DELTA DENTAL OF WASHINGTON: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF WASHINGTON (EIN 91-0621480)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-14
- IRS object ID
- 201902279349300605
- Schema version
- 2018v3.1
- 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 | 2019-08-14T14:30:38-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 1918 Eighth Avenue Suite 2900 | AddressLine1Txt |
| City | Seattle | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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) |
|---|---|---|
| In Care Of | % BRADLEY BERG | InCareOfNm |
| 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 | BRADLEY A BERG | PersonNm |
| Person Title | CFO & COO | PersonTitleTxt |
| Phone | 2065521300 | PhoneNum |
| Signature | 2019-07-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa M Meyer | PreparerPersonNm |
| PTIN | P01490170 | PTIN |
| Phone | 2069134000 | PhoneNum |
| Preparation | 2019-08-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.102.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 91023620192265000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-08-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F38A2B224CC324645FF93FE6CC77049E692FCAB6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 84F8CBD68154942A92FE7CAD58CD12647150E6D8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Bradley A Berg | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $1,420,166,720 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 470 | TotalEmployeeCnt |
| Total Volunteers | 131 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $135,535 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $38,764 | PYContributionsGrantsAmt |
| CY Contributions Grants | $154,623 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,287,264,642 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,373,802,840 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,843,864 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,421,105 | CYInvestmentIncomeAmt |
| PY Other Revenue | $76,893 | PYOtherRevenueAmt |
| CY Other Revenue | $101,460 | CYOtherRevenueAmt |
| PY Total Revenue | $1,293,224,163 | PYTotalRevenueAmt |
| CY Total Revenue | $1,381,480,028 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,582,313 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,616,441 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,159,551,848 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,246,316,566 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,281,111 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,730,710 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $61,488,452 | PYOtherExpensesAmt |
| CY Other Expenses | $73,884,623 | CYOtherExpensesAmt |
| PY Total Expenses | $1,273,903,724 | PYTotalExpensesAmt |
| CY Total Expenses | $1,373,548,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,320,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,931,688 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $267,593,078 | TotalAssetsBOYAmt |
| Total Assets EOY | $253,151,922 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,948,719 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $70,712,015 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $205,644,359 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $182,439,907 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $1,289,628,637 | ExpenseAmt |
| Revenue | $1,373,722,579 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,643,780 | ExpenseAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,830,097 | ExpenseAmt |
| Grant | $1,830,097 | GrantAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc | GrantGrantAmt |
|---|---|---|---|
| $568,597 | $80,261 | SMILEMOBILE REVENUE | |
| $63,000 | WDSF WATER FLUORIDATION | $63,000 | |
| $207,358 | MATCHING DONATIONS | $118,184 | |
| $1,605,160 | OTHER DONATIONS | $1,605,160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,444,115 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,786,344 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $80,261 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,296,546,629 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (true) | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 61191 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 470 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRADLEY BERG | PersonNm |
| 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 (25 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Dwyer James D | ||||||||||
| President & CEO thru 11/18/18 | 36.0 | 4.0 | Yes (X) | Yes (X) | $3,126,394 | $0 | $144,183 | |||
| Mitchke Mark D | ||||||||||
| President & CEO beg 11/19/18 | 36.0 | 4.0 | Yes (X) | Yes (X) | $316,300 | $0 | $2,632 | |||
| Beck G Douglas | ||||||||||
| Director | 11.0 | 4.0 | Yes (X) | $138,604 | $0 | $0 | ||||
| Brown Colleen B | ||||||||||
| Treasurer | 8.0 | 3.0 | Yes (X) | Yes (X) | $140,194 | $0 | $0 | |||
| Farrell Anne V | ||||||||||
| Vice Chair | 11.0 | 3.0 | Yes (X) | Yes (X) | $169,547 | $0 | $0 | |||
| Harwell Janis L | ||||||||||
| Director | 10.0 | 3.0 | Yes (X) | $134,106 | $0 | $0 | ||||
| Labberton Wells K | ||||||||||
| Secretary | 11.0 | 4.0 | Yes (X) | Yes (X) | $323,166 | $0 | $0 | |||
| Lohkamp Joanna L | ||||||||||
| Director | 8.0 | 3.0 | Yes (X) | $126,975 | $0 | $0 | ||||
| Phipps Gerald S | ||||||||||
| Chair | 19.0 | 6.0 | Yes (X) | Yes (X) | $188,797 | $0 | $0 | |||
| Rutherford Eve M | ||||||||||
| Director | 10.0 | 3.0 | Yes (X) | $742,071 | $0 | $0 | ||||
| Seely Jeffrey T | ||||||||||
| Director | 11.0 | 4.0 | Yes (X) | $138,600 | $0 | $0 | ||||
| Tune James F | ||||||||||
| Director | 15.0 | 5.0 | Yes (X) | $138,589 | $0 | $0 | ||||
| Berg Bradley | ||||||||||
| COO & CFO | 36.0 | 4.0 | Yes (X) | $934,665 | $0 | $145,351 | ||||
| Aliabadi Karen | ||||||||||
| Chief HR Strategist | 40.0 | 0.0 | $578,322 | $0 | $93,311 | Yes (X) | ||||
| Lo Eric | ||||||||||
| VP, Underwriting/Actuarial | 40.0 | 0.0 | $473,942 | $0 | $86,912 | Yes (X) | ||||
| Lowry-Oakes Diane | ||||||||||
| President & CEO Foundation | 40.0 | 0.0 | $344,095 | $0 | $99,826 | Yes (X) | ||||
| Snyder Cindy | ||||||||||
| VP Netwk Strategy & Proj mgmt | 40.0 | 0.0 | $388,340 | $0 | $131,894 | Yes (X) | ||||
| Whitney Garrett | ||||||||||
| Chief Information Officer | 40.0 | 0.0 | $281,438 | $0 | $50,595 | Yes (X) | ||||
| Bartlett Ryan | ||||||||||
| Director of Finance | 40.0 | 0.0 | $231,148 | $0 | $47,958 | Yes (X) | ||||
| Dosch Kyle | ||||||||||
| Dental Director | 40.0 | 0.0 | $237,083 | $0 | $26,641 | Yes (X) | ||||
| Jahrman Christopher | ||||||||||
| Director, Oper & Patient Exp | 40.0 | 0.0 | $239,258 | $0 | $36,847 | Yes (X) | ||||
| Lay Linda | ||||||||||
| Director Sales & Account Mgmt | 40.0 | 0.0 | $318,731 | $0 | $25,894 | Yes (X) | ||||
| Orenstein Jane | ||||||||||
| Director & Corporate Counsel | 40.0 | 0.0 | $223,996 | $0 | $32,074 | Yes (X) | ||||
| Gates Thomas | ||||||||||
| Former VP, Planning & Corp Dev | 40.0 | 0.0 | $345,123 | $0 | $0 | Yes (X) | ||||
| Merlo Kristin | ||||||||||
| Former Chief mktg & sales ofc | 40.0 | 0.0 | $638,571 | $0 | $122,680 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,918,055 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,046,798 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 113 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt | CityContractorAddress/ForeignAddress/CityNm | Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm | 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 | 0 | EI | SOFTWARE DEVELOPMENT | $5,841,574 | ||||
| WYSSTA SERVICES INC | |||||||||
| INDIVIDUAL PLAN TPA | $3,990,450 | PO BOX 86 | STECEN POINT | WI | 54481 | ||||
| RED CARD SYSTEMS LLC | |||||||||
| PRINTING/ MAILING | $2,263,896 | 744 OFFICE PARKWAY | ST LOUIS | MO | 63141 | ||||
| CHANGE HEALTHCARE OPERATIONS LLC | |||||||||
| PRINTING/ MAILING | $2,038,268 | PO BOX 572490 | MURRAY | UT | 84157 | ||||
| WILLIS TOWERS WATSON US LLC | |||||||||
| CUSTOMER BROKER | $1,701,462 | PO BOX 28852 | NEW YORK | NY | 10087 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 101 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $8,283 | RelatedOrganizationsAmt |
| All Other Contributions | $146,340 | AllOtherContributionsAmt |
| Total Contributions | $154,623 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREMIUM REVENUE | 524114 | $1,373,722,579 | $1,373,722,579 |
| SMILEMOBILE (MOBILE DENTIST OFFICE) | 621990 | $80,261 | $80,261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,373,802,840 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,547,087 | TotalRevenueColumnAmt |
| Exclusion | $7,547,087 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,780 | TotalRevenueColumnAmt |
| Exclusion | $30,780 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,457,330 | SecuritiesAmt |
| Other | $72,600 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,686,692 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$229,362 | SecuritiesAmt |
| Other | $72,600 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$156,762 | TotalRevenueColumnAmt |
| Exclusion | -$156,762 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $101,460 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,460 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $101,460 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,381,480,028 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,373,904,300 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,421,105 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,616,441 | TotalAmt |
| Program Services | $3,616,441 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,246,316,566 | TotalAmt |
| Program Services | $1,246,316,566 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,368,474 | TotalAmt |
| Program Services | $4,005,969 | ProgramServicesAmt |
| Management And General | $5,362,505 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,957,127 | TotalAmt |
| Program Services | $11,306,008 | ProgramServicesAmt |
| Management And General | $17,651,119 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,886,367 | TotalAmt |
| Program Services | $623,684 | ProgramServicesAmt |
| Management And General | $1,262,683 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,819,587 | TotalAmt |
| Program Services | $2,734,569 | ProgramServicesAmt |
| Management And General | $4,085,018 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,699,155 | TotalAmt |
| Program Services | $1,084,156 | ProgramServicesAmt |
| Management And General | $1,614,999 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,873 | TotalAmt |
| Program Services | $61,988 | ProgramServicesAmt |
| Management And General | $270,885 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,008 | TotalAmt |
| Management And General | $332,008 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,796 | TotalAmt |
| Program Services | $72,796 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,559 | TotalAmt |
| Management And General | $522,559 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,724,632 | TotalAmt |
| Program Services | $4,576,902 | ProgramServicesAmt |
| Management And General | $3,147,730 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,805,575 | TotalAmt |
| Program Services | $2,643,780 | ProgramServicesAmt |
| Management And General | $2,161,795 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,331,922 | TotalAmt |
| Program Services | $3,488,992 | ProgramServicesAmt |
| Management And General | $2,842,930 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,839,322 | TotalAmt |
| Program Services | $85,414 | ProgramServicesAmt |
| Management And General | $5,753,908 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,427,529 | TotalAmt |
| Program Services | $192,671 | ProgramServicesAmt |
| Management And General | $4,234,858 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,903,235 | TotalAmt |
| Program Services | $628,011 | ProgramServicesAmt |
| Management And General | $1,275,224 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,028 | TotalAmt |
| Program Services | $109,853 | ProgramServicesAmt |
| Management And General | $482,175 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,812 | TotalAmt |
| Program Services | -$44 | ProgramServicesAmt |
| Management And General | $1,856 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,183,984 | TotalAmt |
| Program Services | $43,869 | ProgramServicesAmt |
| Management And General | $8,140,115 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,274 | TotalAmt |
| Management And General | $281,274 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COMMISSIONS | $13,021,260 | $13,021,260 | |
| TAXES & SERVICE CHARGES | $17,955,974 | $1,753,800 | $16,202,174 |
| RESEARCH & DEVELOPMENT | $179,685 | $89,843 | $89,842 |
| DUES & SUBSCRIPTIONS | $1,283,815 | $77,846 | $1,205,969 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,340 | TotalAmt |
| Program Services | $12,255 | ProgramServicesAmt |
| Management And General | $80,085 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,373,548,340 | TotalAmt |
| Program Services | $1,296,546,629 | ProgramServicesAmt |
| Management And General | $77,001,711 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,456,711 | BOYAmt |
| EOY | $290,984 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,677,652 | BOYAmt |
| EOY | $2,719,778 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,883,776 | BOYAmt |
| EOY | $21,139,355 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,486,836 | BOYAmt |
| EOY | $4,925,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $77,560,157 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,221,182 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,111,253 | BOYAmt |
| EOY | $27,338,975 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,820,153 | BOYAmt |
| EOY | $194,418,934 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,309,721 | BOYAmt |
| EOY | $1,400,320 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $846,976 | BOYAmt |
| EOY | $917,810 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,593,078 | BOYAmt |
| EOY | $253,151,922 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,353,262 | BOYAmt |
| EOY | $64,799,489 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,100,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,595,457 | BOYAmt |
| EOY | $4,812,526 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,948,719 | BOYAmt |
| EOY | $70,712,015 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,644,359 | BOYAmt |
| EOY | $182,439,907 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,644,359 | BOYAmt |
| EOY | $182,439,907 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,593,078 | BOYAmt |
| EOY | $253,151,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,931,688 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,536,140 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,600,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $221,519 | PoliticalExpendituresAmt |
| Internal Funds Contributed | $221,519 | InternalFundsContributedAmt |
| Total Exempt Function Expend | $221,519 | TotalExemptFunctionExpendAmt |
| Form1120 POL Filed | Yes (true) | Form1120POLFiledInd |
Section527 Political Org Section527PoliticalOrgGrp (6 entries)
| Business Name Line2OrganizationBusinessName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Paid Internal FundsPaidInternalFundsAmt |
|---|---|---|---|---|---|---|
| FRIENDS OF ANDREW | ||||||
| BARKIS | PO BOX 8728 | LACEY | WA | 98509 | 811755579 | $1,000 |
| BAR HARBOR | ||||||
| 17804 3RD PL SW | NORMANDY PRK | WA | 98166 | 812976085 | $1,519 | |
| CITIZENS FOR STEVE | ||||||
| BERGQUIST | PO BOX 2050 | RENTON | WA | 98056 | 454489263 | $1,000 |
| CITIZENS TO ELECT | ||||||
| BILL JENKIN | PO BOX 1708 | PROSSER | WA | 99350 | 081344308 | $1,000 |
| COMMITTEE TO ELECT | ||||||
| BRIAN BLAKE | PO BOX 1541 | LONGVIEW | WA | 98632 | 870699800 | $1,000 |
| COMMITTEE TO ELECT | ||||||
| MATT BOEHNKE | 6855 W CLEARWATER AVE | KENNEWICK | WA | 99336 | 474567892 | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C 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 HEALTH AND 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,265,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,712,240 | DepreciationAmt |
| Book Value | $8,553,119 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,115,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,641,328 | DepreciationAmt |
| Book Value | $4,473,921 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,179,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,867,614 | DepreciationAmt |
| Book Value | $14,311,935 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,338,975 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| North Olympic Health Network Dental Clinic | |||||||
| 240 W Front St | Port Angeles | WA | 98362 | 471444061 | 501(c)(3) | $75,000 | Capital funding for clinic development |
| Washington Association of Community & Migrant | |||||||
| 101 Capitol Way N | Olympia | WA | 98501 | 911323282 | 501(c)(3) | $45,427 | Funding to support Dental Learning Network |
| Community Health Worker Coalition for Migrants | |||||||
| 24315 89TH PL W | Edmonds | WA | 98026 | 832266657 | 501(c)(3) | $45,500 | Funding to develop outreach on Census |
| American Academy of Pediatrics | |||||||
| 141 NW Point Boule | Elk Grove | IL | 60007 | 362275597 | 501(c)(3) | $50,000 | Funding to support national fluoridation education |
| Society of Teachers of Family Medicine | |||||||
| 11400 Tomahawk Creek Pk | Leawood | KS | 66211 | 431026492 | 501(c)(3) | $196,020 | Funding to support Smiles for Life |
| Frontier Behavior Health | |||||||
| 107 South Division Street | Spokane | WA | 99202 | 910853801 | 501(c)(3) | $66,982 | Funding to support OH coordination |
| Solid Ground of Washington | |||||||
| 1501 N 45TH St | Seattle | WA | 98103 | 237421892 | 501(c)(3) | $10,000 | Funding to support participation in Task Force |
| Communities in Schools | |||||||
| 905 W Riverside Ave | Spokane | WA | 99201 | 581289174 | 501(c)(3) | $56,000 | Funding to support Sealant program |
| Eastern Washington University | |||||||
| 310 N Riverpoint BLVD E | Spokane | WA | 99202 | 916000186 | 501(c)(3) | $24,952 | Funding toward teledentistry pilot |
| Spokane District Dental Society | |||||||
| 2403 E Mission Ave | Liberty Lake | WA | 99019 | 208248281 | 501(c)(3) | $25,651 | Funding toward teledentistry pilot |
| Aging and Long-term Care of Eastern WA | |||||||
| 1222 N Post St | Spokane | WA | 99201 | 911017706 | 501(c)(3) | $13,910 | Funding to support care coordination |
| Spokane Regional Health District | |||||||
| 1101 W College W | Spokane | WA | 99201 | 911527532 | 501(c)(3) | $28,145 | Funding Opioid Anchor Strategy - SPO LIN |
| Thurston County Public Health | |||||||
| 412 Lily Rd NE | Olympia | WA | 98506 | 916001375 | THURSTON COUNTY | $111,145 | Funding to support LIN evaluation |
| Olympia Union Gospel Mission | |||||||
| PO Box 7668 | Olympia | WA | 98507 | 911680748 | 501(c)(3) | $60,523 | Funding toward increasing dental access |
| CHOICE Regional Health | |||||||
| 1217 4th Ave E | Olympia | WA | 98506 | 911704039 | 501(c)(3) | $88,814 | Funding toward care coordination and opioid education |
| NW Portland Area Indian Health - Skagit | |||||||
| 2121 SW Broadway | Portland | OR | 97201 | 930718154 | 501(c)(3) | $1,000,000 | Funding for Dental Therapy Education |
| NW Portland Area Indian Health - Lummi | |||||||
| 2121 SW Broadway | Portland | OR | 97201 | 930718154 | 501(c)(3) | $15,000 | Funding for Dental Therapy Education |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I Part I Line 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | 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 (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| Dwyer James D | |||||||
| President & CEO thru 11/18/18 | $905,385 | $1,584,000 | $637,009 | $118,500 | $25,683 | $3,270,577 | $664,569 |
| Mitchke Mark D | |||||||
| President & CEO beg 11/19/18 | $65,385 | $250,000 | $915 | $2,632 | $318,932 | ||
| Farrell Anne V | |||||||
| Vice Chair | $169,547 | $169,547 | |||||
| Labberton Wells K | |||||||
| Secretary | $137,610 | $185,556 | $323,166 | ||||
| Phipps Gerald S | |||||||
| Chair | $179,802 | $8,995 | $188,797 | ||||
| Rutherford Eve M | |||||||
| Director | $132,490 | $609,581 | $742,071 | ||||
| Berg Bradley | |||||||
| COO & CFO | $587,301 | $336,025 | $11,339 | $113,870 | $31,481 | $1,080,016 | |
| Aliabadi Karen | |||||||
| Chief HR Strategist | $335,160 | $231,762 | $11,400 | $65,290 | $28,021 | $671,633 | |
| Lo Eric | |||||||
| VP, Underwriting/Actuarial | $305,592 | $167,664 | $686 | $57,089 | $29,823 | $560,854 | |
| Lowry-Oakes Diane | |||||||
| President & CEO Foundation | $226,100 | $113,902 | $4,093 | $64,386 | $35,440 | $443,921 | |
| Snyder Cindy | |||||||
| VP Netwk Strategy & Proj mgmt | $262,187 | $116,566 | $9,587 | $105,838 | $26,056 | $520,234 | |
| Whitney Garrett | |||||||
| Chief Information Officer | $223,268 | $61,877 | -$3,707 | $17,861 | $32,734 | $332,033 | |
| Bartlett Ryan | |||||||
| Director of Finance | $191,658 | $42,216 | -$2,726 | $15,333 | $32,625 | $279,106 | |
| Dosch Kyle | |||||||
| Dental Director | $197,868 | $39,484 | -$269 | $15,829 | $10,812 | $263,724 | |
| Jahrman Christopher | |||||||
| Director, Oper & Patient Exp | $198,422 | $44,041 | -$3,205 | $15,874 | $20,973 | $276,105 | |
| Lay Linda | |||||||
| Director Sales & Account Mgmt | $188,924 | $127,537 | $2,270 | $15,114 | $10,780 | $344,625 | |
| Orenstein Jane | |||||||
| Director & Corporate Counsel | $183,977 | $38,781 | $1,238 | $14,718 | $17,356 | $256,070 | |
| Gates Thomas | |||||||
| Former VP, Planning & Corp Dev | $345,123 | $345,123 | |||||
| Merlo Kristin | |||||||
| Former Chief mktg & sales ofc | $397,007 | $234,217 | $7,347 | $92,333 | $30,347 | $761,251 | |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J PART I LINE 1a | DDWA OCCASIONALLY PAYS FOR SPOUSAL TRAVEL FOR THE CEO, WHICH IS TREATED AS TAXABLE INCOME. ANY FIRST CLASS TRAVEL IS SUBJECT TO THE APPROVAL OF THE CEO. DDWA PROVIDES A WELLNESS PROGRAM WHICH REIMBURSES 50% OF APPROVED EXPENSES FOR ALL EMPLOYEES WORKING 30 HOURS OR MORE A WEEK, WITH A MAXIMUM PAYABLE OF $40/ MONTH, OR $480 PER YEAR, AND 25% OF APPROVED EXPENSES FOR PART-TIME EMPLOYEES WORKING 20 TO 30 HOURS A WEEK WITH A MAXIMUM PAYMENT OF $20/ MONTH, OR $240 PER YEAR FOR HEALTH CLUB MEMBERSHIPS, AEROBIC OR GENERAL EXERCISE CLASSES, WEIGHT LOSS PROGRAMS, STRESS MANAGEMENT AND MASSAGE THERAPY. THESE REIMBURSEMENTS ARE TREATED AS TAXABLE INCOME. ADDITIONALLY, HEALTH OR LUNCHEON CLUB DUES FOR SENIOR MANAGEMENT SUBMITTED FOR REIMBURSEMENT ARE INCLUDED IN TAXABLE INCOME. THE CEO DID NOT RECEIVE ANY HEALTH OR LUNCHEON CLUB DUE BENEFITS DURING 2018. DDWA GROSSES UP AN EXECUTIVE AUTO STIPEND PAID TO CERTAIN EMPLOYEES. DDWA GROSSES UP BOARD MEMBER FEES TO COVER B&O TAXES ASSESSED ON DIRECTOR FEES PAID TO THE BOARD. |
| SCHEDULE J 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, CMO, CSO, CHIEF HUMAN RESOURCE STRATEGIST, AND VP Network Strategy and Project Management, IN COMPARISON TO THE PRACTICE OF SIMILAR EMPLOYERS IN THE MARKETPLACE. THE PROCESS IS CONDUCTED ON AN ANNUAL BASIS. |
| SCHEDULE J PART I LINE 4b | THE COMPANY MAKES CONTRIBUTIONS TO A NON-QUALIFIED, SUPPLEMENTAL RETIREMENT/DEFERRED 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 2018 WERE AS FOLLOWS: BRADLEY BERG, CHIEF OPERATING AND FINANCIAL OFFICER, $95,370; ERIC LO, VP UNDERWRITING/ACTUARIAL, $38,753; CINDY SNYDER, VP INNOVATION SERVICES AND PROVIDER RELATIONS, $87,338; KAREN ALIABADI, CHIEF HR STRATEGIST, $46,790; DIANE LOWRY-OAKES, PRESIDENT & CEO OF WDS FOUNDATION, $46,298; KRISTIN MERLO, CHIEF MARKETING INFORMATION AND SALES OFFICER, $73,833. THE 457(B) PLAN HAD TOTAL ASSETS OF $786,000 AT DECEMBER 31, 2018. THE COMPANY ALSO MAKES A CONTRIBUTION TO A 457(F) NON-QUALIFIED SERP, A DEFINED CONTRIBUTION PLAN FOR THE COMPANY'S PRESIDENT AND CEO DUE TO AGE RESTRICTIONS ASSOCIATED WITH THE 457(B) PLAN. IN 2018, THE COMPANY DISTRIBUTED THE ENTIRE PLAN BALANCE OF $665,000. THE PLAN WAS TERMINATED AFTER THE DISTRIBUTION OF ALL PLAN ASSETS IN 2018. 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 $18,500 TO THE PLAN DURING 2018 - JAMES DWYER, BRADLEY BERG, ERIC LO, AND DIANE LOWRY-OAKES. Kristin Merlo and Mark Mitchke contributed $14,942 and $1,423, respectively. THE PLAN HAD TOTAL ASSETS OF $905,000 AT DECEMBER 31, 2018. |
| SCHEDULE J PART I LINE 6a | THE BOARD OF DDWA ANNUALLY APPROVES A COMPANY-WIDE BONUS MATRIX BASED ON FIVE METRICS, ONE OF WHICH WAS BASED ON THE OPERATING PROFIT MARGIN FOR THE FISCAL YEAR. THE OTHER METRICS WERE ADMINISTRATIVE COST, NEW SALES FOR SMALL AND LARGE CUSTOMERS, AND CUSTOMER PERSISTENCY (RETENTION). |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 Part I Line 1 and Part III Line 1 | DDWA WILL REVOLUTIONIZE THE ORAL HEALTH INDUSTRY AND IMPROVE OVERALL HEALTH. THIS INCLUDES, but is not limited to, the following to provide dental service and provide dental benefits: TO SECURE DENTAL SERVICE FOR EMPLOYER GROUPS, INDIVIDUALS AND THEIR FAMILIES; PROVIDE INNOVATIVE PRODUCTS AND SERVICES; TO ENCOURAGE, foster and finance innovation, professional and scientific study AND RESEARCH IN THE GENERAL FIELD OF ORAL HEALTH; AND TO EDUCATE THE PUBLIC CONCERNING THE NEED FOR AND ADVANTAGE OF ADEQUATE DENTAL TREATMENT. |
| Form 990 Part III Line 3 | ON DECEMBER 21, 2018, DELTA DENTAL OF WASHINGTON DISTRIBUTED $17,600,000 IN CASH AND CASH EQUIVALENTS TO ITS SOLE MEMBER WASHINGTON DENTAL SERVICE. |
| Form 990 Part III Line 4a | DDWA provides dental insurance for over 3,226,000 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 4,600 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 2018, DDWA processed over 6,740,000 claims for subscribers and their dependents. To ensure providers are submitting claims appropriately, we audited over 33,000 individual claims, the results of which include education of dental office staff on the use of CDT codes, invoicing procedures and reducing common errors. Form 990 Part III Line 4b Delta 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. Form 990 Part III Line 4c Dental decay is the single most common chronic disease of early childhood - five times more common than asthma. Nearly one in five adults, nationally, has untreated dental cavities. The Arcora Foundation (the Foundation), a wholly owned subsidiary of DDWA, supported almost exclusively by DDWA, focuses much of their work specifically on 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 facilitating access to 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 53% from 1997 to 2018. The Early Intervention in Medical Settings programs is training pediatricians in the advantages and techniques of oral screening, applying fluoridation and referring high risk patients for dental care. |
| Form 990 Part III Line 4d | 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 dental facility traveling to underserved areas of the state. More than 20,000 low-income and at-risk-children state-wide received dental services in the last 10 years through the Foundation operated SmileMobile. Volunteer time is also spent handing out flyers promoting oral health to Washington citizens at fairs, the zoo, parades, and events across the state. 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 supported Seattle Children's Hospital to equip and operationalize the new Odessa Brown Children's Clinic (OBCC) dental clinic. OBCC hub will be an innovative, forward thinking project that will test and promote new health delivery strategies in Washington State. DDWA also supported Providence Health Care Foundation for the purchase and installation of dental equipment at the Providence Sacred Heart Medical Center Dental Clinic and the Providence/ CHAS north dental clinic. The grant is made for the intended use of providing access to dental care for low-income and medically complex individuals. |
| Form 990 Part VI 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 Line 7a | THE 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) CONSISTS OF TEN TO FIFTEEN MEMBERS THAT ARE SELECTED BY THE 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 Line 7b | Changes to the WDS Corporate By-laws by the WDS Board are subject to approval by the WDS member dentists. |
| Form 990 Part VI Line 11b | THE 990 IS COMPLETED BY KPMG. THE FORM 990 AND SUPPORTING DOCUMENTATION IS REVIEWED AND APPROVED BY THE ACCOUNTING MANAGER, 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 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 OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, 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 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 2018, 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. |
| FORM 990, PART VI, 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. - $323,166 ------------------------------- DIRECTOR FEE - $137,610 CLINICAL REIMBURSEMENT - $185,556 PHIPPS, GERALD S. - $188,797 ------------------------------- DIRECTOR FEE - $179,802 CLINICAL REIMBURSEMENT - $8,995 RUTHERFORD, EVE M. - $742,071 ------------------------------- DIRECTOR FEE - $132,490 CLINICAL REIMBURSEMENT - $609,581 |
| FORM 990, PART XI, LINE 9 | On December 21, 2018, Delta Dental of Washington distributed $17,600,000 in cash and cash equivalents to its sole member Washington Dental Service. |
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 SUITE 800 | 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 | $228,000 | TotalIncomeAmt |
| End Of Year Assets | $1,918,000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| WASHINGTON DENTAL SERVICE FUND | ||||||||||
| 400 FAIRVIEW AVE N SUITE 800 | SEATTLE | WA | 98109 | 911281990 | EDUCATION | WA | 501(c)(3) | 10 | DDWA | Yes (true) |
| WASHINGTON DENTAL SERVICE | ||||||||||
| 400 FAIRVIEW AVE N SUITE 800 | SEATTLE | WA | 98109 | 270937829 | HOLDING CO. | WA | 501(c)(4) | NA | Yes (true) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WASHINGTON DENTAL SERVICE | ||
| r | $17,600,000 | CASH/INVESTMENT |
| WASHINGTON DENTAL SERVICE | ||
| o | $1,320,847 | CASH |
| WASHINGTON DENTAL SERVICE | ||
| q | $14,400 | SHARED SERVICES |