What the amendment changed
Compared with the return it replaced , filed 12 November 2024. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.
Both are the same on the two returns, so the amendment changed something else.
Totals
- Total revenue
- $1,076,782
- Total expenses
- $9,785,620
- Contributions and grants received
- $0
- Grants paid
- $138,530
- Program service revenue
- $0
- Investment income
- $1,076,782
- Other revenue
- $0
- Total assets, end of year
- $153,710,850
- Total liabilities, end of year
- $469,573
- Net assets or fund balances, end of year
- $153,241,277
- Program services expenses (Part IX)
- $3,455,891
- Management and general expenses
- $6,329,729
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $3,455,891
Program services were 35.3% 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 $2,345,972 · excluded $2,345,972
-
7a · Gross sales of assets other than inventory
securities $76,298,593 · other assets $3,900,226
-
7b · Less cost or other basis and sales expenses
securities $78,546,216 · other assets $2,921,793
-
7c · Gain or loss
securities -$2,247,623 · other assets $978,433
-
7d · Net gain or loss
total -$1,269,190 · excluded -$1,269,190
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $138,530 · program services $138,530
-
5 · Compensation of officers, directors and key employees
total $2,663,498 · program services $2,196,000 · management and general $467,498
-
7 · Other salaries and wages
total $1,077,222 · program services $298,687 · management and general $778,535
-
11a · Fees: management
total $1,126,464 · program services $770,567 · management and general $355,897
-
11b · Fees: legal
total $939,016 · program services $36,903 · management and general $902,113
-
11c · Fees: accounting
total $100,000 · management and general $100,000
-
11f · Fees: investment management
total $36,184 · management and general $36,184
-
11g · Fees: other
total $1,574,840 · management and general $1,574,840
-
12 · Advertising and promotion
total $152,023 · management and general $152,023
-
13 · Office expenses
total $17,013 · management and general $17,013
-
14 · Information technology
total $18,691 · management and general $18,691
-
16 · Occupancy
total $22,800 · program services $15,204 · management and general $7,596
-
17 · Travel
total $99,857 · management and general $99,857
-
19 · Conferences, conventions and meetings
total $32,443 · management and general $32,443
-
22 · Depreciation, depletion and amortization
total $913,488 · management and general $913,488
-
23 · Insurance
total $368,938 · management and general $368,938
-
24a · Other expenses: TAXES & SERVICE CHARGES
total $500,121 · management and general $500,121
-
24b · Other expenses: DUES & SUBSCRIPTIONS
total $4,492 · management and general $4,492
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $20,357,772 · end of year $21,071,606
-
2 · Savings and temporary cash investments
beginning of year $301,945 · end of year $327,206
-
4 · Accounts receivable
beginning of year $525,542 · end of year $348,082
-
11 · Investments: publicly traded securities
beginning of year $90,224,763 · end of year $62,546,209
-
13 · Investments: program-related
beginning of year $27,817,914 · end of year $69,314,322
-
14 · Intangible assets
beginning of year $4,946 · end of year $4,956
-
15 · Other assets
beginning of year $113,445 · end of year $98,469
-
17 · Accounts payable and accrued expenses
beginning of year $1,145,793 · end of year $469,573
-
27 · Net assets without donor restrictions
beginning of year $138,200,534 · end of year $153,241,277
Mission and programs · 2023
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 $3,455,891 · Grants $138,530
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Mitchke Mark DMITCHKE MARK D
PRESIDENT & CHIEF EXECUTIVE OFFICER
- Total calculated
- $4,617,792
- From this org
- $0
- From related orgs
- $4,121,136
- Other
- $496,656
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $0 + $1,297,641 related
- Bonus
- $0 + $2,554,200 related
- Other
- $0 + $269,295 related
- Deferred
- $0 + $460,165 related
- Nontaxable benefits
- $0 + $36,491 related
- Filer's total
- $0 + $4,617,792 related
-
Farrell Anne VFARRELL ANNE V
DIRECTOR
- Total calculated
- $149,546
- From this org
- $0
- From related orgs
- $149,546
- Other
- $0
- Hours/week
- 2 + 8 related
-
Brown Colleen BirdnowBROWN COLLEEN BIRDNOW
SECRETARY
- Total calculated
- $159,910
- From this org
- $0
- From related orgs
- $159,910
- Other
- $0
- Hours/week
- 3 + 9 related
Schedule J breakdown matched by us
- Base
- $0 + $159,910 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $159,910 related
-
Rutherford Eve MRUTHERFORD EVE M
CHAIR - BRD. & DDS FEES
- Total calculated
- $1,169,683
- From this org
- $0
- From related orgs
- $1,169,683
- Other
- $0
- Hours/week
- 5 + 15 related
Schedule J breakdown matched by us
- Base
- $0 + $193,494 related
- Bonus
- $0
- Other
- $0 + $976,189 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $1,169,683 related
-
Hakes KatherineHAKES KATHERINE
DIRECTOR - BRD. & DDS FEES
- Total calculated
- $945,236
- From this org
- $0
- From related orgs
- $945,236
- Other
- $0
- Hours/week
- 4 + 14 related
Schedule J breakdown matched by us
- Base
- $0 + $131,406 related
- Bonus
- $0
- Other
- $0 + $813,830 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $945,236 related
-
Pickel ChristopherPICKEL CHRISTOPHER
DIRECTOR - BRD. & DDS FEES
- Total calculated
- $531,735
- From this org
- $0
- From related orgs
- $531,735
- Other
- $0
- Hours/week
- 4 + 12 related
Schedule J breakdown matched by us
- Base
- $0 + $139,550 related
- Bonus
- $0
- Other
- $0 + $392,185 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $531,735 related
-
Nelson Carol KNELSON CAROL K
VICE CHAIR
- Total calculated
- $174,920
- From this org
- $0
- From related orgs
- $174,920
- Other
- $0
- Hours/week
- 4 + 12 related
Schedule J breakdown matched by us
- Base
- $0 + $174,920 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $174,920 related
-
White MarvinWHITE MARVIN
TREASURER
- Total calculated
- $144,390
- From this org
- $0
- From related orgs
- $144,390
- Other
- $0
- Hours/week
- 3 + 9 related
-
Armstrong ScottARMSTRONG SCOTT
DIRECTOR
- Total calculated
- $154,820
- From this org
- $0
- From related orgs
- $154,820
- Other
- $0
- Hours/week
- 3 + 8 related
Schedule J breakdown matched by us
- Base
- $0 + $154,820 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $154,820 related
-
Bell EricBELL ERIC
MANAGING DIRECTOR - SRMC
- Total calculated
- $465,382
- From this org
- $0
- From related orgs
- $421,546
- Other
- $43,836
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $371,546 related
- Bonus
- $0 + $50,000 related
- Other
- $0
- Deferred
- $0 + $22,500 related
- Nontaxable benefits
- $0 + $21,336 related
- Filer's total
- $0 + $465,382 related
-
Backus KirstenBACKUS KIRSTEN
MANAGING DIRECTOR - SRMC
- Total calculated
- $456,210
- From this org
- $0
- From related orgs
- $423,476
- Other
- $32,734
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $373,476 related
- Bonus
- $0 + $50,000 related
- Other
- $0
- Deferred
- $0 + $22,500 related
- Nontaxable benefits
- $0 + $10,234 related
- Filer's total
- $0 + $456,210 related
-
Bradshaw DennisBRADSHAW DENNIS
DIRECTOR - BRD. & DDS FEES
- Total calculated
- $364,812
- From this org
- $0
- From related orgs
- $364,812
- Other
- $0
- Hours/week
- 4 + 12 related
Schedule J breakdown matched by us
- Base
- $0 + $127,228 related
- Bonus
- $0
- Other
- $0 + $237,584 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $364,812 related
-
Wagle DilipWAGLE DILIP
DIRECTOR
- Total calculated
- $127,228
- From this org
- $0
- From related orgs
- $127,228
- Other
- $0
- Hours/week
- 2 + 7 related
-
Berg BradleyBERG BRADLEY
SVP, CHIEF ADMIN OFFICER
- Total calculated
- $1,554,674
- From this org
- $0
- From related orgs
- $1,510,884
- Other
- $43,790
- Hours/week
- 16 + 24 related
Schedule J breakdown matched by us
- Base
- $0 + $830,026 related
- Bonus
- $0 + $512,532 related
- Other
- $0 + $168,326 related
- Deferred
- $0 + $22,500 related
- Nontaxable benefits
- $0 + $21,290 related
- Filer's total
- $0 + $1,554,674 related
-
Lowry-Oakes DianeLOWRY-OAKES DIANE
CHIEF MISSION OFFICER
- Total calculated
- $639,805
- From this org
- $0
- From related orgs
- $537,199
- Other
- $102,606
- Hours/week
- 39.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $0 + $311,590 related
- Bonus
- $0 + $183,826 related
- Other
- $0 + $41,783 related
- Deferred
- $0 + $66,816 related
- Nontaxable benefits
- $0 + $35,790 related
- Filer's total
- $0 + $639,805 related
-
Foster DavisFOSTER DAVIS
VP, CORPORATE DEVELOPMENT
- Total calculated
- $670,423
- From this org
- $0
- From related orgs
- $558,456
- Other
- $111,967
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $348,987 related
- Bonus
- $0 + $202,633 related
- Other
- $0 + $6,836 related
- Deferred
- $0 + $76,038 related
- Nontaxable benefits
- $0 + $35,929 related
- Filer's total
- $0 + $670,423 related
-
Puckett GlennPUCKETT GLENN
ED, HEALTH TRANSFORMATION
- Total calculated
- $312,243
- From this org
- $0
- From related orgs
- $267,388
- Other
- $44,855
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $206,918 related
- Bonus
- $0 + $60,132 related
- Other
- $0 + $338 related
- Deferred
- $0 + $16,553 related
- Nontaxable benefits
- $0 + $28,302 related
- Filer's total
- $0 + $312,243 related
-
Pickard SeanPICKARD SEAN
SR DIR. FOR POLICY & MISSION IMPACT
- Total calculated
- $294,512
- From this org
- $0
- From related orgs
- $257,632
- Other
- $36,880
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $208,589 related
- Bonus
- $0 + $49,043 related
- Other
- $0
- Deferred
- $0 + $17,280 related
- Nontaxable benefits
- $0 + $19,600 related
- Filer's total
- $0 + $294,512 related
-
Mathur VinayakMATHUR VINAYAK
SR. PRODUCT MANAGER - AI
- Total calculated
- $222,046
- From this org
- $0
- From related orgs
- $197,801
- Other
- $24,245
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $163,467 related
- Bonus
- $0 + $24,617 related
- Other
- $0 + $9,717 related
- Deferred
- $0 + $13,077 related
- Nontaxable benefits
- $0 + $11,168 related
- Filer's total
- $0 + $222,046 related
-
Labberton Wells KLABBERTON WELLS K
FORMER DIRECTOR (END 12/31/22)
- Total calculated
- $15,000
- From this org
- $0
- From related orgs
- $15,000
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $15,000 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $15,000 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 2023 WERE AS FOLLOWS: MARK MITCHKE, $437,665; DIANE LOWRY-OAKES, $44,316; DAVIS FOSTER $53,538. 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 $22,500 TO THE PLAN DURING 2023 - 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
-
$125,000
FUNDING FOR DENTAL SUPPORT
-
$10,000
ANNUAL GIVING CAMPAIGN
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.
-
501(C)(4) · ORAL/GEN HEALTH · WA · controlled entity
Directly controlled by WDS
-
WASHINGTON DENTAL SERVICE FUND
501(C)(3) · ORAL/GEN HEALTH · WA · controlled entity
Directly controlled by DDWA
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.
-
ORAL HEALTH EDUCATION · WA · income $0 · assets $12,223
Directly controlled by WDS
-
INV ORAL HEALTH · WA · income $112,000 · assets $458,041
Directly controlled by WDS
-
SPRINGROCK VENTURES LLC
INV ORAL HEALTH · WA · income -$602,000 · assets $10,848,557
Directly controlled by WDS
-
SRV2 LLC
LP IN SRVII · WA · income $1,230,000 · assets $17,022,025
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 $309,278 · share of assets $17,051,957 · 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 $348,487 · controlled entity
Directly controlled by WDS
-
8 WEST CONSULTING
C · BUSINESS CONSULTING/SOFTWARE DEV COMPANY · EI · 50% owned · share of income $485,643 · share of assets $4,997,000 · controlled entity
Directly controlled by WDS
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433209349325938
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.