DELTA DENTAL OF WASHINGTON: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF WASHINGTON (EIN 91-0621480)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202203199349326635
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T17:03:41-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 UNION STREET SUITE 2800 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910621480 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF WASHINGTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 2065221300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 FAIRVIEW AVE N SUITE 800 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RYAN BARTLETT | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE & CFO | PersonTitleTxt |
| Phone | 2065221300 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RYAN | PersonFirstNm |
| Person Last | BARTLETT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R LANCASTER | PreparerPersonNm |
| PTIN | P00742579 | PTIN |
| Phone | 2069134000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RYAN BARTLETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 FAIRVIEW AVE N | AddressLine1Txt |
| City | SUITE SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,655,517,109 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALWA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | DDWA WILL REVOLUTIONIZE THE ORAL HEALTH INDUSTRY AND IMPROVE OVERALL HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 508 | TotalEmployeeCnt |
| Total Volunteers | 79 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $69,771 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,695 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,343,703,436 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,617,648,578 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,754,901 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,420,481 | CYInvestmentIncomeAmt |
| PY Other Revenue | $188,683 | PYOtherRevenueAmt |
| CY Other Revenue | $240,167 | CYOtherRevenueAmt |
| PY Total Revenue | $1,353,716,791 | PYTotalRevenueAmt |
| CY Total Revenue | $1,630,330,921 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $33,751,957 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,947,592 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,200,384,852 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,476,312,672 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $58,802,586 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,663,511 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $69,641,695 | PYOtherExpensesAmt |
| CY Other Expenses | $69,467,008 | CYOtherExpensesAmt |
| PY Total Expenses | $1,362,581,090 | PYTotalExpensesAmt |
| CY Total Expenses | $1,611,390,783 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,864,299 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $18,940,138 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $259,998,031 | TotalAssetsBOYAmt |
| Total Assets EOY | $260,648,362 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,371,464 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $73,217,260 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $184,626,567 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $187,431,102 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE ODDWA 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,524,358,612 | ExpenseAmt |
| Grant | $2,402,368 | GrantAmt |
| Revenue | $1,617,598,612 | RevenueAmt |
| Desc | SEE SCHEDULE ODDWA PROVIDES DENTAL INSURANCE FOR OVER 3,736,000 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 4,700 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 2021, DDWA PROCESSED OVER 6,266,000 CLAIMS FOR SUBSCRIBERS AND THEIR DEPENDENTS. TO ENSURE PROVIDERS ARE SUBMITTED CLAIMS APPROPRIATELY, WE AUDITED OVER 38,000 INDIVIDUAL CLAIMS, THE RESULTS OF WHICH INCLUDE EDUCATION OF DENTAL OFFICE STAFF ON THE USE OF CDT CODES, INVOICING PROCEDURES AND REDUCING COMMON ERRORS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,047,773 | ExpenseAmt |
| Desc | SEE SCHEDULE ODELTA DENTAL OF WASHINGTON PROMOTES THE VALUE OF DENTAL BENEFITS AND IMPORTANCE OF ORAL HEALTH THROUGH MARKETING EFFORTS IN MEDIA ADVERTISING, PUBLIC RELATIONS, EVENT SPONSORSHIPS AND DIRECT OUTREACH TO CUSTOMERS. MARKET RESEARCH FINDINGS SHOW THESE ACTIVITIES IMPROVE OUR ABILITY TO REACH AND ENCOURAGE AUDIENCES TO EMBRACE GOOD ORAL HEALTH AND MAKE WISE USE OF DENTAL BENEFITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,511,351 | ExpenseAmt |
| Grant | $1,511,351 | GrantAmt |
| Desc | SEE SCHEDULE ODENTAL DISEASE 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 ARCORA FOUNDATION (THE FOUNDATION), A WHOLLY OWNED SUBSIDIARY OF DDWA, SUPPORTED ALMOST EXCLUSIVELY BY DDWA, FOCUSES MUCH OF THEIR WORK ON COMMUNITIES EXPERIENCING ORAL HEALTH DISPARITIES, INCLUDING CHILDREN AND SENIORS, AND WORKS CLOSELY WITH PARTNER ORGANIZATIONS TO DEVELOP AND IMPLEMENT INNOVATIVE PROGRAMS THAT IMPROVE ORAL HEALTH. THE ACCESS TO BABY AND CHILD DENTISTRY (ABCD) SYSTEM OF CARE EXPANDS ACCESS TO DENTAL CARE FOR YOUNG MEDICAID INSURED CHILDREN UNDER SIX IN WASHINGTON STATE BY PROVIDING DENTAL SERVICES, BOTH PREVENTATIVE AND RESTORATIVE. IN COUNTIES WITH ABCD, THE UTILIZATION OF DENTAL SERVICES INCREASED FROM 21% TO 51% FROM 1997 TO 2021. THE EARLY INTERVENTION IN MEDICAL SETTINGS PROGRAMS, MOUTHMATTERS, TRAINS PEDIATRIC MEDICAL PROVIDERS IN THE ADVANTAGES AND TECHNIQUES OF EARLY INTERVENTION AND PREVENTION THROUGH ORAL SCREENING AND EDUCATION, APPLYING FLUORIDATION AND REFERRING HIGH RISK PATIENTS FOR DENTAL CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,575,854 | ExpenseAmt |
| Grant | $1,033,873 | GrantAmt |
| Revenue | $49,966 | RevenueAmt |
| Desc | 1. 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 280,000 WASHINGTONIANS ARE RECEIVING THE HEALTH BENEFITS ASSOCIATED WITH FLUORIDATED WATER AS A RESULT OF THE FOUNDATION'S WORK.2. 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 DENTALFACILITY 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.3. 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 INCLUDING, BUT NOT LIMITED TO, RACE, COLOR, RELIGION, CREED, AGE, SEX, SEXUAL ORIENTATION OR NATIONAL ORIGIN.4. DDWA PROVIDED UW SCHOOL OF DENTISTRY A GRANT OF $500K TO SUPPORT COSTS ASSOCIATED WITH SPACE RENOVATIONS FOR THE DENTAL HYGIENE PROGRAM IN SHORELINE. DDWA ALSO PROVIDED $253K TO THE UW SCHOOL OF DENTISTRY TO COVER WASHINGTON STATE DEPARTMENT OF ORAL HEALTH DENTAL EXAMS FOR ITS GRADUATING CLASS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,575,854 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,033,873 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $49,966 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,532,493,590 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 72235 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 508 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RYAN BARTLETT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2065221300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 FAIRVIEW AVE N SUITE 800 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MITCHKE MARK | |||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 36.00 | 4.00 | Yes (X) | Yes (X) | $3,450,187 | $0 | $368,181 | ||
| LABBERTON WELLS K | |||||||||
| CHAIR - BRD. & DDS FEES | 15.00 | 5.00 | Yes (X) | Yes (X) | $380,306 | $0 | $0 | ||
| SEELY JEFFREY T | |||||||||
| SECRETARY | 12.00 | 4.00 | Yes (X) | Yes (X) | $155,737 | $0 | $0 | ||
| BROWN COLLEEN BIRDNOW | |||||||||
| TREASURER | 7.00 | 2.00 | Yes (X) | Yes (X) | $149,629 | $0 | $0 | ||
| RUTHERFORD EVE M | |||||||||
| VICE CHAIR - BRD. & DDS FEES | 11.00 | 4.00 | Yes (X) | Yes (X) | $904,561 | $0 | $0 | ||
| HAKES KATHERINE | |||||||||
| DIRECTOR - BRD. & DDS FEES | 11.00 | 3.00 | Yes (X) | $836,565 | $0 | $0 | |||
| FARRELL ANNE V | |||||||||
| DIRECTOR | 9.00 | 3.00 | Yes (X) | $129,261 | $0 | $0 | |||
| NELSON CAROL K | |||||||||
| DIRECTOR | 9.00 | 3.00 | Yes (X) | $121,113 | $0 | $0 | |||
| TUNE JAMES F | |||||||||
| DIRECTOR | 9.00 | 3.00 | Yes (X) | $121,113 | $0 | $0 | |||
| ARMSTRONG SCOTT | |||||||||
| DIRECTOR | 9.00 | 3.00 | Yes (X) | $129,261 | $0 | $0 | |||
| PICKEL DR CHRISTOPHER | |||||||||
| DIRECTOR - BRD. & DDS FEES | 9.00 | 3.00 | Yes (X) | $533,908 | $0 | $0 | |||
| BERG BRADLEY | |||||||||
| CHIEF OPERATING & FINANCIAL OFFICER | 36.00 | 4.00 | Yes (X) | $1,450,098 | $0 | $186,440 | |||
| ALIABADI KAREN | |||||||||
| CHIEF HR STRATEGIST | 40.00 | 0.00 | $813,055 | $0 | $110,109 | Yes (X) | |||
| WHITNEY GARRETT | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | $696,880 | $0 | $104,763 | Yes (X) | |||
| SNYDER CINDY | |||||||||
| VP, NTWRK & BUS MGMT | 40.00 | 0.00 | $690,342 | $0 | $89,440 | Yes (X) | |||
| LAY LINDA | |||||||||
| VP, SALES | 40.00 | 0.00 | $633,990 | $0 | $74,888 | Yes (X) | |||
| LO ERIC | |||||||||
| VP, ACTUARIAL AND UNDERWRITING | 40.00 | 0.00 | $496,039 | $0 | $100,898 | Yes (X) | |||
| ABDELLATIF VANETTA | |||||||||
| PRES/CEO ARCORA FDN | 39.50 | 0.50 | $403,842 | $0 | $39,193 | Yes (X) | |||
| BARTLETT RYAN | |||||||||
| DIRECTOR OF FINANCE | 40.00 | 0.00 | $308,510 | $0 | $50,834 | Yes (X) | |||
| CHEUNG STEPHEN | |||||||||
| DIRECTOR, MKTG & PROD STRAT | 40.00 | 0.00 | $285,923 | $0 | $52,236 | Yes (X) | |||
| JAHRMAN CHRIS | |||||||||
| DIRECTOR, OPER & PATIENT EXP | 40.00 | 0.00 | $259,045 | $0 | $38,695 | Yes (X) | |||
| LIPTON NICOLE | |||||||||
| DIRECTOR OF HR THRU 08/2021 | 40.00 | 0.00 | $380,285 | $0 | $20,372 | Yes (X) | |||
| PAURUS LINDA | |||||||||
| DIRECTOR OF PROV REL THRU 07/2021 | 40.00 | 0.00 | $288,502 | $0 | $16,972 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,618,152 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,253,021 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 155 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt | CityContractorAddress/ForeignAddress/CityNm | CountryContractorAddress/ForeignAddress/CountryCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd |
|---|---|---|---|---|---|---|---|---|
| 8 WEST | ||||||||
| UNIT 1 CURRAHEEN ROAD | CORK | EI | SOFTWARE DEVELOPMENT | $7,008,283 | ||||
| WYSSTA SERVICES INC | ||||||||
| INDIVIDUAL PLAN TPA | $6,943,506 | PO BOX 86 | STEVENS POINT | WI | 54481 | |||
| RED CARD SYSTEM LLC | ||||||||
| PRINTING/MAIL SVCS | $4,607,808 | 744 OFFICE PARKWAY | ST LOUIS | MO | 63141 | |||
| ENCARA INC | ||||||||
| INDIVIDUAL PLAN TPA | $2,867,401 | 4818 STARKEY ROAD SW | ROANOKE | VA | 24018 | |||
| SLALOM LLC | ||||||||
| CONSULTING | $1,710,716 | PO BOX 101416 | PASADENA | CA | 91189 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 176 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $21,695 | RelatedOrganizationsAmt |
| Total Contributions | $21,695 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREMIUM REVENUE | 524114 | $1,617,598,612 | $1,617,598,612 |
| SMILEMOBILE | 621990 | $49,966 | $49,966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,617,648,578 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,360,106 | TotalRevenueColumnAmt |
| Exclusion | $6,360,106 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,705 | TotalRevenueColumnAmt |
| Exclusion | $9,705 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,236,858 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,881,902 | SecuritiesAmt |
| Other | $304,286 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,354,956 | SecuritiesAmt |
| Other | -$304,286 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,050,670 | TotalRevenueColumnAmt |
| Exclusion | $6,050,670 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,167 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $240,167 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,630,330,921 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,617,888,745 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,420,481 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,545,224 | TotalAmt |
| Program Services | $2,545,224 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,402,368 | TotalAmt |
| Program Services | $2,402,368 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,476,312,672 | TotalAmt |
| Program Services | $1,476,312,672 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,754,705 | TotalAmt |
| Program Services | $4,086,675 | ProgramServicesAmt |
| Management And General | $8,668,030 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,970,089 | TotalAmt |
| Program Services | $13,725,046 | ProgramServicesAmt |
| Management And General | $20,245,043 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,399,708 | TotalAmt |
| Program Services | $969,562 | ProgramServicesAmt |
| Management And General | $1,430,146 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,112,500 | TotalAmt |
| Program Services | $3,764,937 | ProgramServicesAmt |
| Management And General | $4,347,563 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,426,509 | TotalAmt |
| Program Services | $1,369,488 | ProgramServicesAmt |
| Management And General | $2,057,021 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,327 | TotalAmt |
| Program Services | $18,067 | ProgramServicesAmt |
| Management And General | $128,260 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,000 | TotalAmt |
| Management And General | $351,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,507 | TotalAmt |
| Program Services | $78,507 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,071 | TotalAmt |
| Management And General | $478,071 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,649,530 | TotalAmt |
| Program Services | $2,945,328 | ProgramServicesAmt |
| Management And General | $2,704,202 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,832,885 | TotalAmt |
| Program Services | $5,047,773 | ProgramServicesAmt |
| Management And General | $3,785,112 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,877,344 | TotalAmt |
| Program Services | $3,967,605 | ProgramServicesAmt |
| Management And General | $2,909,739 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,134,511 | TotalAmt |
| Program Services | $67,008 | ProgramServicesAmt |
| Management And General | $7,067,503 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,091,308 | TotalAmt |
| Program Services | $99,994 | ProgramServicesAmt |
| Management And General | $3,991,314 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,644 | TotalAmt |
| Program Services | $99,367 | ProgramServicesAmt |
| Management And General | $265,277 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,800 | TotalAmt |
| Program Services | $130,618 | ProgramServicesAmt |
| Management And General | $453,182 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,525 | TotalAmt |
| Management And General | $2,525 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,032,295 | TotalAmt |
| Program Services | $37,884 | ProgramServicesAmt |
| Management And General | $5,994,411 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,719 | TotalAmt |
| Management And General | $369,719 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TAXES & SERVICE CHARGES | $13,935,928 | $2,174,632 | $11,761,296 |
| COMMISSIONS | $12,519,894 | $12,519,894 | $0 |
| DUES & SUBSCRIPTIONS | $1,431,244 | $99,952 | $1,331,292 |
| RESEARCH & DEVELOPMENT | $27,617 | $7,829 | $19,788 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,859 | TotalAmt |
| Program Services | $23,160 | ProgramServicesAmt |
| Management And General | $536,699 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,390,783 | TotalAmt |
| Program Services | $1,532,493,590 | ProgramServicesAmt |
| Management And General | $78,897,193 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,358 | BOYAmt |
| EOY | $2,345,020 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,262,030 | BOYAmt |
| EOY | $2,371,933 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,552,962 | BOYAmt |
| EOY | $31,893,597 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,249,788 | BOYAmt |
| EOY | $7,199,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $87,557,036 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $60,678,606 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,158,759 | BOYAmt |
| EOY | $26,878,430 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,955,284 | BOYAmt |
| EOY | $187,737,103 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,548 | BOYAmt |
| EOY | $1,113,506 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,302 | BOYAmt |
| EOY | $1,109,636 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,998,031 | BOYAmt |
| EOY | $260,648,362 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,230,353 | BOYAmt |
| EOY | $63,094,547 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,985 | BOYAmt |
| EOY | $560,600 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,715,126 | BOYAmt |
| EOY | $9,562,113 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,371,464 | BOYAmt |
| EOY | $73,217,260 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,626,567 | BOYAmt |
| EOY | $187,431,102 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,626,567 | BOYAmt |
| EOY | $187,431,102 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,998,031 | BOYAmt |
| EOY | $260,648,362 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $18,940,138 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,835,603 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$13,300,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $239,000 | PoliticalExpendituresAmt |
| Internal Funds Contributed | $239,000 | InternalFundsContributedAmt |
| Total Exempt Function Expend | $239,000 | TotalExemptFunctionExpendAmt |
| Form1120 POL Filed | Yes (1) | Form1120POLFiledInd |
Section527 Political Org Section527PoliticalOrgGrp (104 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Paid Internal FundsPaidInternalFundsAmt | Contributions Rcvd DlvrContributionsRcvdDlvrAmt |
|---|---|---|---|---|---|---|
| THE LEADERSHIP COUNCIL | ||||||
| PO BOX 11025 | OLYMPIA | WA | 98508 | 272555702 | $15,000 | $0 |
| REAGAN FUND | ||||||
| PO BOX 904 | OLYMPIA | WA | 98507 | 825044633 | $15,000 | $0 |
| HARRY TRUMAN FUND | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | 821646290 | $15,000 | $0 |
| THE KENNEDY FUND | ||||||
| 401 2ND AVENUE SOUTH 303 | SEATTLE | WA | 98104 | 823809530 | $15,000 | $0 |
| REPUBLICAN STATE LEADERSHIP COMMITTEE | ||||||
| 1201 F STREET NW SUITE 675 | WASHINGTON | DC | 20004 | 464305309 | $20,000 | $0 |
| ENTERPRISE WASHINGTON | ||||||
| 1603 116TH AVE NE SUITE 120 | BELLEVUE | WA | 98004 | 873173541 | $20,000 | $0 |
| CASCADE PAC - MAINSTREAM REPUBLICANS | ||||||
| PO BOX 98006 | DES MOINES | WA | 98198 | 272214467 | $10,000 | $0 |
| THE BUSINESS INSTITUTE OF WASHINGTON | ||||||
| 1603 116TH AVENUE NE SUITE 120 | BELLEVUE | WA | 98004 | 845074803 | $20,000 | $0 |
| JACKSON LEGACY PAC | ||||||
| 2937 54TH AVE SW A | TUMWATER | WA | 98512 | 711000906 | $10,000 | $0 |
| WASHINGTON VALUES PAC | ||||||
| 401 2ND AVENUE SOUTH 303 | SEATTLE | WA | 98104 | 828246912 | $5,000 | $0 |
| WASHINGTON STATE DEMOCRATIC CENTRAL COMMITTEE | ||||||
| 615 2ND AVE SUITE 580 | SEATTLE | WA | 98104 | 821366387 | $4,000 | $0 |
| WASHINGTON STATE REPUBLICAN PARTY | ||||||
| 11811 NE 1ST STREET SUITE A306 | BELLEVUE | WA | 98005 | 465287065 | $4,000 | $0 |
| FRIENDS OF STEVE HOBBS | ||||||
| 3309 114TH DRIVE NE | LAKE STEVENS | WA | 98258 | 823939741 | $2,000 | $0 |
| FRIENDS OF ANDREW BARKIS | ||||||
| PO BOX 8728 | LACEY | WA | 98509 | 202771557 | $1,000 | $0 |
| COMMITTEE TO ELECT JT WILCOX | ||||||
| PO BOX 747 | MCKENNA | WA | 98558 | 824710355 | $1,000 | $0 |
| FRIENDS OF MARCUS RICCELLI | ||||||
| PO BOX 1325 | SPOKANE | WA | 99210 | 911947669 | $1,000 | $0 |
| PEOPLE FOR TIMM ORMSBY | ||||||
| PO BOX 2177 | SPOKANE | WA | 992102177 | 453602805 | $1,000 | $0 |
| JEFF HOLY FOR SENATE | ||||||
| PO BOX 40285 | SPOKANE | WA | 99220 | 463326224 | $1,000 | $0 |
| COMMITTEE TO ELECT MIKE VOLZ | ||||||
| PO BOX 10163 | SPOKANE | WA | 99209 | 272265718 | $1,000 | $0 |
| SHELLY FOR STATE | ||||||
| 127 N WYNNE STREET | COLVILLE | WA | 99114 | 364732450 | $1,000 | $0 |
| COMMITTEE TO ELECT JACQUELIN MAYCUMBER | ||||||
| 127 N WYNNE STREET | COLVILLE | WA | 99114 | 261852908 | $1,000 | $0 |
| COMMITTEE TO ELECT JOEL KRETZ | ||||||
| 127 N WYNNE STREET | COLVILLE | WA | 99114 | 454760606 | $1,000 | $0 |
| COMMITTEE TO ELECT MATT BOEHNKE | ||||||
| 6855 W CLEARWATER AVENUE SUITE 10 | KENNEWICK | WA | 99336 | 911913482 | $1,000 | $0 |
| COMMITTEE TO ELECT MARY DYE | ||||||
| 127 N WYNNE STREET | COLVILLE | WA | 99114 | 844344747 | $1,000 | $0 |
| PEOPLE FOR JOE SCHMICK | ||||||
| PO BOX 620 | COLFAX | WA | 99111 | 463757260 | $1,000 | $0 |
| FRIENDS OF GREG GILDAY | ||||||
| PO BOX 1472 | STANWOOD | WA | 98292 | 824927031 | $1,000 | $0 |
| CITIZENS FOR STEVE BERGQUIST | ||||||
| PO BOX 2050 | RENTON | WA | 98059 | 203979617 | $1,000 | $0 |
| COMMITTEE TO ELECT KEITH GOEHNER | ||||||
| PO BOX 38 | LEAVENWORTH | WA | 98826 | 811159785 | $1,000 | $0 |
| CITIZENS TO ELECT MIKE STEELE | ||||||
| PO BOX 1072 | CHELAN | WA | 98816 | 320020852 | $1,000 | $0 |
| COMMITTEE TO ELECT TOM DENT | ||||||
| 601 S PIONEER WAY SUITE F PMB 396 | MOSES LAKE | WA | 98837 | 900040477 | $1,000 | $0 |
| FRIENDS OF ALEX YBARRA | ||||||
| PO BOX 175 | QUINCY | WA | 98848 | 850659766 | $1,000 | $0 |
| FRIENDS OF CHRIS CORRY | ||||||
| 2010 WEST HOB HILL SUITE 1 | YAKIMA | WA | 98902 | 815223744 | $1,000 | $0 |
| FRIENDS OF JEREMIE DUFAULT | ||||||
| PO BOX 579 | SELAH | WA | 98942 | 830382872 | $1,000 | $0 |
| COMMITTEE TO ELECT SKYLER RUDE | ||||||
| PO BOX 502 | WALLA WALLA | WA | 99362 | 800147715 | $1,000 | $0 |
| CAMPAIGN TO ELECT PAUL HARRIS | ||||||
| 237 CHKALOV DRIVE | VANCOUVER | WA | 98684 | 821748162 | $1,000 | $0 |
| COMMITTEE TO ELECT BRANDON VICK | ||||||
| PO BOX 1434 | BATTLE GROUND | WA | 98604 | 475315866 | $1,000 | $0 |
| FRIENDS TO ELECT LARRY HOFF | ||||||
| 10013 NE HAZEL DELL AVE BOX 136 | VANCOUVER | WA | 98685 | 461880322 | $1,000 | $0 |
| COMMITTEE TO RE-ELECT ED ORCUTT | ||||||
| PO BOX 1280 | KALAMA | WA | 98625 | 824989832 | $1,000 | $0 |
| FRIENDS OF JESSICA BATEMAN | ||||||
| 120 STATE AVENUE 1462 | OLYMPIA | WA | 98501 | 451965188 | $1,000 | $0 |
| PEOPLE FOR TARRA SIMMONS | ||||||
| PO BOX 774 | TRACYTON | WA | 98393 | 271504430 | $1,000 | $0 |
| COMMITTEE TO ELECT DREW HANSEN | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | 271751460 | $1,000 | $0 |
| MIKE CHAPMAN FOR STATE REPRESENTATIVE | ||||||
| 1321 SOUTH LAUREL STREET | PORT ANGELES | WA | 98362 | 916178946 | $1,000 | $0 |
| THARINGER FOR STATE REPRESENTATIVE | ||||||
| PO BOX 834 | SEQUIM | WA | 98382 | 916177625 | $1,000 | $0 |
| FRIENDS OF KELLY CHAMBERS | ||||||
| 1002 N MERIDIAN SUITE 100 PMB 207 | PUYALLUP | WA | 98371 | 910987396 | $1,000 | $0 |
| FRIENDS OF CYNDY JACOBSEN | ||||||
| PO BOX 709 | PUYALLUP | WA | 98371 | 462614068 | $1,000 | $0 |
| EMILY RANDALL FOR STATE SENATE | ||||||
| PO BOX 1883 | PORT ORCHARD | WA | 98366 | 812324084 | $1,000 | $0 |
| MICHELLE CALDIER FOR STATE REP | ||||||
| PO BOX 1710 | PORT ORCHARD | WA | 98366 | 850575085 | $1,000 | $0 |
| PEOPLE FOR YASMIN TRUDEAU | ||||||
| PO BOX 12066 | SEATTLE | WA | 98102 | 473697034 | $1,000 | $0 |
| FRIENDS OF LAURIE JINKINS | ||||||
| PO BOX 2032 | TACOMA | WA | 98401 | 471385570 | $1,000 | $0 |
| FRIENDS OF DAN BRONOSKE | ||||||
| PO BOX 64998 | TACOMA | WA | 98464 | 463819721 | $1,000 | $0 |
| STEVE KIRBY CAMPAIGN | ||||||
| 9415 TACOMA AVE SOUTH | TACOMA | WA | 98444 | 812668177 | $1,000 | $0 |
| PEOPLE FOR JESSE JOHNSON | ||||||
| PO BOX 4972 | FEDERAL WAY | WA | 98003 | 824403196 | $1,000 | $0 |
| FRIENDS OF PHIL FORTUNATO | ||||||
| PO BOX 2201 | AUBURN | WA | 98071 | 833917287 | $1,000 | $0 |
| FRIENDS OF DREW STOKESBARY | ||||||
| PO BOX 92 | AUBURN | WA | 98071 | 825037835 | $1,000 | $0 |
| ELECT JESSE SALOMON | ||||||
| 15521 14TH AVE NE | SHORELINE | WA | 98155 | 272697662 | $1,000 | $0 |
| FRIENDS FOR CINDY RYU | ||||||
| PO BOX 33548 | SHORELINE | WA | 98133 | 814617205 | $1,000 | $0 |
| ELECT LAUREN DAVIS | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | 850807481 | $1,000 | $0 |
| FRIENDS OF KAREN KEISER | ||||||
| PO BOX 13290 | DES MOINES | WA | 98198 | 830700073 | $1,000 | $0 |
| FRIENDS OF TINA ORWALL | ||||||
| 17837 FIRST AVE S PMB 299 | NORMANDY PARK | WA | 98148 | 825493030 | $1,000 | $0 |
| PEOPLE FOR MIA GREGERSON | ||||||
| PO BOX 297 | SEAHURST | WA | 98062 | 830458254 | $1,000 | $0 |
| FRIENDS OF JOE FITZGIBBON | ||||||
| PO BOX 66235 | BURIEN | WA | 98166 | 854338175 | $1,000 | $0 |
| COMMITTEE TO ELECT DREW C MACEWEN | ||||||
| PO BOX 651 | UNION | WA | 98592 | 861804424 | $1,000 | $0 |
| FRIENDS OF REUVEN CARLYLE | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | $1,000 | $0 | |
| FRIENDS OF NOEL FRAME | ||||||
| PO BOX 99143 | SEATTLE | WA | 98139 | $1,000 | $0 | |
| FRIENDS OF SANTOS | ||||||
| PO BOX 78606 | SEATTLE | WA | 98178 | $500 | $0 | |
| COMMUNITY FOR KIRSTEN HARRIS-TALLEY | ||||||
| PO BOX 23026 | SEATTLE | WA | 98102 | $1,000 | $0 | |
| FRIENDS OF TANA SENN | ||||||
| PO BOX 771 | MERCER ISLAND | WA | 98040 | $1,000 | $0 | |
| FRIENDS OF MY-LIHN THAI | ||||||
| 11900 NE 1ST STREET 300 | BELLEVUE | WA | 98005 | $1,000 | $0 | |
| PEOPLE FOR PEDERSEN | ||||||
| 815 FIRST AVENUE 111 | SEATTLE | WA | 98104 | $1,000 | $0 | |
| FRIENDS OF NICOLE MACRI | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | $1,000 | $0 | |
| CITIZENS FOR FRANK CHOPP | ||||||
| 4209 SUNNYSIDE AVE NORTH | SEATTLE | WA | 98103 | $1,000 | $0 | |
| COMMITTEE TO RE-ELECT JOHN LOVICK | ||||||
| 2403 157TH PLACE SE | MILL CREEK | WA | 98012 | $1,000 | $0 | |
| FRIENDS OF APRIL BERG | ||||||
| PO BOX 14893 | MILL CREEK | WA | 98082 | $1,000 | $0 | |
| FRIENDS OF MANKA DHINGRA | ||||||
| 17221 NE 115TH CT | REDMOND | WA | 98052 | $1,000 | $0 | |
| FRIENDS OF ELECT LARRY SPRINGER | ||||||
| 10536 NE 122ND STREET | KIRKLAND | WA | 98034 | $1,000 | $0 | |
| GERRY POLLET FOR STATE REPRESENTATIVE | ||||||
| 7750 17TH AVE NE | SEATTLE | WA | 98115 | $1,000 | $0 | |
| JAVIER VALDEZ FOR STATE REP | ||||||
| 9800 ROOSEVELT WAY NE 23 | SEATTLE | WA | 98115 | $1,000 | $0 | |
| FRIENDS OF PATTY KUDERER | ||||||
| PO BOX 23037 | SEATTLE | WA | 98102 | $1,000 | $0 | |
| FRIENDS OF VANDANA SLATTER | ||||||
| 11900 NE 1ST STREET SUITE 300 | BELLEVUE | WA | 98005 | $1,000 | $0 | |
| AMY WALEN FOR STATE HOUSE | ||||||
| PO BOX 853 | REDMOND | WA | 98073 | $1,000 | $0 | |
| COMMITTEE TO ELECT SHARON WYLIE | ||||||
| 400 NE HIGHWAY 99 SUITE G340 | VANCOUVER | WA | 98665 | $1,000 | $0 | |
| ELECT MONICA STONIER | ||||||
| PO BOX 61762 | VANCOUVER | WA | 98666 | $1,000 | $0 | |
| FRIENDS OF CHRIS REYKDAL | ||||||
| 855 TROSPER ROIAD SUITE 108-117 | TUMWATER | WA | 98512 | $1,000 | $0 | |
| HOUSE DEMOCRATIC CAMPAIGN COMMITTEE | ||||||
| 4130 1ST AVE S SUITE D | SEATTLE | WA | 98134 | $1,000 | $0 | |
| HOUSE REPUBLICAN ORGANIZATIONAL COMMITTEE | ||||||
| PO BOX 7222 | OLYMPIA | WA | 985077222 | $1,000 | $0 | |
| SENATE REPUBLICAN CAMPAIGN COMMITTEE | ||||||
| PO BOX 11025 | OLYMPIA | WA | 98508 | $1,000 | $0 | |
| WASHINGTON SENATE DEMOCRATIC CAMPAIGN | ||||||
| 4130 1ST AVE S SUITE D | SEATTLE | WA | 98134 | $1,000 | $0 | |
| FRIENDS OF HILARY FRANZ | ||||||
| 401 2ND AVENUE SOUTH 303 | SEATTLE | WA | 98104 | $1,000 | $0 | |
| DENNY HECK FOR LT GOVERNOR | ||||||
| PO BOX 235 | OLYMPIA | WA | 98507 | $1,000 | $0 | |
| COMMITTEE TO ELECT PETER ABBARNO | ||||||
| PO BOX 94 | CENTRALIA | WA | 98351 | $500 | $0 | |
| FRIENDS OF STROM PETERSON | ||||||
| PO BOX 12066 | SEATTLE | WA | 98102 | $500 | $0 | |
| FRIENDS OF LILLIAN ORTIZ-SELF | ||||||
| PO BOX 581 | MUKILTEO | WA | 98275 | $500 | $0 | |
| FRIENDS OF MARI LEAVITT | ||||||
| PO BOX 65195 | TACOMA | WA | 98466 | $500 | $0 | |
| CLAIRE WILSON FOR SENATE | ||||||
| 31811 PACIFIC HWY S SUITE B288 | FEDERAL WAY | WA | 98003 | $500 | $0 | |
| ELECT JAMILA TAYLOR | ||||||
| PO BOX 3996 | FEDERAL WAY | WA | 98063 | $500 | $0 | |
| PEOPLE FOR JOEL NGUYEN | ||||||
| PO BOX 23037 | SEATTLE | WA | 98102 | $500 | $0 | |
| GRIFFEY 4 STATE HOUSE | ||||||
| PO BOX 83 | ALLYN | WA | 98524 | $500 | $0 | |
| PEOPLE FOR REBECCA SALDANA | ||||||
| PO BOX 20776 | SEATTLE | WA | 98102 | $500 | $0 | |
| FRIENDS OF EMILY WICKS | ||||||
| 1730 BAKER AVENUE | EVERETT | WA | 98201 | $500 | $0 | |
| CAROLYN ESLICK FOR STATE | ||||||
| PO BOX 776 | SULTAN | WA | 98294 | $500 | $0 | |
| VOTE ALICIA RULE | ||||||
| PO BOX 9100 | SEATTLE | WA | 98109 | $500 | $0 | |
| FRIENDS OF ROGER GOODMAN | ||||||
| 218 MAIN STREET PMB 763 | KIRKLAND | WA | 98033 | $500 | $0 | |
| FRIENDS OF VICTORIA WOODARDS | ||||||
| PO BOX 1771 | TACOMA | WA | 98401 | $1,000 | $0 | |
| PEOPLE FOR BETSY WILKERSON | ||||||
| PO BOX 8442 | SPOKANE | WA | 99203 | $1,000 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I-A, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DDWA 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 HEALTHAND OVERALL HEALTH CARE POLICY, AS WELL AS TO SUPPORT OUR OVERALL MISSION OF IMPROVING 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $351,239 | OtherCostOrOtherBasisAmt |
| Book Value | $351,239 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,816,578 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,112 | DepreciationAmt |
| Book Value | $6,632,466 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,809,795 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,524,656 | DepreciationAmt |
| Book Value | $8,285,139 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,630,296 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,765,068 | DepreciationAmt |
| Book Value | $865,228 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,949,128 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,204,770 | DepreciationAmt |
| Book Value | $10,744,358 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,878,430 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (31 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| UW SCHOOL OF DENTISTRY | ||||||||
| BOX 357137 | SEATTLE | WA | 98195 | 943079432 | 501(C)(3) | $753,302 | $0 | UNDERWRITE WREB FEES |
| NORTH SOUND | ||||||||
| 1204 RAILROAD AVE | BELLINGHAM | WA | 98225 | 814680689 | 501(C)(3) | $217,152 | $0 | FUNDING FOR DENTAL SUPPORT |
| AGING IN PACE WASHINGTON | ||||||||
| PO BOX 3007 | SEATTLE | WA | 981143007 | 810856014 | 501(C)(3) | $200,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| COMMUNITY HEALTH ASSOCIATION OF SPOKANE | ||||||||
| 611 NORTH IRON BRIDGE WAY | SPOKANE | WA | 99111 | 911641797 | 501(C)(3) | $150,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| LHAQ'TEMISH FOUNDATIONS | ||||||||
| 2665 KWINA RD | BELLINGHAM | WA | 98226 | 911836621 | 501(C)(3) | $128,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| LINDQUIST CLINIC FOR CHILDREN | ||||||||
| 130 131ST ST SOUTH | TACOMA | WA | 98444 | 910615378 | 501(C)(3) | $100,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| BETTER HEALTH TOGETHER | ||||||||
| 1023 W RIVERSIDE | SPOKANE | WA | 99201 | 900997482 | 501(C)(3) | $78,000 | $0 | LEAD PARTNER FUNDING FOR SPOKANE LIN |
| UNITED WAY OF KING COUNTY | ||||||||
| 720 SECOND AVE | SEATTLE | WA | 98104 | 910565555 | 501(C)(3) | $72,522 | $0 | ANNUAL GIVING CAMPAIGN |
| FRONTIER BEHAVIORAL HEALTH | ||||||||
| 107 S DIVISION ST | SPOKANE | WA | 99202 | 910853801 | 501(C)(3) | $70,442 | $0 | FUNDING FOR DENTAL SUPPORT |
| NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD | ||||||||
| 2121 SW BROADWAY | PORTLAND | OR | 97201 | 930718154 | 501(C)(3) | $60,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| MAKAH TRIBE COUNCIL | ||||||||
| PO BOX 115 | NEAH BAY | WA | 98357 | 320178311 | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT | |
| EAST AFRICAN COMMUNITY SERVICES | ||||||||
| 7050 32ND AVE SOUTH | SEATTLE | WA | 98118 | 912138852 | 501(C)(3) | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| MEDICAL TEAMS INTERNATIONAL | ||||||||
| 9680 153RD AVE NW | REDOMND | WA | 98052 | 930878944 | 501(C)(3) | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| SWINOMISH HEALTH SERVICES (DIDGWALIC WELLNESS CENTER) | ||||||||
| 8212 S MARCH POINT RD | ANACOSTA | WA | 98221 | 611955704 | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT | |
| UNION GOSPEL MISSION OF YAKIMA | ||||||||
| 1300 N FIRST STREET | YAKIMA | WA | 26373 | 237050061 | 501(C)(3) | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| AMERICAN ACADEMY OF PEDIATRICS | ||||||||
| 45 PARK BLVD | ITASCA | IL | 60143 | 362275597 | 501(C)(3) | $50,000 | $0 | DENTAL HEALTH GRANT |
| FREE CLINIC OF SW WASHINGTON | ||||||||
| 4100 PLOMONDON ST | VANCOUVER | WA | 94111 | 911707542 | 501(C)(3) | $50,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| SPOKANE NEIGHBORHOOD ACTION PARTNERS | ||||||||
| 3102 W FT GEORGE WRIGHT | SPOKANE | WA | 99224 | 911311127 | 501(C)(3) | $44,254 | $0 | FUNDING FOR DENTAL SUPPORT |
| FOOD LIFELINE | ||||||||
| 815 SOUTH 96TH | SEATTLE | WA | 98108 | 911090450 | 501(C)(3) | $30,081 | $0 | FOOD INSECURITY |
| LATINO COMMUNITY FUND OF WA STATE | ||||||||
| PO BOX 30669 | SEATTLE | WA | 98103 | 205987399 | 501(C)(3) | $30,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| ARTS FUND | ||||||||
| PO BOX 19780 | SEATTLE | WA | 98109 | 910839644 | 501(C)(3) | $25,100 | $0 | FUNDING SUPPORT FOR THE ARTS |
| SQUAXIN ISLAND TRIBE | ||||||||
| 10 SE SQUAXIN LANE | SHELTON | WA | 98584 | 910922254 | $25,000 | $0 | FUNDING FOR DENTAL SUPPORT | |
| TACOMA PIERCE COUNTY HEALTH DEPARTMENT | ||||||||
| 3629 SOUTH D STREET | TACOMA | WA | 96111 | 911488160 | LOCAL GOVERNMENT | $18,333 | $0 | FUNDING FOR DENTAL SUPPORT |
| OLYMPIA UNION GOSPEL MISSION | ||||||||
| PO BOX 7668 | OLYMPIA | WA | 985077668 | 911680748 | 501(C)(3) | $18,186 | $0 | FUNDING FOR DENTAL SUPPORT |
| SECOND HARVEST FOOD BANK | ||||||||
| 1234 E FRONT AVE | SPOKANE | WA | 992022148 | 237173826 | 501(C)(3) | $15,214 | $0 | FOOD INSECURITY |
| JUNIOR ACHIEVEMENT OF WASHINGTON | ||||||||
| 1700 WESTLAKE AVE N | SEATTLE | WA | 98109 | 910604913 | 501(C)(3) | $10,750 | $0 | PROGRAM SPONSORSHIP |
| NORTHWEST HARVEST | ||||||||
| PO BOX 12272 | SEATTLE | WA | 98102 | 910826037 | 501(C)(3) | $10,000 | $0 | FOOD INSECURITY |
| INTERNATIONAL COMMUNITY HEALTH SERVICES | ||||||||
| PO BOX 3007 | SEATTLE | WA | 981143007 | 910947084 | 501(C)(3) | $10,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| YOUTH AND FAMILY LINK | ||||||||
| 907 DOUGLAS ST | LONGVIEW | WA | 98632 | 910726260 | 501(C)(3) | $10,000 | $0 | FUNDING FOR DENTAL SUPPORT |
| UNITED WAY OF KITSAP COUNTY | ||||||||
| 645 4TH ST SUITE 101 | BREMERTON | WA | 99101 | 910623990 | 501(C)(3) | $8,000 | $0 | MOUTHMATTERS/ABCD COLLABORATIVE |
| COMMUNITIES IN SCHOOLS OF SPOKANE COUNTY | ||||||||
| 104 S FREYAYELLOW FLAG B | SPOKANE | WA | 99202 | 261581358 | 501(C)(3) | $5,904 | $0 | 2021 SPOKANE LIN GRANT AGREEMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 32 | Total501c3OrgCnt |
| Total Other Org | 4 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | COVID-19 PRACTICE SUPPORT GRANTS | GrantTypeTxt |
| Recipient | 2589 | RecipientCnt |
| Cash Grant | $2,402,368 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | THE 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 THE USE OF FUNDS. GRANTEE IS ALSO REQUIRED TO RETURN UNUSED FUNDING IF APPLICABLE. |
| SCHEDULE I PART III | PRSP PAYMENT -IN JULY DDWA APPROVED AN ADDITIONAL COVID-19 PRACTICE SUPPORT PAYMENT FOR WDS MEMBER PRACTICES ENROLLED IN ELECTRONIC FUNDS TRANSFER (EFT) TO HELP DENTISTS OFFSET THE ONGOING THE BUSINESS CHALLENGES THEY ARE EXPERIENCING DURING THE COVID PANDEMIC. PAYMENT WAS MADE SEPTEMBER 27TH AND TOTALED APPROXIMATELY $2.4M. DATA WAS GATHERED THROUGH A JOINT EFFORT BETWEEN FINANCE AND BUSINESS INTELLIGENCE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MITCHKE MARK | ||||||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | $1,073,500 | $0 | $2,365,000 | $0 | $11,687 | $0 | $330,098 | $0 | $38,083 | $0 | $3,818,368 | $0 | $0 | $0 |
| BERG BRADLEY | ||||||||||||||
| CHIEF OPERATING & FINANCIAL OFFICER | $767,564 | $0 | $675,019 | $0 | $7,515 | $0 | $154,628 | $0 | $31,812 | $0 | $1,636,538 | $0 | $0 | $0 |
| ALIABADI KAREN | ||||||||||||||
| CHIEF HR STRATEGIST | $438,431 | $0 | $364,169 | $0 | $10,455 | $0 | $88,322 | $0 | $21,787 | $0 | $923,164 | $0 | $0 | $0 |
| RUTHERFORD EVE M | ||||||||||||||
| VICE CHAIR - BRD. & DDS FEES | $158,789 | $0 | $0 | $0 | $745,772 | $0 | $0 | $0 | $0 | $0 | $904,561 | $0 | $0 | $0 |
| HAKES KATHERINE | ||||||||||||||
| DIRECTOR - BRD. & DDS FEES | $129,261 | $0 | $0 | $0 | $707,304 | $0 | $0 | $0 | $0 | $0 | $836,565 | $0 | $0 | $0 |
| WHITNEY GARRETT | ||||||||||||||
| CHIEF INFORMATION OFFICER | $369,283 | $0 | $319,349 | $0 | $8,248 | $0 | $66,684 | $0 | $38,079 | $0 | $801,643 | $0 | $0 | $0 |
| SNYDER CINDY | ||||||||||||||
| VP, NTWRK & BUS MGMT | $349,862 | $0 | $331,333 | $0 | $9,147 | $0 | $66,101 | $0 | $23,339 | $0 | $779,782 | $0 | $0 | $0 |
| LAY LINDA | ||||||||||||||
| VP, SALES | $328,110 | $0 | $291,485 | $0 | $14,395 | $0 | $60,390 | $0 | $14,498 | $0 | $708,878 | $0 | $0 | $0 |
| LO ERIC | ||||||||||||||
| VP, ACTUARIAL AND UNDERWRITING | $306,665 | $0 | $186,184 | $0 | $3,190 | $0 | $67,310 | $0 | $33,588 | $0 | $596,937 | $0 | $0 | $0 |
| PICKEL DR CHRISTOPHER | ||||||||||||||
| DIRECTOR - BRD. & DDS FEES | $121,113 | $0 | $0 | $0 | $412,795 | $0 | $0 | $0 | $0 | $0 | $533,908 | $0 | $0 | $0 |
| ABDELLATIF VANETTA | ||||||||||||||
| PRES/CEO ARCORA FDN | $328,401 | $0 | $75,441 | $0 | $0 | $0 | $19,500 | $0 | $19,693 | $0 | $443,035 | $0 | $0 | $0 |
| LIPTON NICOLE | ||||||||||||||
| DIRECTOR OF HR THRU 08/2021 | $135,515 | $0 | $50,021 | $0 | $194,749 | $0 | $9,334 | $0 | $11,038 | $0 | $400,657 | $0 | $0 | $0 |
| LABBERTON WELLS K | ||||||||||||||
| CHAIR - BRD. & DDS FEES | $172,029 | $0 | $0 | $0 | $208,277 | $0 | $0 | $0 | $0 | $0 | $380,306 | $0 | $0 | $0 |
| BARTLETT RYAN | ||||||||||||||
| DIRECTOR OF FINANCE | $244,299 | $0 | $64,211 | $0 | $0 | $0 | $19,500 | $0 | $31,334 | $0 | $359,344 | $0 | $0 | $0 |
| CHEUNG STEPHEN | ||||||||||||||
| DIRECTOR, MKTG & PROD STRAT | $221,055 | $0 | $64,868 | $0 | $0 | $0 | $17,724 | $0 | $34,512 | $0 | $338,159 | $0 | $0 | $0 |
| PAURUS LINDA | ||||||||||||||
| DIRECTOR OF PROV REL THRU 07/2021 | $104,790 | $0 | $34,931 | $0 | $148,781 | $0 | $6,577 | $0 | $10,395 | $0 | $305,474 | $0 | $0 | $0 |
| JAHRMAN CHRIS | ||||||||||||||
| DIRECTOR, OPER & PATIENT EXP | $209,036 | $0 | $50,009 | $0 | $0 | $0 | $16,873 | $0 | $21,822 | $0 | $297,740 | $0 | $0 | $0 |
| SEELY JEFFREY T | ||||||||||||||
| SECRETARY | $155,737 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $155,737 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | ANY FIRST CLASS TRAVEL IS SUBJECT TO THE APPROVAL OF THE CEO OR CFO. DDWA PROVIDES A WELLNESS PROGRAM WHICH REIMBURSES APPROVED EXPENSES FOR ALL EMPLOYEES WORKING 30 HOURS OR MORE A WEEK, WITH A MAXIMUM PAYABLE OF $480 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. DDWA GROSSES UP BOARD MEMBER FEES TO COVER B&O TAXES ASSESSED ON DIRECTOR FEES PAID TO THE BOARD. |
| PART I, LINE 3 | THE HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD OF DIRECTORS ENGAGES AN INDEPENDENT EXTERNAL CONSULTANT TO EVALUATE THE COMPENSATION OF ALL KEY EMPLOYEES, INCLUDING PRESIDENT AND CEO, COO/CFO,VP UNDERWRITING/ACTUARIAL, CIO, VP OF SALES, CHIEF HUMAN RESOURCE STRATEGIST, VP NETWORK STRATEGY AND BUSINESS ENABLEMENT, CEO/PRESIDENT OF ARCORA FOUNDATION, AND CHIEF MISSION OFFICER AND VP, CORPORATE DEVELOPMENT OF WASHINGTON DENTAL SERVICE, IN COMPARISON TO THE PRACTICE OF SIMILAR EMPLOYERS IN THE MARKETPLACE. THE PROCESS IS CONDUCTED ON AN ANNUAL BASIS. |
| PART I, LINES 4A-B | NICOLE LIPTON ($194,609) AND LINDA PAURUS ($148,512) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. THE COMPANY MAKES CONTRIBUTIONS TO A NONQUALIFIED PERFORMANCE BASED COMPENSATION PLAN, AS DETERMINED BY THE BOARD OF DIRECTORS, WHICH IS SUBJECT TO CODE SECTION 457(B). PLAN PARTICIPANTS ARE BOARD-APPROVED EXECUTIVE LEADERSHIP WHO RECEIVE AN ANNUAL CONTRIBUTION BASED ON A PERCENTAGE OF THE PRIOR YEAR EARNINGS LESS THE COMPANY MATCHING CONTRIBUTION TO THE 401(K) PLAN. COMPANY CONTRIBUTIONS ARE 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 2021 WERE AS FOLLOWS: MARK MITCHKE, PRESIDENT/CEO, $310,598; BRADLEY BERG, CHIEF OPERATING AND FINANCIAL OFFICER, $135,128; ERIC LO, VP UNDERWRITING/ACTUARIAL, $47,810; CINDY SNYDER, VP NETWORK STRATEGY AND BUSINESS ENABLEMENT, $46,601; KAREN ALIABADI, CHIEF HR STRATEGIST, $68,822; GARRETT WHITNEY, CHIEF INFORMATION OFFICER, $47,184; LINDA LAY, VP OF SALES, $40,890. THE 457(B) PLAN HAD TOTAL ASSETS OF $2,383,486 AT DECEMBER 31, 2021. IN ADDITION, THERE IS ANOTHER 457(B) NONQUALIFIED SERP DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT THAT THE COMPANY DOES NOT MAKE ANY CONTRIBUTIONS TO. EACH OF THE FOLLOWING PARTICIPANTS CONTRIBUTED $19,500 TO THE PLAN DURING 2021 - MARK MITCHKE, BRADLEY BERG, ERIC LO, GARRETT WHITNEY, AND LINDA LAY. THE PLAN HAD TOTAL ASSETS OF $1,830,320 AT DECEMBER 31, 2021. |
| SCHEDULE J PART I LINE 6A | THE BOARD OF DDWA ANNUALLY APPROVES A COMPANY-WIDE BONUS MATRIX BASED ON FOUR METRICS, ONE OF WHICH WAS BASED ON THE OPERATING PROFIT MARGIN FOR THE FISCAL YEAR. THE OTHER METRICS ARE ADMINISTRATIVE COST, NEW GROUP SALES, AND GROUP CUSTOMER PERSISTENCY (RETENTION). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DDWA'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, IN ACCORDANCE WITH THE WDS BYLAWS. WDS DIRECTORS ALSO CURRENTLY SERVE AS DIRECTORS ON THE DDWA BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNANCE & NOMINATING COMMITTEE (GNC) OF THE BOARD OF DIRECTORS SOLICITS ADVICE ON CANDIDATES AND SUBMITS NOMINEES TO THE WDS/DDWA 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) CONSISTS OF TEN TO FIFTEEN MEMBERS THAT ARE SELECTED BY THE WDS BOARD FROM NOMINEES BY THE GNC. THE MAP PROVIDES CONSULTATION TO THE COMPANY, INCLUDING THE GNC AND BOARD, ON A VARIETY OF MATTERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE ABOVE |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS COMPLETED BY KPMG. THE FORM 990 AND SUPPORTING DOCUMENTATION IS REVIEWED AND APPROVED BY THE 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 12C | THE 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, THEY ARE REQUIRED TO EXPLICITLY ACKNOWLEDGE A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT 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 IF ANY CONFLICTS EXIST. THE COMPLETED QUESTIONNAIRES THAT NOTE ANY CONFLICTS ARE REVIEWED BY THE BOARD AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED OF ANY ACTION 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 OR DISAPPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED AND COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED IF DEEMED APPROPRIATE; (5) CONFLICTING ISSUES DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED ARE REFERRED TO THE GOVERNANCE AND NOMINATING COMMITTEE; AND (6) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD (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 THE CEO. IN 2019, THE HRCC DEVELOPED, 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 EXPERT, 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. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN 2021 FOR DIRECTORS AND 2020 FOR SMT, AND INCLUDED THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHAIR, VICE CHAIR, SECRETARY, TREASURER, OTHER C-LEVEL EXECUTIVES AND OTHER VICE PRESIDENT ROLES. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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 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 VII, SECTION A, LINE 1A | THE FOLLOWING DIRECTORS ALSO RECEIVED CLINICAL REIMBURSEMENTS IN ADDITION TO THEIR DIRECTOR'S FEES, THE TOTAL OF WHICH IS REPORTED IN COLUMN D - REPORTABLE COMPENSATION FROM THE ORGANIZATION. LABBERTON, WELLS, K. - $380,306 DIRECTOR FEE AND BENEFITS - $172,029 CLINICAL REIMBURSEMENT - $208,277 PICKEL, CHRISTOPHER - $533,908 DIRECTOR FEE - $121,113 CLINICAL REIMBURSEMENT - $412,795 RUTHERFORD, EVE M. - $904,561 DIRECTOR FEE - $158,789 CLINICAL REIMBURSEMENT - $745,772 HAKES, KATHERINE - $836,565 DIRECTOR FEE - $129,261 CLINICAL REIMBURSEMENT - $707,304 |
| FORM 990, PART XI, LINE 9: | DISTRIBUTION TO WASHINGTON DENTAL SERVICES -13,300,000. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCORA FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 FAIRVIEW AVE N | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910621480 | EIN |
| Primary Activities | EDUCATION | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Total Income | -$23,000 | TotalIncomeAmt |
| End Of Year Assets | $2,406,000 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DDWA | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WASHINGTON DENTAL SERVICE FUND | |||||||||||
| 400 FAIRVIEW AVE N | SEATTLE | WA | 98109 | 911281990 | ORAL HEALTH EDUCATION | WA | 501(C)(3) | LINE 10 | ARCORA | Yes (1) | |
| WASHINGTON DENTAL SERVICE | |||||||||||
| 400 FAIRVIEW AVE N | SEATTLE | WA | 98109 | 270937829 | HOLDING CO | WA | 501(C)(4) | 0 | N/A | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRINGROCK VENTURES II LP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 6TH AVE SUITE 3400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851520667 | EIN |
| Primary Activities | INVEST ORAL HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | DE | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SRMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRINGROCK MANAGEMENT COMPANY (SRMC) | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 6TH AVE SUITE 3400 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851502581 | EIN |
| Primary Activities | MGMT/GP IN SRV II | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WASHINGTON DENTAL SERVICE | ||
| R | $13,300,000 | CASH |
| WASHINGTON DENTAL SERVICE | ||
| O | $3,316,839 | BOOK |
| WASHINGTON DENTAL SERVICE | ||
| N | $29,400 | BOOK |
| SPRINGROCK MANAGEMENT COMPANY | ||
| O | $627,474 | BOOK |