FURP.ORG / PUBLIC DATA EXPLORER

DELTA DENTAL OF WASHINGTON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF WASHINGTON (EIN 91-0621480)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-03
IRS object ID
201202169349300320
Schema version
2011v1.2
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)
Timestamp2012-08-03T11:05:27-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910621480EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WASHINGTON DENTAL SERVICEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWASHNameControl
Phone2065521300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19706 4th Ave NEAddressLine1
CitySeattleCity
StateWAState
ZIP Code98115ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBradley A BergName
TitleCFO & COOTitle
Phone2065282340Phone
Date Signed2012-08-03DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames D DwyerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19706 Fourth Ave NEAddressLine1
CitySeattleCity
StateWAState
ZIP Code98115ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1002799764GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.deltadentalwa.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionWashington Dental Service will revolutionize the oral health industry and improve overall health. Our success will be defined by: Providing innovative products, services and technology beyond the traditional definition of dental benefits, Moving into new markets, ventures and partnerships to execute our vision, Sustaining levels of profitability that alloow us to deliver on our mission, and assembling, developing, fostering and retaining the best team to execute our vision.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees405TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year76305ContributionsGrantsPriorYear
Contributions Grants Current Year79751ContributionsGrantsCurrentYear
Program Service Revenue Prior Year936427699ProgramServiceRevenuePriorYear
Program Service Revenue CY944224669ProgramServiceRevenueCY
Investment Income Prior Year5199349InvestmentIncomePriorYear
Investment Income Current Year5598568InvestmentIncomeCurrentYear
Other Revenue Prior Year770968OtherRevenuePriorYear
Other Revenue Current Year697824OtherRevenueCurrentYear
Total Revenue Prior Year942474321TotalRevenuePriorYear
Total Revenue Current Year950600812TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2881042GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2202373GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year857041208BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY858981240BenefitsPaidToMembersCY
Salaries Etc Prior Year33782846SalariesEtcPriorYear
Salaries Etc Current Year33483196SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year35014493OtherExpensePriorYear
Other Expenses Current Year41719380OtherExpensesCurrentYear
Total Expenses Prior Year928719589TotalExpensesPriorYear
Total Expenses Current Year936386189TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13754732RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14214623RevenuesLessExpensesCY
Total Assets BOY212950806TotalAssetsBOY
Total Assets EOY234593256TotalAssetsEOY
Total Liabilities BOY47791207TotalLiabilitiesBOY
Total Liabilities EOY53472130TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY165159599NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY181121126NetAssetsOrFundBalancesEOY
Mission DescriptionThe purposes of Washington Dental Service include, but are not limited to, the following; To secure dental services for employer groups, individuals and their families. To encourage, foster and finance professional and scientific study and research in the general field of oral health. To educate the public concerning the need for and advantage of adequate dental treatment.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense883672062Expense
Grants0Grants
Revenue944079845Revenue
DescriptionWashington Dental Service (WDS) provides dental insurance for over 2,144,000 primary subscribers 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 nearly 4,000 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 addition to traditional benefit plans, we offer evidence based plans focused on the specific needs of the individual, which promotes appropriate care on a case-by-case basis. In 2011, WDS processed over 4,775,000 claims for subscribers and their dependents. To ensure providers are submitting claims appropriately, we audited more than 40,000 individual claims, the results of which include education of dental office staff on the use of CDT codes, invoicing procedures and reducing common errors.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1489300Expense
Grants0Grants
Revenue0Revenue
DescriptionWDS promotes the benefits of oral health through marketing efforts in the print, direct mail, TV, radio, online media and event sponsorships. In 2011, the marketing and advertising campaign reached 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1313371Expense
Grants0Grants
Revenue0Revenue
DescriptionDental decay is the single most common chronic disease of early childhood - five times more common than asthma. Nearly one in five older adults, nationally, has untreated dental cavities. The Washington Dental Service Foundation, a wholly owned subsidiary of WDS, supported almost exclusively by WDS, 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 - to Medicaid-enrolled children up to age six. In counties with ABCD, the utilization of dental services increased from 21% to 49% from 1997 to 2011. 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.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
66357200Washington Dental Service is engaged in efforts to promote evidenced based dental care through the Institute for Oral Health (IOH), a non-profit wholly owned subsidiary of WDS. 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.
56000000Water 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, the Foundation's work in local communities has increased access to fluoridated water to more than 208,000 Washington residents.
50090100Assisting the work of the Foundation are WDS employees volunteering their time. WDS 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 Smile Mobile, a mobile dental facility traveling to underserved areas of the state. The Smile Mobile has delivered dental care to more than 30,000 children state-wide. Volunteer time is also spent handing out flyers promoting oral health to Washington citizens at fairs, the zoo, parades, and events across the state.
33301800The Company 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 including, but not limited to, race, color, religion, creed, age, sex, sexual orientation or national origin.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2057491TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense888532224TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities1PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109641904NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees405NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Washington Dental ServiceBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2065221300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19706 4th Avenue NEAddressLine1
CitySeattleCity
StateWAState
ZIP Code981152157ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Richard R Albrecht
Board of Directors5.5X5539600
G Douglas Beck
Board of Directors - Treasurer8X5132400X
David W Branch
Board of Directors - Chair9X7270800X
David W Branch - Dental Claims
Clinical reimbursement0X23603600
Patrick J Dineen
Board of Directors6X4888000
Janis Harwell
Board of Directors6X4480800
Robb B Heinrich
Board of Directors4.5X4888000
John M Henricksen
Board of Directors6X4530800
John M Henricksen - Dental Claims
Clinical reimbursement0X33412100
Christine M Johnson
Board of Directors5.5X4943500
Joanna Lohkamp
Board of Directors - Vice Chair7X6252600X
Jack E Neal
Board of Directors - Secretary4X4480800X
Gerald Phipps
Board of Directors / Board of Trustees7X5132400
Allen W Puckett
Board of Directors5.5X4888000
R Gary Schweikhardt
Board of Directors4X5539600
Kristin Stred
Board of Directors3X400000
Remigius J Eussen
Trustee, Board of0.5X651600
Diana Gale
Trustee, Board of0.5X651600
Frederick C Kiga
Trustee, Board of0.5X651600
Hyeok Kim
Trustee, Board of0.5X651600
W Kurt Labberton
Trustee, Board of0.5X912600
W Kurt Labberton - Dental Claims
Clinical reimbursement0X18404500
Thomas Locke
Trustee, Board of0.5X786800
Russell Maier
Trustee, Board of0.5X839400
Alejandro Narvaez
Chair; Trustee, Board of0.5X743200
Eve Rutherford
Trustee, Board of0.5X1269100
James Daniel Dwyer
President & Chief Executive Officer40X10537450135200XX
Tracy Lynn Hoek-Warner
Senior VP, CFO, COO406313550101719XX
Ronald Edward Inge
VP, Dental Director & Professional Relations40509564091901X
John Theodore Bursett
Senior VP, Actuarial & Underwritting40360242043970X
Kristin Nielsen Merlo
VP, Sales & Marketing, CMO40328961038080X
Thomas Andrew Gates
VP, Planning & Corporate Development40319596036035X
John Poli
VP, CIO40318192066844X
Larry Leopold
VP, Human Resource4022372207929X
Laura Jean Smith
WDS Foundation, President & CEO40291342068923X
Larry Van Kuhl DDS
Senior Dental Consultant40218149022977X
Darryl J Liley
Director - Systems Operation40188274029628X
Jon P Allen
Director - Finance40174490023263X
Vincent L Ippolito
Director - Business Intelligence40173208019161X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6300290TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation685630TotalOtherCompensation
Number Individuals GT100 K62NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressForeign/AddressLine1Province Or StateAddressOfContractor/AddressForeign/ProvinceOrStateCountryAddressOfContractor/AddressForeign/CountryDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCode
DeCare Systems
Unit 1 Curraheen RdCork IrelandEISoftware Development3377838
BIT LLC
Printing and Mailing Services2628182710 SW 34th StRentonWA98057
TEK Systems
IT contract labor and recruiting2216549PO Box 198568AtlantaGA303848568
PWC Advisory LLC
Consultants1475185PO Box 514038Los AngelesCA900514038
TIG
Computer hardware vendor1143891PO Box 85244San DiegoCA921865244
FieldValueIRS element (for citing)
Number Of Contractors GT100 K70NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations20480RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions59271AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions79751TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Premium Revenue5241149440798459440798450$0
Smilemobile (Mobile Dentist Office)6219901448241448240$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue944224669TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5124197TotalRevenueColumn
Related Or Exempt Function Income5124197RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column148431TotalRevenueColumn
Related Or Exempt Function Income148431RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real551929Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real551929Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column551929TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$551,929ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities53486359Securities
Other-961467Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities52198952Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1287407Securities
Other-961467Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column325940TotalRevenueColumn
Related Or Exempt Function Income325940RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column145895TotalRevenueColumn
Related Or Exempt Function Income145895RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue145895TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column950600812TotalRevenueColumn
Related Or Exempt Function Income949969132RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$551,929ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total587240Total
Program Services587240ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1615133Total
Program Services1615133ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total858981240Total
Program Services858981240ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7166797Total
Program Services1842122ProgramServices
Management And General5324675ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18389839Total
Program Services7073884ProgramServices
Management And General11315955ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1247472Total
Program Services405825ProgramServices
Management And General841647ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4611140Total
Program Services1709321ProgramServices
Management And General2901819ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2067948Total
Program Services784217ProgramServices
Management And General1283731ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total615275Total
Program Services49743ProgramServices
Management And General565532ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total317225Total
Program Services4800ProgramServices
Management And General312425ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total74108Total
Program Services74108ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total521696Total
Program Services0ProgramServices
Management And General521696ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8795844Total
Program Services1329371ProgramServices
Management And General7466473ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2520684Total
Program Services1489300ProgramServices
Management And General1031384ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5024981Total
Program Services3057015ProgramServices
Management And General1967966ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4110618Total
Program Services28946ProgramServices
Management And General4081672ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1764048Total
Program Services334199ProgramServices
Management And General1429849ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1007598Total
Program Services396458ProgramServices
Management And General611140ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total674658Total
Program Services223512ProgramServices
Management And General451146ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total30Total
Program Services0ProgramServices
Management And General30ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3622617Total
Program Services48935ProgramServices
Management And General3573682ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total185322Total
Program Services0ProgramServices
Management And General185322ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Commissions7144693714469300
Taxes and service charges4552994122169633312980
Research & development581349825004988490
Dues & subscriptions205640479661576740

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total936386189Total
Program Services888532224ProgramServices
Management And General47853965ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-14839100BOY
EOY-15486692EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY34439212BOY
EOY43912427EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25239659BOY
EOY20624111EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY90000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3103325BOY
EOY3090688EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49864851LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34939774LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17485067BOY
EOY14925077EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY147371767BOY
EOY163953262EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY150876BOY
EOY566067EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY2918316EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY212950806BOY
EOY234593256EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43716496BOY
EOY48773205EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY1163185EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4074711BOY
EOY3535740EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47791207BOY
EOY53472130EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY165159599BOY
EOY181121126EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY165159599BOY
EOY181121126EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY212950806BOY
EOY234593256EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14214623ReconcilationRevenueExpenses
Reconcilation Other Changes1746904ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures126100PoliticalExpenditures
Volunteer Hours0VolunteerHours
Amt Expended For527 Activities0AmtExpendedFor527Activities
Amt Of Internal Funds Contributed126100AmtOfInternalFundsContributed
Total Exmpt Function Expenditures126100TotalExmptFunctionExpenditures
Form1120 Pol Filed1Form1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs (103 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINAmt Pd From Internal FundsAmtPdFromInternalFundsAmt Of Contribs Recd DeliveredAmtOfContribsRecdDelivered
Senate Republican Leadership Council
PO Box 11025OlympiaWA98508911714860100000
The Reagan Fund
PO Box 904OlympiaWA98507911716818100000
The Roosevelt Fund
Po Box 45201SeattleWA9814591171367750000
Harry Truman Fund
PO Box 9100SeattleWA9810991176957050000
Citizens for Lt Governor Brad Owen
PO Box 1426SeattleWA9858476084364632000
Washington State Democrats
PO Box 4027SeattleWA9819491113573225000
Washington State Republicans
11811 NE 1st St Suite A306BellevueWA9800591048665625000
Gael Tarleton for Port Commissioner
PO Box 9100SeattleWA9810920837800216000
Gary Alexander for State Representative
PO Box 48OlympiaWA98507004851057592116000
Committee to Elect Barbara Bailey
PO Box 374Oak HarborWA9827702055680016000
Committee to Elect Don Benton
PO Box 5076VancouverWA9868651064514216000
The Committee to Elect Eileen Cody
5209 36th Ave SWSeattleWA9812691164657316000
Jeanne Darneille
PO Box 7753TacomaWA98417075321652175716000
Committee to Re-Elect Richard DeBolt
1673 South Market Blvd PMB 159ChehalisWA98532383020327176016000
Friends to Re-Elect Mike Hewitt
177 Electric AveWalla WallaWA9936233108471316000
Friends of Laurie Jinkins
PO Box 2032TacomaWA9840127221446716000
Steve Kirby Campaign
9415 Tacoma Ave SouthTacomaWA9844471100090616000
Committee to Elect Joel Kretz
1014 Toroda Creek RdWaucondaWA9885927263058516000
Citizens for Stephen Litzow
7683 SE 27th StreetMercer IslandWA9804026230397916000
People for Joe Schmick
PO Box 620ColfaxWA9911145058270516000
People for Zarelli
PO Box 65727VancouverWA9866591206778316000
Bill Bryant for Seattle Port Commission
PO Box 2756SeattleWA9811120845166116000
Citizens for Glenn Anderson
PO Box 1682IssaquahWA980279119857158000
Committee to Elect Jan Angel
5184 Granada Place SEPort OrchardWA983672623029118000
Committee to Re-Elect Mike Armstrong
PO Box 2974WenatcheeWA988012037674388000
Committee to Elect Kartina Asay
PO Box 766MiltonWA983542727778808000
Committee to Elect Brian Blake
PO Box 1514LongviewWA986328706998008000
Citizens for Jeff Baxter
1521 N Argonne Road C137Spokane ValleyWA992124516606838000
Friends to Elect Randi Becker
PO Box 83GrahamWA983387707089768000
Friends of Andy Billig
PO Box 145SpokaneWA992102711275178000
Campaign for Lisa Brown
1428 W 14th AveSpokaneWA992049115761278000
Citizens for Vincent Buys
PO Box 25LyndenWA982642714765768000
Bruce Chandler Campaign
PO Box 1108ZillahWA989539120663268000
Reuven Carlyle for State Representative
PO Box 9100SeattleWA981092618529088000
Citizens for Mike Carrell
10210 Lake Louise Dr SWLakewoodWA984987429683828000
Citizens for Frank Chopp
1000 Aurora Ave North N100SeattleWA981093200208528000
Judy Clibborn for State Representative
PO Box 808Mercer IslandWA980400106496098000
Committee to Elect Cary Condotta
PO Box 3001WenatcheeWA988077108968908000
Committee to Elect Cathy Dahlquist
1348 Florence StEnumclawWA980222728194458000
Committee to Elect Bruce Dammeier
PO Box 398PuyallupWA983719121410938000
Citizens for Mary Lou Dickerson
3515 NE 103rd StSeattleWA981256805106738000
Friends of Susan Fagan
PO Box 1471PullmanWA991632645132958000
Friends of David Frockt
PO Box 2114SeattleWA981112715480398000
Committee to Elect Tami Green
10316 93rd St SWLakewoodWA9849819572050738918000
Kathryn Haigh Campaign Committee
81 SE Walker Park RoadSheltonWA985842707634048000
House Democratic Campaign Committee
1000 Aurora Ave North N100SeattleWA981099161789468000
Committee to Elect Larry Haler
1860 McMurray AveRichlandWA993542016240338000
Campaign to Elect Paul Harris
1916 SE 130th AveVancouverWA986832725315368000
Bob Hasegawa for State Representative
PO Box 84331SeattleWA981242019306258000
Committee to Elect Jim Hargrove
556 Ocean Beach RoadHoquimWA985504536971718000
People for Brian Hatfield
226 Fir StreetRaymondWA985774319669158000
Committee to Re-Elect Mary Margaret Haugen
1268 N Olsen RoadCamano IslandWA982829120851488000
Campaign to Re-Elect Bill Hinkle
PO Box 919EllensburgWA989262627685768000
House Republican Organizational Committee
PO Box 7222OlympiaWA9850772229161776258000
People for Zack Hudgins
4512 South 136th StTukwilaWA9816832718105550178000
Sam Hunt for State Representative
PO Box 2573OlympiaWA985073310074638000
Friends for Ross Hunter
PO Box 4204BellevueWA9800942040436452228000
Citizens for Christopher Hurst
62504 Indian Summer Way EEnumclawWA980220108412278000
Norm Johnson for State Representative
55 West Washington Ave Ste 83YakimaWA989038001906298000
Citizens for Ruth Kagi
19553 35th NELake Forest ParkWA981559119149678000
Friends of Troy Kelley
2521 Fremont StTacomaWA984062038884848000
Committee to Re-Elect Phyllis Gutierrez Kenney
PO Box 15314SeattleWA981159117048058000
Curtis King for State Senate
PO Box 10025YakimaWA989092083149628000
Friends for Dan Kristiansen
PO Box 2007SnohomishWA982919120648168000
Connie Ladenburg Campaign Committee
PO Box 111928TacomaWA984112727932288000
Citizens for Marcie Maxwell
PO Box 2048RentonWA980562617844818000
Committee to Elect Jim Moeller
1701 Broadway Ste 328VancouverWA986634504765168000
Committee to Elect Jeff Morris
1004 Commercial Ave Ste 303AnacortesWA982219119213138000
Committee to Re-Elect Ed Orcutt
PO Box 1280KalamaWA986259000389498000
People for Timm Ormsby
PO Box 2177SpokaneWA9921021775508762518000
Friends of Tina Orwell
17837 First Ave S PMB 299Normandy ParkWA981484536028058000
Citizens to Elect Jason Overstreet
PO Box 1203BlaineWA982312722212118000
Committee to Elect Kevin Parker
PO Box 198SpokaneWA992102603480648000
Committee to Re-Elect Linda Evans Parlette
PO Box 2151WenatcheeWA988079117159108000
People for Pedersen
815 First Ave Ste 111SeattleWA981042039796178000
Friends to Elect Eric Pettigrew
PO Box 28660SeattleWA981185348010808000
Friends of Cheryl Pflug
23705 230th Place SEMaple ValleyWA980389120007548000
Committee to Elect Margarita Prentice
6245 South Langston RoadSeattleWA981789120666298000
Pridemore for State Senate
1111 Main Street Ste 400VancouverWA986602006659548000
Elect Tim Probst
3205 NE 160th StRidgefieldWA986422623591488000
Citizens for Kevin Ranker
PO Box 92Deer HarborWA982432624386848000
Friends of Ann Rivers
PO Box 957La CenterWA986292715123728000
Committee to Elect Mary Helen Roberts
3924 149th PL SWLynnwoodWA980877706211378000
Friends for Jay Rodne
PO Box 2848IssaquahWA980274739223328000
People for Christine Rolfes
19689 7th Ave NE PMB 118PoulsboWA983703201720158000
Committee to Re-Elect Charles Ross
PO Box 996NachesWA989372633525348000
Friends for Cindy Ryu
15021 Aurora Ave NShorelineWA981332027715578000
Senate Committee for Mark Schoesler
1588 East RosenoffRitzvilleWA991690437793218000
Senate Democratic Campaign Committee
PO Box 45042SeattleWA981459161639858000
Citizens to Elect Larry Seaquist
PO Box 821Gig HarborWA983352042201548000
Shelly for State
PO Box 37AddyWA991016806746618000
Committee to Elect Larry Springer
700 20th Ave WKirklandWA980338303828728000
Senate Republican Campaign Committee
PO Box 11025OlympiaWA985089109873968000
Friends of Derek Stanford
PO Box 2041BothellWA980412723176248000
Citizens for Val Stevens
PO Box 3236ArlingtonWA982239115502298000
Re-Elect Pat Sullivan Campaign
26513 168th PL SECovingtonWA980420436794318000
Committee to Elect Dave Taylor
1661 Beane RoadMoxeeWA989362647619118000
Maureen Walsh
PO Box 461Walla WallaWA993622947237558000
Committee to Elect Kevin Van De Wege
10 Sable CourtSequimWA983822005223668000
Committee to Elect JT Wilcox
PO Box 747McKennaWA985582707589348000
Citizens for Jim McIntire
PO Box 21941SeattleWA981112608208565000
People for Randi Dorn
3718 19th Ave CT SEPuyallupWA983726115619505000
Jim Kastama Secretary of State
PO Box 1271TacomaWA984015335042055000

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P1A_S00_L01Identifier
Return ReferenceSchedule C, Part I-A, Line 1ReturnReference
ExplanationWashington Dental Service contributed $126,100.00 to 104 political campaigns for individuals running for Washington state political offices. Contributions to each campaign ranged from a low of $500.00 to a high of $10,000.00.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1211191OtherCostOrOtherBasis
Book Value1211191BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11944240OtherCostOrOtherBasis
Depreciation8405559Depreciation
Book Value3538681BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1214757OtherCostOrOtherBasis
Depreciation749744Depreciation
Book Value465013BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9293767OtherCostOrOtherBasis
Depreciation7365273Depreciation
Book Value1928494BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis26200896OtherCostOrOtherBasis
Depreciation18419198Depreciation
Book Value7781698BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14925077TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
King County Water District III
27224 144th Ave SEKentWA98042910825473510000Fluoridation equipment
Kittitas County Health Department
507 NanumEllensburgWA9892691600134927134Second year of Access to Baby and Child Dentistry Program0
Grant County Health District
1038 W Ivy AveMoses LakeWA9883791600131920106Third year of Access to Baby and Child Dentistry Program0No 1
Adams County Health District
425 E Main StreetOthelloWA9934491600129420000Third year of Access to Baby and Child Dentistry program0Suite 700
Spokane Regional Health District
1101 West College AvenueSpokaneWA9920191152753210000Second year of Access to Baby and Child Dentistry program for Lincoln County0
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (14 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistance
Expand Yakima clinic12500000
Equipment for new clinic in Hilltop area - Tacoma12000000
Dental care for the uninsured in King County11821030
Portable oral health services for Seniors11231590
Engagement of primary care physicians in delvery of oral health services11000000
Expand access to dental care for low-income uninsured adults and seniors1900150
Two year grant to integrate oral health into early learning coalition by developing a toolkit.1750200
Community Health Center Learning Sessions1650240
New volunteer clinic in Spokane in partnership with Yakima Valley Farmworkers Community Health Center1508100
Develop research based messages and communication tools to promote community water fluoridation1500000
Partnership with early learning community to improve oral health in young children1450000
First year of Accrss to Baby and Child Dentistry program1350000
State Home Visiting Match to expand home visiting programs for Washington's youngest children1200000
Returned grant funds from Community Health Association1-40160

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
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 further agrees that the funds will be used exclusively for exempt purposes as described in Section 501(c)(3) of the Internal Revenue Code. The grantee is required to file reports on regular intervals outlining use of funds. Grantee is also required to return unused funding if applicable.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Daniel Dwyer
5434000487734022611011383102136901188945011411480
Tracy Lynn Hoek-Warner
4186450181534031177086717015002073307505996750
Ronald Edward Inge
3297400163878015945078545013356060146405451890
Laura Jean Smith
1834190956500122730274465011704057751103183010
Thomas Andrew Gates
22446308613309001096919022753043926902939870
John Theodore Bursett
2280060116885015351024750019220040421203477100
Kristin Nielsen Merlo
22376009926905932013289024791036704103174100
John Poli
21686509670904618047209019635038503603510620
Larry Leopold
1199400928210109610221505714023165102862360
Larry Van Kuhl DDS
1706340444900302608917014060024112702177730
Darryl J Liley
1553580340070-1091011117018511021790201844990
Jon P Allen
1433530318950-75809262014001019775301834500
Vincent L Ippolito
135584037220048508032011129019245001891720

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aWashington Dental Service pays for spousal travel for the CEO, for those occasional trips where spousal travel is customary, which is treated as taxable income. Washington Dental Service provides a Wellness program which reimburses 50% of approved expenses for all employees working 30 or more hours a week, with a maximum payable of $40/month, or $480 a year, and 25% of approved expenses for part time employees working 20 to 30 hours a week with a maximum payable of $20/month, or $240 a 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, automobile allowance, certain auto expenses and health club dues are paid for senior Management, which is included in taxable income.
SchJ_P01_S00_L03Schedule J, Part I, Line 3The Human Resources and Compensation Committee of the Board of Directors engages an external compensation consultant to evaluate all key employees, including President and CEO, Executive VP COO/CFO, Senior VP Underwriting, VP of Sales and Marketing, CIO, VP of Planning and Corporate Development, VP Human Resources, and VP Dental Director & Professional Relations compensation in comparison to the practice of similar employers in the marketplace. This process is conducted on an annual basis.
SchJ_P01_S00_L04Schedule J, Part I, Line 4The 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(f). 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): James Daniel Dwyer, President and CEO $97,331; Tracy Lynn Hoek-Warner, Exec VP COO/CFO $70,217; Ronald Edward Inge, VP & Dental Director, $62,045; John Poli, VP CIO, $36,052; Laura Jean Smith, Foundation President, $47,062.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L04Form 990, Part VI, Section A, Line 4The following changes to Washington Dental Service's By-laws were made in 2011: Change the definition of "Public" director to the "independence" concept defined by the IRS, as required by DDPA; clarify that the CEO is no longer counted as a "Public" director since employees are not "independent" under the IRS definition; eliminate the "equal numbers" requirement for Member and Public directors, and replace it with the DDPA requirement for an independent majority; change the range of Board sizes from 10-to-14 down to 9-to-13; add typical language describing how staggered terms of directors work, and authorizing the Board to maintain roughly equal classes as Board size is gradually reduced; clarify that directors who have reached their 3-full-terms limit can in some cases be appointed to short transitional terms if needed for continuity purposes; clarify that the Board Chair is elected every year and will usually serve two 1-year terms, or sometimes three if needed for continuity or to address extraordinary circumstances; members may vote by proxy; most Committee members will now be appointed by the full Board of Directors, rather than by the Board Chair; the vote requirement for amending or repealing Bylaws is increased to two-thirds of the members' votes; the Corporation must now prepare and mail an annual report to each member; the date of the annual meeting of members is now fixed on the second Friday of November unless impracticable; the minimum notice for the annual meeting is shortened to 30 days from 45 days; the annual meeting venue must be within 20 miles of the principal corporate office and must accommodate 25% of the members; the variable quorum percentage for annual board elections is eliminated, and now requires at least a 10% turnout; authorization of the use of ballots in voting for directors, on plebiscites and on Bylaws amendments is now eliminated and explicit "majority voting" procedures are no longer included as part of the member-director election process.
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6Washington Dental Service's member Dentists are considered members of the company. Member dentists elect the Dental members of the Board of Directors.
F990_P06_S0A_L07aForm 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.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bRecommended changes to the Corporate By-laws by the Board are subject to approval by the member dentists.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe 990 is completed by the accounting staff. The 990 return and supporting documentation is reviewed and approved by the Director of Finance and the CFO. An independent review is conducted by the Chairman of the Human Resources and Compensation Committee of the Board of Directors. Electronic copies of the return are provided to all Board members prior to submission to the IRS.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe 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 Conflicts 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 are reviewed by the Compliance Committee and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest includes, but is 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) any 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.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The board appoints a Human Resources and Compensation Committee of the Board, none of whom has a conflict of interest with respect to the compensation arrangement, to be accountable for setting reasonable compensation packages for each officer or key employee (including the CEO). The Human Resources and Compensation Committee of the Board 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 Human Resources and Compensation Committee of the Board 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 committee'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 committee members present during the discussion of compensation packages (and how the members voted when it was approved); and (3) a description of the comparable data relied upon by the committee. Key deliberations of the committee are also documented in minutes which are approved at the next Committee meeting.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Governing documents, financial 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 By-laws are filed with the OIC from time-to-time as they are approved by the governing body. All governing documents, conflict of interest policy and financial statements are available to the public upon request.
F990_P07_S0A_L01aForm 990, Part VII, Section A, Line 1aReportable compensation for board members David Branch, John Henrickson and Kurt Labberton include compensation paid, under their personal tax ID number, for dental treatment services rendered as a member dentist of Washington Dental Service of: $236,036, $334,121 and $184,045, respectively.
F990_P11_S00_L05Form 990, Part XI, Line 5Prior year adjustment ($31,000); Change in unrealized gains (losses) $2,265,490; Change in accumulated other comprehensive income (AOCI) $89,304; and other than temporary impairment (OTTI) of investments ($576,890).

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
Washington Dental Service Foundation LLC
9706 Fourth Ave NESeattleWA98115910621480Sponsor Oral Health EducationWA54450443244414N/A
Washington Dental Service Holdings LLC
9706 Fourth Ave NESeattleWA98115910621480Invest in Oral Health ActivitiesWA-41578913842237N/A
Institute for Oral Health
9706 Fourth Ave NESeattleWA98115910621480Support Oral Health EducationWA66357213446N/A

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Washington Dental Service FundBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19706 Fourth Ave NEAddressLine1
CitySeattleCity
StateWAState
ZIP Code98115ZIPCode
FieldValueIRS element (for citing)
EIN911281990EIN
Primary ActivitiesSponsor Oral Health EducationPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg