Filer's total
    $239,767

  • PEGGY CHIN EVANS

    CHIEF OPERATING OFFICER

    Total calculated
    $238,069
    From this org
    $219,244
    From related orgs
    $0
    Other
    $18,825
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $218,866
    Bonus
    $378
    Other
    $0
    Deferred
    $8,824
    Nontaxable benefits
    $10,001
    Filer's total
    $238,069

  • HARVEY WU

    ASSISTANT DENTAL DIRECTOR

    Total calculated
    $221,644
    From this org
    $194,948
    From related orgs
    $0
    Other
    $26,696
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,105
    Bonus
    $3,280
    Other
    $6,563
    Deferred
    $7,684
    Nontaxable benefits
    $19,012
    Filer's total
    $221,644

  • UYENVY PHAM MD

    PROVIDER

    Total calculated
    $220,544
    From this org
    $203,216
    From related orgs
    $0
    Other
    $17,328
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $200,753
    Bonus
    $2,454
    Other
    $9
    Deferred
    $7,965
    Nontaxable benefits
    $9,363
    Filer's total
    $220,544

  • TIMOTHY LAM

    PROVIDER

    Total calculated
    $217,786
    From this org
    $175,659
    From related orgs
    $0
    Other
    $42,127
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,887
    Bonus
    $3,372
    Other
    $12,400
    Deferred
    $7,218
    Nontaxable benefits
    $34,909
    Filer's total
    $217,786

  • HAMED SAHARI-RASHTI

    PROVIDER

    Total calculated
    $204,539
    From this org
    $180,410
    From related orgs
    $0
    Other
    $24,129
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,376
    Bonus
    $3,460
    Other
    $6,574
    Deferred
    $7,117
    Nontaxable benefits
    $17,012
    Filer's total
    $204,539

  • WINNIE LEE

    ASSISTANT MEDICAL DIRECTOR

    Total calculated
    $198,996
    From this org
    $162,575
    From related orgs
    $0
    Other
    $36,421
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,282
    Bonus
    $2,893
    Other
    $12,400
    Deferred
    $6,549
    Nontaxable benefits
    $29,872
    Filer's total
    $198,996

  • LILI SPERRY MD

    PROVIDER

    Total calculated
    $196,254
    From this org
    $173,938
    From related orgs
    $0
    Other
    $22,316
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $168,905
    Bonus
    $2,366
    Other
    $2,667
    Deferred
    $6,864
    Nontaxable benefits
    $15,452
    Filer's total
    $196,254

  • JU HUI LEE

    PHARMACY DIRECTOR

    Total calculated
    $185,999
    From this org
    $163,729
    From related orgs
    $0
    Other
    $22,270
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,847
    Bonus
    $2,882
    Other
    $0
    Deferred
    $6,821
    Nontaxable benefits
    $15,449
    Filer's total
    $185,999

  • DANTE BATINGAN

    VP COMPLIANCE, HR & RISK MGMT

    Total calculated
    $183,203
    From this org
    $160,010
    From related orgs
    $0
    Other
    $23,193
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,377
    Bonus
    $2,460
    Other
    $3,173
    Deferred
    $6,444
    Nontaxable benefits
    $16,749
    Filer's total
    $183,203

  • SOLOMUNA HABTU

    ASSISTANT DENTAL DIRECTOR

    Total calculated
    $179,723
    From this org
    $164,626
    From related orgs
    $0
    Other
    $15,097
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,275
    Bonus
    $3,351
    Other
    $0
    Deferred
    $6,448
    Nontaxable benefits
    $8,649
    Filer's total
    $179,723

  • HYELIM PARK PROVIDER

    CLINICAL INFORMATICS DIRECTOR

    Total calculated
    $179,065
    From this org
    $163,435
    From related orgs
    $0
    Other
    $15,630
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $148,347
    Bonus
    $3,201
    Other
    $11,887
    Deferred
    $5,981
    Nontaxable benefits
    $9,649
    Filer's total
    $179,065

  • LAUREN LAWLER

    FORMER KEY EMPLOYEE

    Total calculated
    $145,632
    From this org
    $114,886
    From related orgs
    $0
    Other
    $30,746
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $114,886
    Bonus
    $0
    Other
    $0
    Deferred
    $3,937
    Nontaxable benefits
    $26,809
    Filer's total
    $145,632

  • TERESA LEE

    FORMER KEY EMPLOYEE

    Total calculated
    $135,282
    From this org
    $129,605
    From related orgs
    $0
    Other
    $5,677
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $129,605
    Bonus
    $0
    Other
    $0
    Deferred
    $4,948
    Nontaxable benefits
    $729
    Filer's total
    $135,282

  • KELLI NOMURA DIRECTOR THROUGH

    MAR 2022) & CEO (AS OF NOV 2022)

    Total calculated
    $33,516
    From this org
    $31,290
    From related orgs
    $0
    Other
    $2,226
    Hours/week
    40 + 2 related

  • GILDAS CHEUNG

    CHAIR

    Total calculated
    $0
    Hours/week
    4 + 1 related

  • JOHN FOZ

    1ST VICE CHAIR

    Total calculated
    $0
    Hours/week
    3 + 0.5 related

  • MARVIN ENG

    2ND VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • CHENGZHEN DAI

    3RD VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • LEE MARCHISIO

    4TH VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • MARIAM ABARIENTOS

    TREASURER

    Total calculated
    $0
    Hours/week
    3

  • CATHERINE JOHNSON

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • TRISH BUSTOS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • NICOLE CHU

    DIRECTOR (THROUGH JANUARY 2022)

    Total calculated
    $0
    Hours/week
    1.5

  • TESSA CHU

    DIRECTOR (THROUGH MARCH 2022)

    Total calculated
    $0
    Hours/week
    1.5 + 0.5 related

  • AMANDA KIMURA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 0.5 related

  • CRISTINA KRISOLOGO-ELLIOTT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • WILMA LAM

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • TED LEW

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • HIROSHI NAKANO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5 + 1 related

  • JOHN PARK

    DIRECTOR (THROUGH MAY 2022)

    Total calculated
    $0
    Hours/week
    1.5

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

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 6a · Pay contingent on this 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
  • 6b · Pay contingent on a related 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 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

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

No itemized grants to organizations 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
202312069349301131

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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