Civic Intelligence

Washington Dental Service

990 • Fiscal year 2016 • EIN 27-0937829

Jan 01, 2016 to Dec 31, 2016 • Filed on Jul 25, 2017

400 Fairview Ave N Suite 800Seattle, WA 98109

(206) 522-1300

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

9th percentile

0.00x

Higher debt load relative to assets than 9% of similar nonprofits.

2016 filings • $50M-$100M nonprofits • Source year 2016

Liabilities / Revenue

19th percentile

0.08x

Higher debt load relative to revenue than 19% of similar nonprofits.

2016 filings • $50M-$100M nonprofits • Source year 2016

Net Margin

10th percentile

-30%

Higher net margin than 10% of similar nonprofits.

2016 filings • $50M-$100M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$2,230,576

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 236.5% of source-year revenue.

2016 filings • $50M-$100M nonprofits • Source year 2016

Asset Growth

92nd percentile

26%

Faster asset growth than 92% of similar nonprofits.

2016 filings • $50M-$100M nonprofits • Annualized from 2015 to 2016

Revenue Growth

98th percentile

243%

Faster revenue growth than 98% of similar nonprofits.

2016 filings • $50M-$100M nonprofits • Annualized from 2015 to 2016

Assets

Up

$72,365,850

Up $14,734,652 (+26%) from 2015

Net Assets

Up

$72,293,313

Up $14,908,496 (+26%) from 2015

Liabilities

Down

$72,537

Down $173,844 (-71%) from 2015

Revenue

Up

$943,060

Up $668,048 (+243%) from 2015

Expenses

Down

$1,222,001

Down $1,010,221 (-45%) from 2015

Net Income

Up

-$278,941

Up $1,678,269 (+86%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$150M$100M$50M$0Assets 2014: $43,140,374Liabilities 2014: $32,344Net Assets 2014: $43,108,0302014Assets 2015: $57,631,198Liabilities 2015: $246,381Net Assets 2015: $57,384,8172015Assets 2016: $72,365,850Liabilities 2016: $72,537Net Assets 2016: $72,293,3132016Assets 2017: $89,369,340Liabilities 2017: $1,605,292Net Assets 2017: $87,764,0482017Assets 2018: $96,734,074Liabilities 2018: $952,818Net Assets 2018: $95,781,2562018Assets 2019: $117,835,868Liabilities 2019: $860,836Net Assets 2019: $116,975,0322019Assets 2020: $135,639,888Liabilities 2020: $874,998Net Assets 2020: $134,764,8902020Assets 2021: $151,815,477Liabilities 2021: $2,183,737Net Assets 2021: $149,631,7402021Assets 2022: $139,346,327Liabilities 2022: $1,145,793Net Assets 2022: $138,200,5342022Assets 2023: $153,710,850Liabilities 2023: $469,573Net Assets 2023: $153,241,2772023Assets 2024: $173,923,354Liabilities 2024: $1,128,315Net Assets 2024: $172,795,0392024

Highlighted filing

2016

Assets$72,365,850
Liabilities$72,537
Net Assets$72,293,313

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$10M$0-$10M-$20MRevenue 2014: $128,764Expenses 2014: $419,817Net Income 2014: -$291,0532014Revenue 2015: $275,012Expenses 2015: $2,232,222Net Income 2015: -$1,957,2102015Revenue 2016: $943,060Expenses 2016: $1,222,001Net Income 2016: -$278,9412016Revenue 2017: $1,187,025Expenses 2017: $3,017,826Net Income 2017: -$1,830,8012017Revenue 2018: -$4,466,364Expenses 2018: $3,369,728Net Income 2018: -$7,836,0922018Revenue 2019: $3,382,801Expenses 2019: $3,188,223Net Income 2019: $194,5782019Revenue 2020: $1,485,364Expenses 2020: $5,169,951Net Income 2020: -$3,684,5872020Revenue 2021: $6,192,998Expenses 2021: $6,135,350Net Income 2021: $57,6482021Revenue 2022: $891,081Expenses 2022: $8,293,573Net Income 2022: -$7,402,4922022Revenue 2023: $1,076,782Expenses 2023: $9,785,620Net Income 2023: -$8,708,8382023Revenue 2024: $3,208,968Expenses 2024: $14,515,844Net Income 2024: -$11,306,8762024

Highlighted filing

2016

Revenue$943,060
Expenses$1,222,001
Net Income-$278,941
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jul 25, 2017
Return Version
2016v3.1
Gross Receipts
$1,591,253
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$34,662,650$42,886,105▲ $8,223,455
Savings and Temporary Cash Investments$14,863,084$18,165,773▲ $3,302,689
Investments Other Securities$7,495,278$9,506,235▲ $2,010,957
Cash and Non-Interest-Bearing Accounts$525,558$1,702,487▲ $1,176,929
Intangible Assets$0$4,946▲ $4,946
Prepaid Expenses and Deferred Charges$3,750$0▼ $3,750
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$57,631,198$72,365,850▲ $14,734,652
Other Assets Total$80,878$100,304▲ $19,426
Liabilities
Accounts Payable and Accrued Expenses$246,381$72,537▼ $173,844
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$246,381$72,537▼ $173,844
Net Assets / Fund Balance
Unrestricted Net Assets$57,384,817$72,293,313▲ $14,908,496
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$57,384,817$72,293,313▲ $14,908,496
Total Liabilities and Net Assets / Fund Balance$57,631,198$72,365,850▲ $14,734,652

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$2,250,000--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Seely Jeffrey TDirectorPT$129,207$129,207
Brown Colleen BDirector-$129,193$129,193
Tune James FTreasurer-$125,129$125,129
Lohkamp Joanna LDirector-$118,131$118,131
Harwell Janis LSecretary-$118,049$118,049
Farrell Anne VDirector-$108,885$108,885

Board Members and Trustees

NameTitle
Beck G DouglasChair
Dwyer James DPresident & CEO
Phipps Gerald SVice Chair
Labberton Wells KDirector
Rutherford Eve MDirector

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$943,060
Other Revenue
$0
Change in Net Assets
$-278,941
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,222,001
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$647,865$449,135-$1,097,000
Travel-$49,699-$49,699
Occupancy$17,606$8,794-$26,400
Fees for Service Investment Mgmnt Fees-$8,163-$8,163
Fees for Services Legal-$8,034-$8,034
Information Technology$58$6,598-$6,656
Conferences and Meetings-$4,742-$4,742
Office Expenses$35$4,308-$4,343
Advertising$3,821$264-$4,085
Fees for Services Other-$739-$739
Other Expenses$71$85-$156
Total Functional Expenses$669,876$552,125$0$1,222,001
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990 Part VI Line 6

Ddwa's member dentists are considered members of the company. Member dentists elect the dental members of the board of directors.

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 dental 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 gnc and board on a variety of matters.

Form 990 Part VI Line 7B

Changes to the corporate by-laws recommended by the board are subject to approval by the member dentists.

Form 990 Part VI Line 11B

The 990 is completed by kpmg. The 990 return is reviewed and approved by the accounting supervisor, 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 QUESTIONNARIE, 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 CONFLICT 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 DISCUSSSION AND APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED if deemed appropriate; (5) AND 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 19

Governing documents, financial statements and disclosures are available to the public upon request.

Form 990 Part VII, Section A, Line 1A

The following directors also received clinical reimbursements additional to their directors fees reported in column d reportable compensation from the organization. Labberton, wells, k. $344,598 ------------------------------- director fee - $131,375 clinical reimbursement - $213,223 phipps, gerald s. $152,042 ------------------------------- director fee - $147,620 clinical reimbursement - $4,422 rutherford, eve m. $595,966 ------------------------------- director fee - $120,533 clinical reimbursement - $475,433

Filing and Contact Details

Filer

Filer Name
Washington Dental Service
EIN
27-0937829
In Care Of
% DELTA DENTAL OF WASHINGTON
Phone
2065221300
Address
400 FAIRVIEW AVE N SUITE 800, SEATTLE, WA 98109

Signing Officer

Name
James D Dwyer
Title
CEO
Phone
2065221300
Signed
2017-07-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James D Dwyer
Formed
2009
Legal Domicile
Wa
Voting Board Members
11
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
1918 Eighth Avenue Suite 2900, Seattle, WA 98101
Preparer
Sue Robison
Phone
2069134000
Supplemental Narrative

Additional Explanations

Form 990 Part III Line 3

On October 17, 2016, Delta Dental of Washington distributed $15,600,000 in cash to its sole member Washington Dental Service.

Form 990, Part XI, Line 9

Distribution from delta dental of washington - $15,600,000

FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION

THE PURPOSE OF WDS IS: (A) TO SERVE AS A HOLDING COMPANY OF DDWA, AN EXISTING WASHINGTON NONPROFIT CORPORATION RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(C)(4) OF THE CODE, WHICH PROVIDES PREPAID DENTAL SERVICES TO ITS SUBSCRIBERS; (B) TO SERVE AS A HOLDING COMPANY OF OTHER AFFILIATED ENTITES THAT PROVIDE SERVICES AND ENGAGE IN BUSINESSES THAT ARE SUPPORTIVE OF DDWA'S MISSION OF IMPROVING THE PUBLIC'S ORAL and overall HEALTH; (C) GUIDING, MONITORING, AND COORDINATING THE ACTIVITIES OF DDWA AND THE OTHER AFFILIATED ENTITIES TO ACHIEVE THE TAX-EXEMPT HEALTH CARE PURPOSES OF DDWA IN AN EFFICIENT AND INTEGRATED MANNER; (D) ENCOURAGING, FOSTERING AND FINANCING PROFESSIONAL AND SCIENTIFIC STUDY AND RESEARCH IN THE GENERAL FIELD OF DENTISTRY AND ORAL HEALTH; (E) CONDUCTING STUDIES AND INVESTIGATIONS DESIGNED TO DEVELOP INFORMATION PERTAINING TO ALL ASPECTS OF DENTAL SERVICE COVERAGE AND PAYMENT PLANS; AND (F) ASSISTING IN THE EDUCATION OF THE PUBLIC CONCERNING THE NEED FOR AND ADVANTAGE OF ADEQUATE DENTAL TREATMENT AND ORAL HEALTH.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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