DELTA DENTAL OF WASHINGTON: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF WASHINGTON (EIN 91-0621480)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-07
IRS object ID
201512199349301251
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-07T12:24:16-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11918 EIGHTH AVENUE SUITE 2900AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN910621480EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of WashingtonBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BRADLEY BERGInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone2065221300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19706 4th Ave NEAddressLine1Txt
Address Line2SuiteAddressLine2Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98115ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRADLEY A BERGPersonNm
Person TitleCFO & COOPersonTitleTxt
Phone2065221300PhoneNum
Signature2015-08-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUE ROBISONPreparerPersonNm
PTINP00560072PTIN
Phone2069134000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBradley A BergPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19706 4th Ave NEAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98115ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,183,658,273GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.deltadentalwa.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee409TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$18,932PYContributionsGrantsAmt
CY Contributions Grants$51,320CYContributionsGrantsAmt
PY Program Service Revenue$1,012,247,971PYProgramServiceRevenueAmt
CY Program Service Revenue$1,075,513,470CYProgramServiceRevenueAmt
PY Investment Income$10,233,517PYInvestmentIncomeAmt
CY Investment Income$18,236,329CYInvestmentIncomeAmt
PY Other Revenue$630,289PYOtherRevenueAmt
CY Other Revenue$663,309CYOtherRevenueAmt
PY Total Revenue$1,023,130,709PYTotalRevenueAmt
CY Total Revenue$1,094,464,428CYTotalRevenueAmt
PY Grants And Similar Paid$2,817,976PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,423,574CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$921,250,711PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$978,586,624CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,427,111PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,132,663CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,387,862PYOtherExpensesAmt
CY Other Expenses$50,963,849CYOtherExpensesAmt
PY Total Expenses$1,006,883,660PYTotalExpensesAmt
CY Total Expenses$1,074,106,710CYTotalExpensesAmt
PY Revenues Less Expenses$16,247,049PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,357,718CYRevenuesLessExpensesAmt
Total Assets BOY$264,323,604TotalAssetsBOYAmt
Total Assets EOY$237,972,879TotalAssetsEOYAmt
Total Liabilities BOY$48,592,063TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,398,676TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$215,731,541NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$186,574,203NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$1,010,309,506ExpenseAmt
Grant$4,423,574GrantAmt
Revenue$1,075,417,980RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,828,390ExpenseAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,235,426ExpenseAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,008,179TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$95,490TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,018,381,501TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyYes (true)PoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document47566IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee409EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRADLEY BERGPersonNm
Phone2065221300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19706 4TH AVE NEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98115ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DWYER JAMES D
PRESIDENT & CEO36.04.0Yes (X)Yes (X)$1,222,192$0$178,513
BECK GEORGE DOUGLAS
VICE CHAIR11.04.0Yes (X)Yes (X)$87,012$0$0
BRANCH DAVID W
DIRECTOR7.03.5Yes (X)$135,252$0$0
LABBERTON WELLS K
DIRECTOR7.03.0Yes (X)$275,933$0$0
DINEEN PATRICK JOSEPH
TREASURER7.03.0Yes (X)$58,899$0$0
HARWELL JANIS L
DIRECTOR7.03.0Yes (X)$58,899$0$0
FARRELL ANNE V
DIRECTOR7.03.0Yes (X)$41,594$0$0
SEELY JEFFERY THOMAS
DIRECTOR7.03.0Yes (X)$54,833$0$0
PHIPPS GERALD S
DIRECTOR11.04.0Yes (X)$62,479$0$0
TUNE JAMES F
SECRETARY5.01.0Yes (X)Yes (X)$53,833$0$0
LOHKAMP JOANNA L
CHAIR9.03.0Yes (X)Yes (X)$89,305$0$0
BERG BRADLEY A
COO & CFO36.04.0Yes (X)$578,688$0$147,228
MERLO KRISTIN N
CHIEF MKTG, INFO & SALES OFF40.00.0Yes (X)$498,521$0$124,166
GATES THOMAS A
VP, PLANNING & CORP DEVEL40.00.0$399,705$0$100,618Yes (X)
LO ERIC C
VP, ACTUARIAL & UNDERWRITING40.00.0$266,864$0$63,500Yes (X)
SNYDER CINDY K
VP, INNOV. SVCS & PROVIDER REL40.00.0$201,885$0$43,554Yes (X)
SMITH LAURA J
WDS FDN, PRESIDENT & CEO40.00.0$342,757$0$65,814Yes (X)
BURSETT JOHN T
SR VP, UNDERWRITING/ACTUARIAL40.00.0$233,523$0$53,901Yes (X)
LAY LINDA T
DIRECTOR, SALES ACCT. MGMT40.00.0$297,591$0$46,386Yes (X)
SCHOBER DEBRA F
SENIOR SALES EXECUTIVE40.00.0$262,096$0$33,672Yes (X)
CURHAN SUSAN L
DIRECTOR MKTG, PRODUCTION MGMT40.00.0$198,451$0$56,765Yes (X)
INGE RONALD E
FMR VP, DENTAL DIRECTOR & PR40.00.0$546,569$0$52,823Yes (X)
WEBBER SUSAN S
FORMER CHIEF HR OFFICER40.00.0$393,474$0$54,921Yes (X)
CHITTOOR VENKATARAMAN
FORMER CIO40.00.0$297,858$0$21,918Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,658,213TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,043,779TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K99IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/ForeignAddress/AddressLine1TxtCityContractorAddress/ForeignAddress/CityNmProvince Or StateContractorAddress/ForeignAddress/ProvinceOrStateNmCountryContractorAddress/ForeignAddress/CountryCdServicesServicesDescCompensationCompensationAmtAddress Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCd
DECARE SYSTEMS
UNIT 1 CURRAHEEN ROADCORK0ICSOFTWARE DEVELOPMENT$3,777,417
EMDEON BUSINESS SERVICES
PRINTING/MAILING$3,762,920PO BOX 57249MURRAYUT84157
GREENRUBINO INC
ADVERTISING AGENCY$2,170,3441938 FAIRVIEW AVE E 200SEATTLEWA98102
PRESIDIO NETWORKED SOLUTIONS
NTWK INFRASTRUCTURE$1,959,2697601 ORA GLEN DR 100GREENBELTMD20770
ENCARA INC
IND. PLANNED TPA$1,649,7344818 STARKEY ROAD SWROANOKEVA24018
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K95CntrctRcvdGreaterThan100KCnt
Related Organizations$11,875RelatedOrganizationsAmt
All Other Contributions$39,445AllOtherContributionsAmt
Total Contributions$51,320TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM REVENUE524114$1,075,417,980$1,075,417,980
SMILEMOBILE (MOBILE DENTIST OFFICE)621990$95,490$95,490
FieldValueIRS element (for citing)
Total Program Service Revenue$1,075,513,470TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,936,070TotalRevenueColumnAmt
Exclusion$5,936,070ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$213,668TotalRevenueColumnAmt
Exclusion$213,668ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$531,473RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$531,473RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$531,473TotalRevenueColumnAmt
Exclusion$531,473ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$98,445,008SecuritiesAmt
Other$2,835,428OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$85,769,342SecuritiesAmt
Other$3,424,503OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,675,666SecuritiesAmt
Other-$589,075OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,086,591TotalRevenueColumnAmt
Exclusion$12,086,591ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$131,836TotalRevenueColumnAmt
Related Or Exempt Func Income$131,836RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$131,836OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,094,464,428TotalRevenueColumnAmt
Related Or Exempt Func Income$1,075,645,306RelatedOrExemptFuncIncomeAmt
Exclusion$18,767,802ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,423,574TotalAmt
Program Services$4,423,574ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$978,586,624TotalAmt
Program Services$978,586,624ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,539,279TotalAmt
Program Services$2,877,887ProgramServicesAmt
Management And General$3,661,392ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,094,158TotalAmt
Program Services$8,865,483ProgramServicesAmt
Management And General$15,228,675ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,429,866TotalAmt
Program Services$480,282ProgramServicesAmt
Management And General$949,584ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,781,985TotalAmt
Program Services$2,232,310ProgramServicesAmt
Management And General$3,549,675ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,287,375TotalAmt
Program Services$989,612ProgramServicesAmt
Management And General$1,297,763ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$316,193TotalAmt
Program Services$29,596ProgramServicesAmt
Management And General$286,597ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$260,437TotalAmt
Management And General$260,437ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$72,475TotalAmt
Program Services$72,475ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$560,153TotalAmt
Management And General$560,153ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,248,299TotalAmt
Program Services$2,135,383ProgramServicesAmt
Management And General$5,112,916ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,854,237TotalAmt
Program Services$2,828,390ProgramServicesAmt
Management And General$2,025,847ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,804,038TotalAmt
Program Services$3,101,487ProgramServicesAmt
Management And General$1,702,551ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,781,737TotalAmt
Program Services$485,861ProgramServicesAmt
Management And General$4,295,876ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,987,008TotalAmt
Program Services$829,305ProgramServicesAmt
Management And General$1,157,703ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,614,930TotalAmt
Program Services$529,716ProgramServicesAmt
Management And General$1,085,214ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$848,766TotalAmt
Program Services$181,006ProgramServicesAmt
Management And General$667,760ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34TotalAmt
Management And General$34ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,395,554TotalAmt
Program Services$41,941ProgramServicesAmt
Management And General$4,353,613ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$233,891TotalAmt
Management And General$233,891ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMISSIONS$8,381,757$8,381,757
TAXES & SERVICE CHARGES$8,563,806$1,136,158$7,427,648
RESEARCH & DEVELOPMENT$343,350$343,350
DUES & SUBSCRIPTIONS$822,197$81,176$741,021

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$874,987TotalAmt
Program Services$91,478ProgramServicesAmt
Management And General$783,509ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,074,106,710TotalAmt
Program Services$1,018,381,501ProgramServicesAmt
Management And General$55,725,209ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$12,060,969BOYAmt
EOY$4,100,790EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$42,521,769BOYAmt
EOY$3,027,927EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,989,640BOYAmt
EOY$21,069,952EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,672,736BOYAmt
EOY$2,974,435EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,107,611LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,287,593LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,097,749BOYAmt
EOY$16,820,018EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$200,641,797BOYAmt
EOY$188,980,177EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$341,970BOYAmt
EOY$275,732EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,018,912BOYAmt
EOY$723,848EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$264,323,604BOYAmt
EOY$237,972,879EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,602,557BOYAmt
EOY$44,126,705EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$255,482BOYAmt
EOY$873,466EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,734,024BOYAmt
EOY$6,398,505EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,592,063BOYAmt
EOY$51,398,676EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$215,731,541BOYAmt
EOY$186,574,203EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$215,731,541BOYAmt
EOY$186,574,203EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$264,323,604BOYAmt
EOY$237,972,879EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,357,718ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,228,052NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$3,006PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$41,290,010OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$132,000PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Internal Funds Contributed$132,000InternalFundsContributedAmt
Total Exempt Function Expend$132,000TotalExemptFunctionExpendAmt
Form1120 POL FiledYes (true)Form1120POLFiledInd

Section527 Political Org Section527PoliticalOrgGrp (6 entries)

Business Name Line2OrganizationBusinessName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPaid Internal FundsPaidInternalFundsAmt
COMMITTEE TO ELECT
DAWN MORRELL2106 MANORWOOD DR SEPUYALLUPWA98374010679962$1,000
COMMITTEE TO ELECT
KAREN KEISERPO BOX 13290DES MOINESWA98189911947669$1,000
FRIENDS OF MELANIE
STAMBAUGHPO BOX 73267PUYALLUPWA98373710896890$1,000
COMMITTEE TO ELECT
SUSAN FAGENPO BOX 1471PULLMANWA99163264513295$1,900
BRUCE CHANDLER
CAMPAIGNPO BOX 1108ZILLAHWA98953912066326$1,000
FRIENDS OF BOB
FERGUSONPO BOX 2405SEATTLEWA98111010699595$1,000
FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch C Part I-A Line 1FormAndLineReferenceDesc
ExplanationDDWA PROVIDES DIRECT CAMPAIGN CONTRIBUTIONS TO CANDIDATES FOR WASHINGTON STATE ELECTED EXECUTIVE OFFICE, LEGISLATIVE OFFICE, AND POLITICAL ORGANIZATIONS IN ORDER TO PROMOTE AN ENVIRONMENT FOR IMPROVED ORAL HEALTH AND OVERALL HEALTH CARE POLICY, AS WELL AS TO SUPPORT OUR OVERALL MISSION OF IMPROVING ORAL HEALTH IN OUR STATE. DDWA ALSO PROVIDES LIMITED, DIRECT SUPPORT FOR LOCAL LEVEL CANDIDATES OR INITIATIVES THAT PROMOTE A POSITIVE BUSINESS CLIMATE IN WASHINGTON STATE. ALL CONTRIBUTIONS ARE CONDUCTED IN ACCORDANCE WITH FEDERAL AND STATE LAWS AND REPORTING REQUIREMENTS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,211,191OtherCostOrOtherBasisAmt
Book Value$1,211,191BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,028,250OtherCostOrOtherBasisAmt
Depreciation$8,318,852DepreciationAmt
Book Value$2,709,398BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,220,722OtherCostOrOtherBasisAmt
Depreciation$731,019DepreciationAmt
Book Value$489,703BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,411,234OtherCostOrOtherBasisAmt
Depreciation$8,888,348DepreciationAmt
Book Value$2,522,886BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,236,214OtherCostOrOtherBasisAmt
Depreciation$26,349,374DepreciationAmt
Book Value$9,886,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,820,018TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNION GOSPEL MISSION - YAKIMA
BOX 565YAKIMAWA98907237050061501(c)(3)$100,000EXPAND THE YAKIMA CLINIC
WACMHC
2120 STATE ST NE 220OLYMPIAWA98506911323282501(c)(3)$51,782FUNDING FOR THE COMMUNITY HEALTH CENTER DIRECTORS DENTAL LEARNING NETWORK.
WASHINGTON EARLY LEARNING FUND
1218 THIRD AVE 800SEATTLEWA98101912041837501(c)(3)$45,000YEARLY THRIVE BY FIVE FUNDING
DENTAQUEST FOUNDATION
465 MEDFORD STBOSTONMA02129043265080501(c)(3)$150,000NATIONAL COMMITTEE FOR QUALITY ASSURANCE
FAMILY HEALTH CENTERS
PO BOX 1340OKANOGANWA98840911275011501(c)(3)$300,000NEW CLINIC IN BREWSTER
NEIGHBORCARE HEALTH
1537 WESTERN AVESEATTLEWA98101910893287501(c)(3)$300,000EXPAND ACCESS BY PURCHASING EQUIPMENT FOR NEW NORTH END MERIDIAN DENTAL CLINIC
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVDELK GROVEIL60007362275597501(c)(3)$50,000NATIONAL FLUORIDATION CAMPAIGN
MEDICAL TERMS INTERNATIONAL
9680 153RD AVE NWREDMONDWA98052930878944501(c)(3)$180,000MAINTAIN ACCESS BY PURCHASING EQUIPMENT FOR NEW NORTH END MERIDIAN DENTAL CLINIC.
DENTAQUEST FOUNDATION
465 MEDFORD STBOSTONMA02129043265080501(c)(3)$200,000ENGAGEMENT OF PRIMARY CARE PHYSICIANS IN DELIVERY OF ORAL HEALTH SERVICES.
PUGET SOUND CHRISTIAN CLINIC
2150 NORTH 122ND STREETSEATTLEWA98133331052418501(c)(3)$150,000EQUIPMENT FOR LYNWOOD CLINIC
INTERFAITH COMMUNITY HEALTH CENTER
220 UNITY STREETBELLINGHAMWA98225911202013501(c)(3)$300,000RENOVATE AN OFFICIAL SUITE INTO A 12 OPERATORY DENTAL CLINIC
INTERNATIONAL COMMUNITY HEALTH SERVICES
720 8TH AVE S 2ND FLOORSEATTLEWA98104910947084501(c)(3)$150,000ICHS REQUESTED AN ADDITIONAL $150,000 FOR THE NEW 10 CHAIR DENTAL CLINIC WITHIN THEIR SHORELINE CLINIC WHICH OPENED IN SEPTEMBER 2014
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
2722 COLBYEVERETTWA98201911255170501(c)(3)$99,317EXPAND THE LYNNWOOD CLINIC
VOLUNTEERS IN MEDICINE OF THE OLYMPICS CLINIC
819 GEORGIANA STPORT ANGELESWA98362010590704501(c)(3)$54,500THIRD YEAR ABCD PROGRAM IN CLALLAM/JEFFERSON COUNTIES
NATIONAL NETWORK FOR ORAL HEALTH ACCESS
181 E 56TH AVE STE 501DENVERCO80216841186592501(c)(3)$25,000UNDERWRITING COSTS OF THE NOHLI PARTICIPANTS
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
PO BOX 45842OLYMPIAWA98504916001088WA STATE$16,000FLUORIDATION TRANING GRANTS TO WATER SYSTEMS
EDUCATIONAL SERVICES DISTRICT 123
33 SOUTH 2ND AVEYAKIMAWA98902910919927WA STATE$30,000SOUTHEAST EARLY LEARNING COALITION AND ABCD PARTNERSHIP - YEAR ONE
EDUCATIONAL SERVICE DISTRICT 114
105 NATIONAL AVE NBREMERTONWA98312753214740WA STATE$30,000EARLY LEARNING COALITION AND ABCD PARTNERSHIP
WASHINGTON STATE DEPARTMENT OF EARLY LEARNING
PO BOX 40970TACOMAWA98504753214740WA STATE$10,000ONLINE TRAINING FOR CHILD CARE PROVIDERS
DEPARTMENT OF HEALTH
PO BOX 40709OLYMPIAWA98504911444603WA STATE$34,3272015 WASHINGTON STATE SMILE SURVEY
WASHINGTON STATE EARLY LEARNING FUND
1218 THIRD AVE 800SEATTLEWA98101911444603WA STATE$20,000STATE HOME VISITING MATCH FUND TO EXPAND HOME VISITING PROGRAM'S FOR WASHINGTON'S YOUNGEST CHILDREN
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE GRANTEE IS REQUIRED TO SIGN A GRANT AGREEMENT STATING THAT THEY WILL USE THE FUNDS ONLY FOR PURPOSES OUTLINED IN THE GRANT AGREEMENT AND APPLICATION. THE GRANTEE IS REQUIRED TO FILE REPORTS ON REGULAR INTERVALS OUTLINING USE OF FUNDS. GRANTEE IS ALSO REQUIRED TO RETURN UNUSED FUNDING IF APPLICABLE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DWYER JAMES D
PRESIDENT & CEO$620,536$0$565,000$0$36,656$0$158,000$0$20,513$0$1,400,705$0$0$0
BERG BRADLEY A
COO & CFO$368,550$0$200,794$0$9,344$0$125,262$0$21,966$0$725,916$0$0$0
INGE RONALD E
FMR VP, DENTAL DIRECTOR & PR$345,959$0$191,845$0$8,765$0$43,495$0$9,328$0$599,392$0$0$0
MERLO KRISTIN N
CHIEF MKTG, INFO & SALES OFF$354,418$0$135,648$0$8,455$0$96,474$0$27,692$0$622,687$0$0$0
WEBBER SUSAN S
FORMER CHIEF HR OFFICER$99,741$0$121,439$0$172,294$0$49,319$0$5,602$0$448,395$0$64,825$0
GATES THOMAS A
VP, PLANNING & CORP DEVEL$261,712$0$131,539$0$6,454$0$74,960$0$25,658$0$500,323$0$0$0
SMITH LAURA J
WDS FDN, PRESIDENT & CEO$221,916$0$106,636$0$14,205$0$58,000$0$7,814$0$408,571$0$0$0
CHITTOOR VENKATARAMAN
FORMER CIO$35,014$0$130,503$0$132,341$0$19,923$0$1,995$0$319,776$0$0$0
LO ERIC C
VP, ACTUARIAL & UNDERWRITING$176,117$0$82,487$0$8,260$0$54,935$0$8,565$0$330,364$0$0$0
SNYDER CINDY K
VP, INNOV. SVCS & PROVIDER REL$169,032$0$33,594$0-$741$0$27,045$0$16,509$0$245,439$0$0$0
BURSETT JOHN T
SR VP, UNDERWRITING/ACTUARIAL$194,464$0$40,559$0-$1,500$0$38,893$0$15,008$0$287,424$0$0$0
LAY LINDA T
DIRECTOR, SALES ACCT. MGMT$167,769$0$132,141$0-$2,319$0$30,922$0$15,464$0$343,977$0$0$0
SCHOBER DEBRA F
SENIOR SALES EXECUTIVE$95,406$0$169,617$0-$2,927$0$17,173$0$16,499$0$295,768$0$0$0
CURHAN SUSAN L
DIRECTOR MKTG, PRODUCTION MGMT$164,865$0$35,757$0-$2,171$0$36,189$0$20,576$0$255,216$0$0$0
DOSCH KYLE P
DENTAL DIRECTOR$161,912$0$32,445$0-$498$0$30,453$0$10,201$0$234,513$0$0$0
LABBERTON WELLS K
DIRECTOR$64,201$0$0$0$211,732$0$0$0$0$0$275,933$0$0$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ADDWA OCCASIONALLY PAYS FOR SPOUSAL TRAVEL FOR THE CEO, WHICH IS TREATED AS TAXABLE INCOME. ANY FIRST CLASS TRAVEL IS SUBJECT TO THE APPROVAL OF THE CEO. DDWA PROVIDES A WELLNESS PROGRAM WHICH REIMBURSES 50% OF APPROVED EXPENSES FOR ALL EMPLOYEES WORKING 30 HOURS OR MORE A WEEK, WITH A MAXIMUM PAYABLE OF $40/ MONTH, OR $480 PER YEAR, AND 25% OF APPROVED EXPENSES FOR PART-TIME EMPLOYEES WORKING 20 TO 30 HOURS A WEEK WITH A MAXIMUM PAYMENT OF $20/ MONTH, OR $240 PER YEAR FOR HEALTH CLUB MEMBERSHIPS, AEROBIC OR GENERAL EXERCISE CLASSES, WEIGHT LOSS PROGRAMS, STRESS MANAGEMENT AND MASSAGE THERAPY. THESE REIMBURSEMENTS ARE TREATED AS TAXABLE INCOME. ADDITIONALLY, HEALTH OR LUNCHEON CLUB DUES ARE PAID IN FULL FOR SENIOR MANAGEMENT WHICH IS INCLUDED IN TAXABLE INCOME. DDWA GROSSES UP INCENTIVE AWARDS AND AN EXECUTIVE AUTO STIPEND PAID TO CERTAIN EMPLOYEES. BOARD MEMBERS RECEIVE A GROSS-UP PAYMENT TO COVER B&O TAXES ASSESSED ON DIRECTOR FEES PAID TO THE BOARD.
SCHEDULE J, PART I, LINE 3THE HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO EVALUATE ALL KEY EMPLOYEES, INCLUDING PRESIDENT AND CEO, CFO/COO, VP UNDERWRITING/ACTUARIAL, CMO/CIO/CSO, VP PLANNING, AND CORPORATE DEVELOPMENT, CHIEF HUMAN RESOURCE STRATEGIST, AND VP INNOVATIVE SERVICES & PROVIDER RELATIONS COMPENSATION IN COMPARISON TO THE PRACTICE OF SIMILAR EMPLOYERS IN THE MARKETPLACE. THE PROCESS IS CONDUCTED ON AN ANNUAL BASIS.
SCHEDULE J, PART I, LINE 4BTHE COMPANY MAKES CONTRIBUTIONS TO A NON-QUALIFIED, SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), AS DETERMINED BY THE BOARD OF DIRECTORS, WHICH IS SUBJECT TO CODE SECTION 457(B). PLAN PARTICIPANTS ARE "KEY EMPLOYEES" WHO RECEIVE AN ANNUAL CONTRIBUTION BASED ON THEIR AGE, EARNINGS AND PROJECTED 401(K) INVESTMENT RETURNS. THE INVESTMENT OF THE COMPANY CONTRIBUTIONS IS DIRECTED BY EACH PARTICIPANT, BUT VESTING OF THE BENEFIT IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AS REQUIRED BY CODE SECTION 409(A). CONTRIBUTIONS MADE IN 2014 WERE AS FOLLOWS: BRADLEY BERG, CHIEF OPERATING AND FINANCIAL OFFICER, $67,262; KRISTIN MERLO, CHIEF MARKETING, INFORMATION AND SALES OFFICER, $43,974; THOMAS GATES, VP PLANNING AND CORPORATE DEVELOPMENT, $39,960; SUSAN WEBBER, FORMER CHIEF HUMAN RESOURCES OFFICER, $31,477; ERIC LO, VP UNDERWRITING/ACTUARIAL, $5,791. THE 457(B) PLAN HAD TOTAL ASSETS OF $635,015 AT DECEMBER 31, 2014. THE COMPANY ALSO MAKES A CONTRIBUTION TO A 457(F) NON-QUALIFIED SERP, A DEFINED CONTRIBUTION PLAN FOR THE PRESIDENT AND CEO DUE TO AGE RESTRICTIONS ASSOCIATED WITH THE 457(B) PLAN. THE COMPANY CONTRIBUTED $100,000 TO THE PLAN FOR 2014. THE 457(F) PLAN HAD TOTAL ASSETS OF $154,425 AT DECEMBER 31, 2014.
SCHEDULE J, PART I, LINE 6ATHE BOARD OF DDWA APPROVED A COMPANY-WIDE BONUS MATRIX BASED ON SEVEN METRICS, ONE OF WHICH WAS BASED ON THE PROFIT MARGIN FOR THE FISCAL YEAR. THE OTHER METRICS WERE ADMINISTRATIVE COST, NEW SALES FOR SMALL AND LARGE CUSTOMERS, CUSTOMER PERSISTENCY, NETWORK GROWTH AND OPERATIONAL PERFORMANCE.
SCHEDULE J, PART I, LINE 7DDWA PAID COMMISSION TO INTERNAL SALES STAFF BASED ON THE NUMBER OF PRIMARY SUBSCRIBERS ACQUIRED BY THE COMPANY AS A RESULT OF NEW EMPLOYER GROUP SALES.
SCHEDULE J, PART I, LINE 4AFORM 990, PART VII, SECTION A INCLUDES SEVERANCE PAID TO TWO FORMER EMPLOYEES. SUSAN WEBBER AND VENKATARAMAN CHITTOOR WERE PAID $169,110 AND $131,250, RESPECTIVELY.
SCHEDULE J, PART I, LINE 5AFORM 990, PART VII, SECTION A INCLUDES SALES COMMISSION PAID TO TWO EMPLOYEES BASED ON NEW SUBSCRIBERS ACQUIRED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1DDWA WILL REVOLUTIONIZE THE ORAL HEALTH INDUSTRY AND IMPROVE OVERALL HEALTH. THIS INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: TO SECURE DENTAL SERVICE FOR EMPLOYER GROUPS, INDIVIDUALS AND THEIR FAMILIES; PROVIDE INNOVATIVE PRODUCTS AND SERVICES; TO ENCOURAGE, FOSTER AND FINANCE PROFESSIONAL AND SCIENTIFIC STUDY AND RESEARCH IN THE GENERAL FIELD OF ORAL HEALTH; AND TO EDUCATE THE PUBLIC CONCERNING THE NEED FOR AND ADVANTAGE OF ADEQUATE DENTAL TREATMENT.
FORM 990, PART III, LINE 3ON JULY 16, 2014, DELTA DENTAL OF WASHINGTON (DDWA) DISTRIBUTED $18,800,000 IN CASH TO ITS SOLE MEMBER WASHINGTON DENTAL SERVICE (WDS). ON JULY 23, 2014, THE DDWA BOARD OF DIRECTORS APPROVED, SUBJECT TO OFFICE OF THE INSURANCE COMMISSIONER (OIC) REVIEW, AN EXTRAORDINARY DISTRIBUTION OF DDWA'S SUBSIDIARIES, WDS HOLDINGS LLC, THE INSTITUTE OF ORAL HEALTH, AND AN INVESTMENT C3 JIAN FROM DDWA TO WDS THAT WAS VALUED AT APPROXIMATELY $22,630,000. ON AUGUST 6, 2014, THE OIC APPROVED THE DISTRIBUTION REQUEST. ON SEPTEMBER 4, 2014, DDWA MADE THE DISTRIBUTION TO WDS VALUED AT $22,490,000.
FORM 990, PART III, LINE 4ADDWA PROVIDES DENTAL INSURANCE FOR OVER 2,492,000 MEMBERS AND THEIR DEPENDENTS THROUGHOUT THE STATE OF WASHINGTON AND ACROSS THE NATION. WORKING COLLECTIVELY WITH PRODUCERS AND BENEFIT MANAGERS, WE OFFER STANDARD INSURANCE BENEFITS, AS WELL AS HIGHLY CUSTOMIZED PLANS TO MEET THE NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE HAVE CONTRACTED WITH OVER 4,300 DENTISTS CREATING A NETWORK OF PROVIDERS SERVING PATIENTS ACROSS THE STATE. AS A MEMBER OF THE DELTA DENTAL PLANS ASSOCIATION, A NATIONAL ASSOCIATION SUPPORTING DELTA INSURERS NATION-WIDE, OUR MEMBERS ARE ABLE TO ACCESS DELTA CONTRACTED PROVIDERS IN EVERY STATE. IN 2014, DDWA PROCESSED OVER 5,400,000 CLAIMS FOR MEMBERS AND THEIR DEPENDENTS. TO ENSURE PROVIDERS ARE SUBMITTING CLAIMS APPROPRIATELY, WE AUDITED OVER 30,000 INDIVIDUAL CLAIMS, THE RESULTS OF WHICH INCLUDE THE EDUCATION OF DENTAL OFFICE STAFF ON THE USE OF CDT CODES, INVOICING PROCEDURES AND REDUCING COMMON ERRORS.
FORM 990, PART III, LINE 4BDDWA PROMOTES THE BENEFITS OF ORAL HEALTH THROUGH MARKETING EFFORTS IN PRINT, DIRECT MAIL, TV, RADIO, ONLINE MEDIA AND EVENT SPONSORSHIPS. IN 2014, THE MARKETING AND ADVERTISING CAMPAIGN CONTINUED TO REACH OUT TO NEW AUDIENCES VIA PROMOTIONAL SPONSORSHIPS IN AN ATTEMPT TO PROMOTE THE BENEFITS OF GOOD ORAL HEALTH IN A MORE DIRECT AND INTERACTIVE WAY.
FORM 990, PART III, LINE 4CDENTAL DECAY IS THE SINGLE MOST COMMON CHRONIC DISEASE OF EARLY CHILDHOOD - FIVE TIMES MORE COMMON THAN ASTHMA. NEARLY ONE IN FIVE ADULTS, NATIONALLY, HAS UNTREATED DENTAL CAVITIES. THE WASHINGTON DENTAL SERVICE FOUNDATION (THE FOUNDATION), A WHOLLY OWNED SUBSIDIARY OF DDWA, SUPPORTED ALMOST EXCLUSIVELY BY DDWA, FOCUSES THEIR WORK SPECIFICALLY ON YOUNG CHILDREN AND SENIORS, AND WORKS CLOSELY WITH PARTNER ORGANIZATIONS TO DEVELOP AND IMPLEMENT INNOVATIVE PROGRAMS. THE ACCESS TO BABY AND CHILD DENTISTRY (ABCD) PROGRAMS EXPAND ACCESS TO DENTAL CARE FOR YOUNG CHILDREN IN WASHINGTON STATE BY PROVIDING DENTAL SERVICES, BOTH PREVENTATIVE AND RESTORATIVE - MEDICAID-ENROLLED CHILDREN UP TO AGE SIX. IN COUNTIES WITH ABCD, THE UTILIZATION OF DENTAL SERVICES INCREASED FROM 20% TO 51% FROM 1997 TO 2014. THE EARLY INTERVENTION IN MEDICAL SETTINGS PROGRAM IS TRAINING PEDIATRICIANS IN THE ADVANTAGES AND TECHNIQUES OF ORAL SCREENING, APPLYING FLUORIDATION AND REFERRING HIGH RISK PATIENTS FOR DENTAL CARE. THE FOUNDATION IS ENGAGING HEALTH PROFESSIONALS, INCLUDING PHARMACISTS AND HOME HEALTH AIDES, TO TAKE PREVENTATIVE STEPS WITH SENIORS BEFORE ORAL HEALTH PROBLEMS AFFECT THEIR OVERALL HEALTH.
FORM 990, PART III, LINE 4D1. DDWA IS ENGAGED IN EFFORTS TO PROMOTE EVIDENCED BASED DENTAL CARE THROUGH THE INSTITUTE OF ORAL HEALTH (IOH), A NON-PROFIT WHOLLY OWNED SUBSIDIARY OF DDWA THROUGH SEPTEMBER 4, 2014 WHEN THE IOH WAS DISTRIBUTED TO DDWA'S PARENT COMPANY WASHINGTON DENTAL SERVICE. THE PURPOSE OF THE IOH IS TO EDUCATE DENTAL PROVIDERS THROUGHOUT THE COUNTRY ON THE LATEST RESEARCH RELATED TO ORAL HEALTH, AND CORRELATIONS BETWEEN ORAL HEALTH AND OVERALL HEALTH. THE IOH CONDUCTS AN ANNUAL CONFERENCE NATIONALLY THAT HAS ATTRACTED HUNDREDS OF PROVIDERS. 2. WATER FLUORIDATION IS THE MOST IMPORTANT STEP A COMMUNITY CAN TAKE TO IMPROVE THE ORAL HEALTH OF ALL RESIDENTS. THE FOUNDATION PROMOTES LEGISLATION TO ENCOURAGE FLUORIDATION AND PROVIDES ASSISTANCE TO GROUPS WHO ARE COMMITTED TO BRINGING THE BENEFITS OF FLUORIDE TO THEIR COMMUNITIES. SINCE 2001, AN ADDITIONAL 287,000 WASHINGTONIANS ARE RECEIVING THE HEALTH BENEFITS ASSOCIATED WITH FLUORIDATED WATER AS A RESULT OF THE FOUNDATION'S WORK. 3. ASSISTING THE WORK OF THE FOUNDATION ARE DDWA EMPLOYEES VOLUNTEERING THEIR TIME. DDWA ENABLES ALL EMPLOYEES TO ENGAGE WITH THE PUBLIC REGARDING ORAL HEALTH THROUGH THE USE OF TWO VOLUNTEER DAYS PER YEAR. VOLUNTEER TIME IS SPENT WORKING ON THE SMILEMOBILE, A MOBILE DENTAL FACILITY TRAVELING TO UNDERSERVED AREAS OF THE STATE. MORE THAN 20,000 LOW-INCOME AND AT-RISK CHILDREN STATE-WIDE RECEIVED DENTAL SERVICES IN THE LAST 10 YEARS THROUGH THE FOUNDATION OPERATED SMILEMOBILE. VOLUNTEER TIME IS ALSO SPENT HANDING OUT FLYERS PROMOTING ORAL HEALTH TO WASHINGTON CITIZENS AT FAIRS, THE ZOO, PARADES, AND EVENTS ACROSS THE STATE. 4. DDWA MATCHES DONATIONS MADE BY EMPLOYEES TO NON-PROFIT ORGANIZATIONS WITH OFFICIAL IRS 501(C)(3) STATUS, ALTHOUGH THE FOLLOWING ORGANIZATIONS/EVENTS ARE NOT ELIGIBLE FOR MATCHING: CHURCHES, POLITICAL CAMPAIGNS/ORGANIZATIONS, CAPITAL FUNDING, FRATERNAL/LABOR ORGANIZATIONS, TRIPS/TOURS, MASS MAILINGS, ORGANIZATIONS/GROUPS THAT DISCRIMINATE FOR ANY REASON INCLUDEING, BUT NOT LIMITED TO, RACE, COLOR, RELIGION, CREED, AGE, SEX, SEXUAL ORIENTATION OR NATIONAL ORIGIN. 5. DDWA SUPPORTED THE UNIVERSITY OF WASHINGTON'S SCHOOL OF DENTISTRY BY CREATING THE DDWA DENTIST OF THE FUTURE FUND. THIS FUND PROVIDES TRAINING FOR DENTAL STUDENTS AND PRACTICING DENTISTS EMPHASIZING EVIDENCE BASED INSTRUCTION, INTER-PROFESSIONAL EDUCATION, RISK ASSESSMENT AND BEHAVIORAL CHANGES AND MORE FULLY INCORPORATING ORAL HEALTH INTO OVERALL HEALTH IN PATIENT MANAGEMENT.
FORM 990, PART VI, SECTION A, LINE 6DDWA'S MEMBER DENTISTS ARE CONSIDERED MEMBERS OF THE COMPANY'S PARENT COMPANY, WDS. MEMBER DENTISTS ELECT THE DENTAL MEMBERS OF THE WDS BOARD OF DIRECTORS. WDS DIRECTORS ALSO SERVE AS DIRECTORS ON THE DDWA BOARD.
FORM 990, PART VI, SECTION A, LINE 7ATHE GOVERNANCE & NOMINATING COMMITTEE (GNC) OF THE BOARD OF DIRECTORS SOLICITS ADVICE ON CANDIDATES AND SUBMITS NOMINEES TO THE BOARD FOR CONSIDERATION AND APPROVAL TO BE VOTED UPON. THE ENTIRE MEMBERSHIP ELECTS AND RE-ELECTS MEMBER DIRECTORS, WHO COMPRISE A MINORITY OF THE BOARD. THE INCUMBENT INDEPENDENT DIRECTORS NOMINATE AND ELECT OR RE-ELECT INDEPENDENT DIRECTORS. A MEMBER ADVISORY PANEL (MAP) CONSISTING OF TEN TO FIFTEEN MEMBERS ARE SELECTED BY THE BOARD FROM NOMINEES BY THE GNC. THE MAP PROVIDES CONSULTATION TO THE GNC AND BOARD ON A VARIETY OF MATTERS.
FORM 990, PART VI, SECTION A, LINE 7BRECOMMENDED CHANGES TO THE WDS CORPORATE BY-LAWS BY THE WDS BOARD ARE SUBJECT TO APPROVAL BY THE WDS MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS COMPLETED BY KPMG. THE FORM 990 AND SUPPORTING DOCUMENTATION IS REVIEWED AND APPROVED BY THE ACCOUNTING SUPERVISOR, DIRECTOR OF FINANCE AND THE CFO/COO. ELECTRONIC COPIES OF THE RETURN ARE PROVIDED FOR REVIEW TO ALL BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE INVESTMENT AND AUDIT COMMITTEE OF THE BOARD IS CHARGED WITH MONITORING PROPOSED OR ON-GOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E. BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN SOMEONE BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, EACH COVERED PERSON IS REQUIRED TO SIGN A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND (3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICTS OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES THAT NOTE ANY CONFLICTS ARE REVIEWED BY THE BOARD AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED; (5) AND CONFLICTING ISSUES DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED ARE REFERRED TO THE GOVERNANCE COMMITTEE; AND (6) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD APPOINTS THE HRCC, NONE OF WHOM MAY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY COMPENSATION ARRANGEMENTS, TO BE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND KEY EMPLOYEE (INCLUDING THE CEO AND CFO/COO). THE HRCC DEVELOPS, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HRCC ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFIT PACKAGES OF OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, I.E., TOTAL ECONOMIC BENEFITS PAID BY SIMILAR SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT) FOR SIMILAR JOB RESPONSIBILITIES. THE HRCC'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENTS WITH THE OFFICERS AND KEY EMPLOYEES (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION ON ANY ARRANGEMENTS; AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE HRCC. KEY DELIBERATIONS OF THE HRCC ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT HRCC MEETING.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS AND DISCLOSURES ARE FILED QUARTERLY AND ANNUALLY WITH THE WASHINGTON STATE OFFICE OF THE INSURANCE COMMISSIONER (OIC) AS A MATTER OF PUBLIC RECORD. ALL DOCUMENTS SO FILED ARE AVAILABLE TO THE PUBLIC ON THE OIC WEBSITE. AMENDMENTS TO BYLAWS ARE FILED WITH THE WASHINGTON SECRETARY OF STATE'S OFFICE FROM TIME-TO-TIME AS THEY ARE APPROVED BY THE GOVERNING BODY. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9DISTRIBUTION TO ITS SOLE MEMBER WASHINGTON DENTAL SERVICE: 41,290,010
FORM 990, PART VII, SECTION A, LINE 1ATHE FOLLOWING DIRECTORS ALSO RECEIVED CLINICAL REIMBURSEMENTS ADDITIONAL TO THEIR DIRECTOR'S FEES REPORTED IN COLUMN D - REPORTABLE COMPENSATION FROM THE ORGANIZATION. BRANCH, DAVID W. - $135,252 --------------------------- DIRECTOR FEE - $62,983 CLINICAL REIMBURSEMENT - $72,269 LABBERTON, WELLS, K. - $275,933 ------------------------------- DIRECTOR FEE - $64,201 CLINICAL REIMBURSEMENT - $211,732

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
WASHINGTON DENTAL SERVICE FUND
9706 4TH AVE NESEATTLEWA98115911281990EDUCATIONWA501(c)(3)9DDWAYes (true)
WASHINGTON DENTAL SERVICE FOUNDATION
9706 4TH AVE NESEATTLEWA98115910621480EDUCATIONWA501(c)(4)DDWAYes (true)
WASHINGTON DENTAL SERVICE
9706 4TH AVE NESEATTLEWA98115270937829HOLDING CO.501(c)(4)NAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WASHINGTON DENTAL SERVICE
R$41,290,010CASH/INVESTMENT
WASHINGTON DENTAL SERVICE
O$131,613CASH
WASHINGTON DENTAL SERVICE
Q$14,400SHARED SERVICES

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.