2024-11-15T18:06:05-06:00 2023-12-31 135565207 KPMG LLP 401 UNION STREET SUITE 2800 SEATTLE WA 98101 990 2023-01-01 270937829 WASHINGTON DENTAL SERVICE WASH 2065221300 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 BRADLEY BERG VICE PRESIDENT OF FINANCE & CFO 2065221300 2024-11-15 1 0 ZELJKO POPOVIC P01795951 2069134000 2023 2024-10-15 13:58:12Z X RYAN BARTLETT 400 FAIRVIEW AVE N SUITE SEATTLE WA 98109 82544791 0 X N/A X 2009 WA 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. 13 9 0 0 0 0 0 0 0 0 891081 1076782 0 0 891081 1076782 834807 138530 0 0 3511126 3740720 0 0 0 3947640 5906370 8293573 9785620 -7402492 -8708838 139346327 153710850 1145793 469573 138200534 153241277 X SEE SCHEDULE O 0 0 3455891 138530 0 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. 3455891 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WA X RYAN BARTLETT 2065221300 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 X MITCHKE MARK D PRESIDENT & CHIEF EXECUTIVE OFFICER 8.00 32.00 X X 0 4121136 496656 FARRELL ANNE V DIRECTOR 2.00 8.00 X 0 149546 0 BROWN COLLEEN BIRDNOW SECRETARY 3.00 9.00 X X 0 159910 0 RUTHERFORD EVE M CHAIR - BRD. & DDS FEES 5.00 15.00 X X 0 1169683 0 HAKES KATHERINE DIRECTOR - BRD. & DDS FEES 4.00 14.00 X 0 945236 0 PICKEL CHRISTOPHER DIRECTOR - BRD. & DDS FEES 4.00 12.00 X 0 531735 0 NELSON CAROL K VICE CHAIR 4.00 12.00 X X 0 174920 0 WHITE MARVIN TREASURER 3.00 9.00 X X 0 144390 0 ARMSTRONG SCOTT DIRECTOR 3.00 8.00 X 0 154820 0 BELL ERIC MANAGING DIRECTOR - SRMC 40.00 0.00 X 0 421546 43836 BACKUS KIRSTEN MANAGING DIRECTOR - SRMC 40.00 0.00 X 0 423476 32734 BRADSHAW DENNIS DIRECTOR - BRD. & DDS FEES 4.00 12.00 X 0 364812 0 WAGLE DILIP DIRECTOR 2.00 7.00 X 0 127228 0 BERG BRADLEY SVP, CHIEF ADMIN OFFICER 16.00 24.00 X 0 1510884 43790 LOWRY-OAKES DIANE CHIEF MISSION OFFICER 39.50 0.50 X 0 537199 102606 FOSTER DAVIS VP, CORPORATE DEVELOPMENT 40.00 0.00 X 0 558456 111967 PUCKETT GLENN ED, HEALTH TRANSFORMATION 40.00 0.00 X 0 267388 44855 PICKARD SEAN SR DIR. FOR POLICY & MISSION IMPACT 40.00 0.00 X 0 257632 36880 MATHUR VINAYAK SR. PRODUCT MANAGER - AI 40.00 0.00 X 0 197801 24245 LABBERTON WELLS K FORMER DIRECTOR (END 12/31/22) 0.00 0.00 X 0 15000 0 0 12232798 937569 0 1 1 0 0 2345972 2345972 76298593 3900226 78546216 2921793 -2247623 978433 -1269190 -1269190 1076782 0 0 1076782 X 138530 138530 2663498 2196000 467498 1077222 298687 778535 1126464 770567 355897 939016 36903 902113 100000 100000 36184 36184 1574840 1574840 152023 152023 17013 17013 18691 18691 22800 15204 7596 99857 99857 32443 32443 913488 913488 368938 368938 TAXES & SERVICE CHARGES 500121 500121 DUES & SUBSCRIPTIONS 4492 4492 9785620 3455891 6329729 0 20357772 21071606 301945 327206 525542 348082 90224763 62546209 27817914 69314322 4946 4956 113445 98469 139346327 153710850 1145793 469573 1145793 469573 X 138200534 153241277 138200534 153241277 139346327 153710850 X -8708838 8749581 15000000 X 0 1 X 1 0 0 8 WEST 39020058 C SRV II LP 17022025 F CARRUM HEALTH INC. 2975834 C OPTIMUS 2300000 C AICURE, LLC 1845398 C CYRUS BIOTECHNOLOGY INC 1250000 C CURVAFIX, INC. 500000 C OVERJET INC 499998 C ULAB 461195 C OTONEXUS MEDICAL TECH 349991 C OMNY, INC. 300000 C ORAL EYE LIMITED, INC 285477 C CAMBALT SOLUTIONS 275000 C NEXT STEP INTERACTIVE, INC. 270000 C BRIGHT MD INC 250000 C CARECRU INCORPORATED 250000 C PRODONTIS 249999 C VIRTUAL DENTAL CARE 249998 C SWIFT HEALTH SYSTEMS (INBRACE) 249997 C HEALTHENTIC, INC. 245502 F ENTER, INC. 190000 C LAUNCHPAD 100000 C KLOWEN BRACES INC 50000 C PEARL, INC. 49998 C WILLIO 32, INC 32635 C BENESOL, INC. 25000 C WILLIO 32, INC 16217 C 69314322 1 AMERICAN HEART ASSOCIATION 710 2ND AVE SUITE 900 SEATTLE WA 98104 135613797 501(C)(3) 125000 0 FUNDING FOR DENTAL SUPPORT UNITED WAY OF KING COUNTY 720 2ND AVE SEATTLE WA 98104 910565555 501(C)(3) 10000 0 ANNUAL GIVING CAMPAIGN 2 0 PART I, LINE 2: THE GRANTEE IS REQUIRED TO SIGN A GRANT AGREEMENT STATING THAT THEY WILL USE THE FUNDS ONLY FOR PURPOSES OUTLINED IN THE GRANT AGREEMENT AND APPLICATION. THE GRANTEE IS REQUIRED TO FILE REPORTS ON REGULAR INTERVALS OUTLINING THE USE OF FUNDS. GRANTEE IS ALSO REQUIRED TO RETURN UNUSED FUNDING IF APPLICABLE. 0 1 0 0 0 0 0 0 0 MITCHKE MARK D PRESIDENT & CHIEF EXECUTIVE OFFICER 0 1297641 0 2554200 0 269295 0 460165 0 36491 0 4617792 0 0 BERG BRADLEY SVP, CHIEF ADMIN OFFICER 0 830026 0 512532 0 168326 0 22500 0 21290 0 1554674 0 0 RUTHERFORD EVE M CHAIR - BRD. & DDS FEES 0 193494 0 0 0 976189 0 0 0 0 0 1169683 0 0 HAKES KATHERINE DIRECTOR - BRD. & DDS FEES 0 131406 0 0 0 813830 0 0 0 0 0 945236 0 0 FOSTER DAVIS VP, CORPORATE DEVELOPMENT 0 348987 0 202633 0 6836 0 76038 0 35929 0 670423 0 0 LOWRY-OAKES DIANE CHIEF MISSION OFFICER 0 311590 0 183826 0 41783 0 66816 0 35790 0 639805 0 40847 PICKEL CHRISTOPHER DIRECTOR - BRD. & DDS FEES 0 139550 0 0 0 392185 0 0 0 0 0 531735 0 0 BELL ERIC MANAGING DIRECTOR - SRMC 0 371546 0 50000 0 0 0 22500 0 21336 0 465382 0 0 BACKUS KIRSTEN MANAGING DIRECTOR - SRMC 0 373476 0 50000 0 0 0 22500 0 10234 0 456210 0 0 BRADSHAW DENNIS DIRECTOR - BRD. & DDS FEES 0 127228 0 0 0 237584 0 0 0 0 0 364812 0 0 PUCKETT GLENN ED, HEALTH TRANSFORMATION 0 206918 0 60132 0 338 0 16553 0 28302 0 312243 0 0 PICKARD SEAN SR DIR. FOR POLICY & MISSION IMPACT 0 208589 0 49043 0 0 0 17280 0 19600 0 294512 0 0 MATHUR VINAYAK SR. PRODUCT MANAGER - AI 0 163467 0 24617 0 9717 0 13077 0 11168 0 222046 0 0 NELSON CAROL K VICE CHAIR 0 174920 0 0 0 0 0 0 0 0 0 174920 0 0 BROWN COLLEEN BIRDNOW SECRETARY 0 159910 0 0 0 0 0 0 0 0 0 159910 0 0 ARMSTRONG SCOTT DIRECTOR 0 154820 0 0 0 0 0 0 0 0 0 154820 0 0 LABBERTON WELLS K FORMER DIRECTOR (END 12/31/22) 0 0 0 0 0 15000 0 0 0 0 0 15000 0 0 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. FORM 990, PART III, LINE 1 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 ENTITIES 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, INNOVATION 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. FORM 990, PART VI, SECTION A, 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, SECTION A, LINE 7A THE GOVERNANCE & NOMINATING COMMITTEE (GNC) OF THE BOARD OF DIRECTORS SOLICITS ADVICE ON CANDIDATES AND SUBMITS NOMINEES TO THE WDS/DDWA BOARD FOR CONSIDERATION AND APPROVAL TO BE VOTED UPON. THE ENTIRE MEMBERSHIP ELECTS AND RE-ELECTS MEMBER DIRECTORS, WHO COMPRISE A MINORITY OF THE BOARD. THE INCUMBENT INDEPENDENT DIRECTORS NOMINATE AND ELECT OR RE-ELECT INDEPENDENT DIRECTORS. A MEMBER ADVISORY PANEL (MAP) CONSISTS OF TEN TO FIFTEEN MEMBERS THAT ARE SELECTED BY THE WDS BOARD FROM NOMINEES BY THE GNC. THE MAP PROVIDES CONSULTATION TO THE COMPANY, INCLUDING THE GNC AND BOARD, ON A VARIETY OF MATTERS. FORM 990, PART VI, SECTION A, LINE 7B SEE ABOVE FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS COMPLETED BY KPMG. THE 990 RETURN IS REVIEWED AND APPROVED BY THE DIRECTOR OF FINANCE AND THE CFO. ELECTRONIC COPIES OF THE RETURN ARE PROVIDED FOR REVIEW TO ALL BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE INVESTMENT AND AUDIT COMMITTEE OF THE BOARD IS CHARGED WITH MONITORING PROPOSED OR ON-GOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E. BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN SOMEONE BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, THEY ARE REQUIRED TO EXPLICITLY ACKNOWLEDGE A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND(3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE 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 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, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY DDWA. 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. THE HRCC DEVELOPED, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HRCC ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFIT PACKAGES OF OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERT, I.E., TOTAL ECONOMIC BENEFITS PAID BY SIMILAR SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT) FOR SIMILAR JOB RESPONSIBILITIES. THE HRCC'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENTS WITH THE OFFICERS AND KEY EMPLOYEES (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION ON ANY ARRANGEMENTS; AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE HRCC. KEY DELIBERATIONS OF THE HRCC ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT HRCC MEETING. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN 2023, AND INCLUDED THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHAIR, VICE CHAIR, SECRETARY, TREASURER, CHIEF EXECUTIVES, AND OTHER VICE PRESIDENT ROLES. FORM 990, PART VI, SECTION C, 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 IN ADDITION TO THEIR DIRECTOR'S FEES, THE TOTAL OF WHICH IS REPORTED IN COLUMN E - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS. RUTHERFORD, EVE M. - $1,169,683 TOTAL DIRECTOR FEE - $193,494 CLINICAL REIMBURSEMENT - $976,189 HAKES, KATHERINE - $945,237 TOTAL DIRECTOR FEE - $131,406 CLINICAL REIMBURSEMENT - $813,830 PICKEL, CHRISTOPHER - $531,735 TOTAL DIRECTOR FEE - $139,550, CLINICAL REIMBURSEMENT - $392,185 BRADSHAW, DENNIS - $364,812 TOTAL DIRECTOR FEE - $127,228 CLINICAL REIMBURSEMENT - $237,584 FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,361,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,361,140. LOBBYING & GOVT AFFAIRS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 213,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 213,700. FORM 990, PART XI, LINE 9: DISTRIBUTION FROM SUBSIDIARY 15,000,000. FORM 990 PART XI LINE 9 ON DECEMBER 15, 2023 DELTA DENTAL OF WASHINGTON DISTRIBUTED $15,000,000 IN CASH AND CASH EQUIVALENTS TO ITS SOLE MEMBER WASHINGTON DENTAL SERVICE. FORM 990 - GENERAL EXPLANATION THE ORGANIZATION IS AMENDING ITS INITIAL TIMELY FILED FORM 990 TO INCLUDE THE ATTACHMENT OF FORM 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AND FORM 926, RETURN BY A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION, THAT WERE INADVERTENTLY FILED WITH A RELATED ORGANIZATION'S (DELTA DENTAL OF WASHINGTON) FORM 990. INSTITUTE OF ORAL HEALTH 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 270937829 ORAL HEALTH EDUCATION WA 0 12223 WDS WDS HOLDINGS LLC 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 270937829 INV ORAL HEALTH WA 112000 458041 WDS SPRINGROCK VENTURES LLC 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 474046990 INV ORAL HEALTH WA -602000 10848557 WDS SRV2 LLC 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 851545951 LP IN SRVII WA 1230000 17022025 WDS DELTA DENTAL OF WASHINGTON 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 910621480 ORAL/GEN HEALTH WA 501(C)(4) WDS 1 WASHINGTON DENTAL SERVICE FUND 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 911281990 ORAL/GEN HEALTH WA 501(C)(3) LINE 10 DDWA 1 SPRINGROCK VENTURES II LP 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 851520667 INVEST ORAL HEALTH DE SRMC RELATED 309278 17051957 0 1 0.40820 SPRINGROCK MANAGEMENT COMPANY (SRMC) 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 851502581 MGMT/GP IN SRV II WA WDS C 980000 348487 1.00000 1 8 WEST CONSULTING BUILDING 1 UNIVERSITY TECH CENTRE CORK EI T12 AY18 BUSINESS CONSULTING/SOFTWARE DEV COMPANY EI WDS C 485643 4997000 0.50000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 DELTA DENTAL OF WASHINGTON P 74800 BOOK DELTA DENTAL OF WASHINGTON O 5390581 BOOK DELTA DENTAL OF WASHINGTON S 15000000 CASH