Skip to content
Nonprofiteer
← WASHINGTON DENTAL SERVICE

Form 990 for tax year 2022

Filed by WASHINGTON DENTAL SERVICE.

Totals

Total revenue
$891,081
Total expenses
$8,293,573
Contributions and grants received
$0
Grants paid
$834,807
Program service revenue
$0
Investment income
$891,081
Other revenue
$0
Total assets, end of year
$139,346,327
Total liabilities, end of year
$1,145,793
Net assets or fund balances, end of year
$138,200,534
Program services expenses (Part IX)
$3,863,845
Management and general expenses
$4,429,728
Fundraising expenses
$0
Program service expenses (Part III)
$3,863,845

Program services were 46.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $2,415,210 · excluded $2,415,210

  • 7a · Gross sales of assets other than inventory

    securities $30,407,424 · other assets $6,646,039

  • 7b · Less cost or other basis and sales expenses

    securities $27,996,965 · other assets $10,580,627

  • 7c · Gain or loss

    securities $2,410,459 · other assets -$3,934,588

  • 7d · Net gain or loss

    total -$1,524,129 · excluded -$1,524,129

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $834,807 · program services $834,807

  • 5 · Compensation of officers, directors and key employees

    total $2,313,656 · program services $1,798,136 · management and general $515,520

  • 7 · Other salaries and wages

    total $1,197,470 · program services $543,434 · management and general $654,036

  • 11a · Fees: management

    total $969,278 · program services $662,695 · management and general $306,583

  • 11b · Fees: legal

    total $636,735 · program services $9,635 · management and general $627,100

  • 11f · Fees: investment management

    total $25,375 · management and general $25,375

  • 11g · Fees: other

    total $1,772,791 · management and general $1,772,791

  • 12 · Advertising and promotion

    total $54,991 · management and general $54,991

  • 13 · Office expenses

    total $18,128 · management and general $18,128

  • 14 · Information technology

    total $5,516 · management and general $5,516

  • 16 · Occupancy

    total $22,700 · program services $15,138 · management and general $7,562

  • 17 · Travel

    total $141,658 · management and general $141,658

  • 19 · Conferences, conventions and meetings

    total $14,156 · management and general $14,156

  • 23 · Insurance

    total $199,751 · management and general $199,751

  • 24a · Other expenses: TAXES & SERVICE CHARGES

    total $80,021 · management and general $80,021

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $6,540 · management and general $6,540

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,386,794 · end of year $20,357,772

  • 2 · Savings and temporary cash investments

    beginning of year $520,901 · end of year $301,945

  • 4 · Accounts receivable

    beginning of year $412,206 · end of year $525,542

  • 11 · Investments: publicly traded securities

    beginning of year $104,739,117 · end of year $90,224,763

  • 13 · Investments: program-related

    beginning of year $33,351,198 · end of year $27,817,914

  • 14 · Intangible assets

    beginning of year $4,946 · end of year $4,946

  • 15 · Other assets

    beginning of year $400,315 · end of year $113,445

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,183,737 · end of year $1,145,793

  • 27 · Net assets without donor restrictions

    beginning of year $149,631,740 · end of year $138,200,534

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

WASHINGTON DENTAL SERVICE'S PURPOSE IS TO SERVE AS A HOLDING COMPANY OF DELTA DENTAL OF WA AND ITS AFFILIATES IN SUPPORT OF DDWA'S MISSION OF IMPROVING THE PUBLIC'S ORAL HEALTH.

  • WDS IS COMMITTED TO SUPPORTING THE PROMOTION OF ORAL HEALTH AMONG THE CITIZENS OF WASHINGTON STATE. WDS CURRENTLY FULFILLS ITS MISSION BY GUIDING, MONITORING AND COORDINATING THE TAX-EXEMPT ACTIVITIES OF DELTA DENTAL OF WASHINGTON ("DDWA") AND OTHER RELATED ENTITIES.

    Expenses $3,863,845 · Grants $834,807

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Mitchke Mark D

    PRESIDENT & CHIEF EXECUTIVE OFFICER

    Total calculated
    $4,052,046
    From this org
    $0
    From related orgs
    $3,620,219
    Other
    $431,827
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,159,346 related
    Bonus
    $0 + $2,451,000 related
    Other
    $0 + $9,873 related
    Deferred
    $0 + $394,705 related
    Nontaxable benefits
    $0 + $37,122 related
    Filer's total
    $0 + $4,052,046 related
  • Berg Bradley

    SVP, CHIEF ADMIN OFFICER

    Total calculated
    $2,033,144
    From this org
    $0
    From related orgs
    $1,823,578
    Other
    $209,566
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $805,565 related
    Bonus
    $0 + $571,282 related
    Other
    $0 + $446,731 related
    Deferred
    $0 + $178,786 related
    Nontaxable benefits
    $0 + $30,780 related
    Filer's total
    $0 + $2,033,144 related
  • Farrell Anne V

    DIRECTOR

    Total calculated
    $133,334
    From this org
    $0
    From related orgs
    $133,334
    Other
    $0
    Hours/week
    2 + 8 related
  • Labberton Wells K

    CHAIR - BRD. & DDS FEES

    Total calculated
    $389,984
    From this org
    $0
    From related orgs
    $389,984
    Other
    $0
    Hours/week
    4 + 11 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,225 related
    Bonus
    $0
    Other
    $0 + $203,759 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $389,984 related
  • Seely Jeffrey T

    SECRETARY

    Total calculated
    $161,337
    From this org
    $0
    From related orgs
    $161,337
    Other
    $0
    Hours/week
    4 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $161,337 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $161,337 related
  • Brown Colleen Birdnow

    TREASURER

    Total calculated
    $154,640
    From this org
    $0
    From related orgs
    $154,640
    Other
    $0
    Hours/week
    3 + 9 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $154,640 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $154,640 related
  • Rutherford Eve M

    VICE CHAIR - BRD. & DDS FEES

    Total calculated
    $913,003
    From this org
    $0
    From related orgs
    $913,003
    Other
    $0
    Hours/week
    5 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,689 related
    Bonus
    $0
    Other
    $0 + $745,314 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $913,003 related
  • Hakes Katherine

    DIRECTOR - BRD. & DDS FEES

    Total calculated
    $803,174
    From this org
    $0
    From related orgs
    $803,174
    Other
    $0
    Hours/week
    4 + 12 related

    Schedule J breakdown matched by us

    Base
    $0 + $134,861 related
    Bonus
    $0
    Other
    $0 + $668,313 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $803,174 related
  • Pickel Christopher

    DIRECTOR - BRD. & DDS FEES

    Total calculated
    $558,672
    From this org
    $0
    From related orgs
    $558,672
    Other
    $0
    Hours/week
    3 + 11 related

    Schedule J breakdown matched by us

    Base
    $0 + $127,225 related
    Bonus
    $0
    Other
    $0 + $431,447 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $558,672 related
  • Nelson Carol K

    DIRECTOR

    Total calculated
    $127,225
    From this org
    $0
    From related orgs
    $127,225
    Other
    $0
    Hours/week
    3 + 11 related
  • White Marvin

    DIRECTOR

    Total calculated
    $122,946
    From this org
    $0
    From related orgs
    $122,946
    Other
    $0
    Hours/week
    2 + 7 related
  • Armstrong Scott

    DIRECTOR

    Total calculated
    $133,334
    From this org
    $0
    From related orgs
    $133,334
    Other
    $0
    Hours/week
    3 + 10 related
  • Bell Eric

    MANAGING DIRECTOR - SRMC

    Total calculated
    $526,094
    From this org
    $0
    From related orgs
    $483,900
    Other
    $42,194
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $359,808 related
    Bonus
    $0 + $124,092 related
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $21,694 related
    Filer's total
    $0 + $526,094 related
  • Backus Kirsten

    MANAGING DIRECTOR - SRMC

    Total calculated
    $518,104
    From this org
    $0
    From related orgs
    $487,180
    Other
    $30,924
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $359,808 related
    Bonus
    $0 + $127,372 related
    Other
    $0
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $10,424 related
    Filer's total
    $0 + $518,104 related
  • Lowry-Oakes Diane

    CHIEF MISSION OFFICER

    Total calculated
    $602,211
    From this org
    $0
    From related orgs
    $499,087
    Other
    $103,124
    Hours/week
    39.5 + 0.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,684 related
    Bonus
    $0 + $195,897 related
    Other
    $0 + $506 related
    Deferred
    $0 + $66,703 related
    Nontaxable benefits
    $0 + $36,421 related
    Filer's total
    $0 + $602,211 related
  • Foster Davis

    VP, CORPORATE DEVELOPMENT

    Total calculated
    $665,890
    From this org
    $0
    From related orgs
    $576,563
    Other
    $89,327
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $333,651 related
    Bonus
    $0 + $235,876 related
    Other
    $0 + $7,036 related
    Deferred
    $0 + $52,747 related
    Nontaxable benefits
    $0 + $36,580 related
    Filer's total
    $0 + $665,890 related
  • Puckett Glenn

    ED, HEALTH TRANSFORMATION

    Total calculated
    $309,047
    From this org
    $0
    From related orgs
    $266,926
    Other
    $42,121
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $198,025 related
    Bonus
    $0 + $67,798 related
    Other
    $0 + $1,103 related
    Deferred
    $0 + $15,842 related
    Nontaxable benefits
    $0 + $26,279 related
    Filer's total
    $0 + $309,047 related
  • Melbye Molly

    DIRECTOR, CLINICAL INNOVATION

    Total calculated
    $277,179
    From this org
    $0
    From related orgs
    $259,962
    Other
    $17,217
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $201,637 related
    Bonus
    $0 + $57,399 related
    Other
    $0 + $926 related
    Deferred
    $0 + $16,131 related
    Nontaxable benefits
    $0 + $1,086 related
    Filer's total
    $0 + $277,179 related
  • Tune James F

    FORMER DIRECTOR

    Total calculated
    $11,797
    From this org
    $0
    From related orgs
    $11,797
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $11,797 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $11,797 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
WDS DOES NOT COMPENSATE ANY EMPLOYEES. WDS IS ALLOCATED A PORTION OF THE CEO'S AND CAO'S DDWA COMPENSATION FOR SERVICES PROVIDED TO WDS. DDWA, A RELATED ORGANIZATION, HAS A HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF ITS BOARD OF DIRECTORS THAT ENGAGES A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO EVALUATE ALL KEY EMPLOYEES' COMPENSATION IN COMPARISON TO THE PRACTICE OF SIMILAR EMPLOYERS IN THE MARKETPLACE. THIS PROCESS IS CONDUCTED ON AN ANNUAL BASIS.
PART I, LINE 4B
A RELATED ORGANIZATION MAKES CONTRIBUTIONS TO A NONQUALIFIED PERFORMANCE BASED COMPENSATION PLAN, AS DETERMINED BY THE BOARD OF DIRECTORS, WHICH IS SUBJECT TO CODE SECTION 457(B). A PLAN PARTICIPANT IS BOARD-APPROVED EXECUTIVE LEADERSHIP WHO RECEIVES 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 2022 WERE AS FOLLOWS: MARK MITCHKE, $374,205; BRADLEY BERG $158,286; DIANE LOWRY-OAKES, $46,203; DAVIS FOSTER $32,247. IN ADDITION, A RELATED ORGANIZATION OFFERS 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 $20,500 TO THE PLAN DURING 2022 - MARK MITCHKE, BRADLEY BERG, DIANE LOWRY-OAKES, DAVIS FOSTER.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

  • LAKE WASHINGTON INSTITUTE OF TECHNOLOGY

    $834,807

    SUPPORTING FOR DENTAL PROGRAM

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • INSTITUTE OF ORAL HEALTH

    ORAL HEALTH EDUCATION · WA · income $0 · assets $12,223

    Directly controlled by WDS

  • WDS HOLDINGS LLC

    INV ORAL HEALTH · WA · income $37,000 · assets $345,720

    Directly controlled by WDS

  • SPRINGROCK VENTURES LLC

    INV ORAL HEALTH · WA · income -$3,979,000 · assets $12,434,595

    Directly controlled by WDS

  • SRV2 LLC

    LP IN SRVII · WA · income -$523,000 · assets $13,054,946

    Directly controlled by WDS

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SPRINGROCK VENTURES II LP

    RELATED · INVEST ORAL HEALTH · DE · 40.82% owned · share of income $139,718 · share of assets $13,084,842 · general or managing partner

    Directly controlled by SRMC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SPRINGROCK MANAGEMENT COMPANY (SRMC)

    C · MGMT/GP IN SRV II · WA · 100% owned · share of income $980,000 · share of assets $225,209 · controlled entity

    Directly controlled by WDS

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343189349319244

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

The source document this was parsed from is served over the API, which is where bulk and document access live.