2025-07-25T15:01:08-05:00 2024-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2023-10-01 861448700 UMBRELLA PEDIATRICS PC UMBR 2068842351 PO BOX 5371 MS 818-FI SEATTLE WA 981455005 GINGER HINES EXECUTIVE DIRECTOR 2068842351 2025-07-24 1 0 SARA ELIZABETH H JONES P00235495 4254544919 2025-07-24 2023 2025-03-06 01:10:19Z X SEE SCHEDULE O GINGER HINES PO BOX 5371 MS 818-FI SEATTLE WA 981455005 3245011 0 X SEE SCHEDULE O X 2020 WA TO PROVIDE HIGH-QUALITY PRIMARY CARE SERVICES TO CHILDREN, TEENS AND YOUNG ADULTS. 3 1 3 1 0 0 0 0 0 3219304 0 14423 0 11284 0 3245011 0 0 0 0 0 2694952 0 0 0 0 1331372 0 4026324 0 -781313 0 4404618 0 5185931 0 -781313 UMBRELLA PEDIATRICS, PC, DOING BUSINESS AS SEATTLE CHILDREN'S PRIMARY CARE GROUP, WAS FORMED TO ENSURE CHILDREN, TEENS AND YOUNG ADULTS IN OUR GROWING REGION HAVE ACCESS TO HIGH-QUALITY PRIMARY CARE SERVICES WHEN AND WHERE THEY NEED THEM, NOW AND IN THE FUTURE. 0 0 2178877 0 3219304 UMBRELLA PEDIATRICS, PC (UMBRELLA PEDIATRICS) IS PART OF SEATTLE CHILDREN'S HEALTHCARE SYTEM.THE CREATION OF UMBRELLA PEDIATRICS MEANS IMPROVED COLLABORATION AND COORDINATION BETWEEN PRIMARY AND SPECIALTY CARE SERVICES. IN FALL 2023, RICHMOND PEDIATRICS WAS THE FIRST CLINIC TO BECOME PART OF UMBRELLA PEDIATRICS. THE CLINIC PROVIDES PRIMARY HEALTH CARE AND IS A PARTICIPANT IN SEATTLE CHILDREN'S CARE NETWORK, A COLLABORATION AMONG PHYSICIANS, OTHER PROVIDERS AND ADMINISTRATORS WHO SHARE A COMMON COMMITMENT TO ADVANCE QUALITY, REDUCE COST AND IMPROVE THE PATIENT EXPERIENCE ACROSS THE CARE CONTINUUM. 2178877 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 1 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X SAMANTHA SLOANE 2068842351 818 STEWART ST 8TH FLOOR SEATTLE WA 98101 RUTH MCDONALD MD CHAIR 1.00 55.00 X X 0 586142 39457 JEFFREY AVANSINO MD VICE CHAIR/SECRETARY (PART YEAR) 1.00 55.00 X X 0 475785 60941 JEFFREY OJEMANN MD TREASURER/SECRETARY 1.00 55.00 X X 0 302728 44680 KIMBERLY STONE MD VICE CHAIR 1.00 0.00 X X 0 0 0 GINGER HINES EXECUTIVE DIRECTOR 14.00 41.00 X 16600 282675 33720 KARI GOEBEL PROJECT MANAGER I 24.00 16.00 X 20296 136627 23610 36896 1783957 202408 0 0 1 0 0 PATIENT SVC REVENUES 622111 3148169 3148169 OTHER HEALTHCARE SVCS 622111 71135 71135 3219304 14423 14423 INSURANCE REFUNDS 900099 11284 11284 11284 3245011 3219304 0 25707 X 40984 40984 2243987 1238948 1005039 86852 8537 78315 200433 19469 180964 122696 11733 110963 31475 8504 22971 534219 399915 134304 140575 140515 60 56033 56033 52037 52037 1026 1026 46756 46756 397766 129282 268484 2411 2411 TAXES & LICENSES 65897 60534 5363 3177 3177 4026324 2178877 1847447 0 810797 499700 2350000 268484 0 2081516 0 13605 0 999000 0 4404618 126733 0 5059198 0 5185931 X -781313 0 -781313 0 4404618 -781313 0 X 0 1 X 1 0 X 3219304 3219304 3219304 3219304 0 0 0 3219304 14423 14423 14423 14423 11284 11284 3245011 3245011 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: INSURANCE REFUNDS - 2023 AMOUNT: $ 11,284. 2335277 267584 2067693 14723 900 13823 2081516 RIGHT-OF-USE ASSETS, NET 999000 999000 PAYABLE TO AFFILIATE 3735938 FINANCE LEASE LIABILITIES 1034459 PAYABLES RELATED TO CLINIC PURCHASE 288801 5059198 0 1 0 0 0 0 0 0 0 RUTH MCDONALD MD CHAIR 0 519842 0 53392 0 12908 0 24128 0 15329 0 625599 0 0 JEFFREY AVANSINO MD VICE CHAIR/SECRETARY (PART YEAR) 0 411733 0 59758 0 4294 0 26730 0 34211 0 536726 0 0 JEFFREY OJEMANN MD TREASURER/SECRETARY 0 243777 0 25860 0 33091 0 41040 0 3640 0 347408 0 0 GINGER HINES EXECUTIVE DIRECTOR 16600 264932 0 16583 0 1160 0 21201 3282 9237 19882 313113 0 0 KARI GOEBEL PROJECT MANAGER I 20296 133752 0 1003 0 1872 0 11084 5886 6640 26182 154351 0 0 PART I, LINE 3 THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM, A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF UMBRELLA PEDIATRICS, REVIEWS AND APPROVES BUDGETS FOR COMPENSATION AS RECOMMENDED BY THE HUMAN RESOURCES DEPARTMENT OF SEATTLE CHILDREN'S HOSPITAL, A RELATED ORGANIZATION TO UMBRELLA PEDIATRICS. THE FOLLOWING IS USED TO ESTABLISH THE COMPENSATION OF THE EXECUTIVE DIRECTOR: - APPROVAL BY THE BOARD PART I, LINE 4B THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFFREY OJEMANN MD - $22,789 EMPLOYER CONTRIBUTIONS, $29,781 TAXABLE PAYMENT PART II: THE FOLLOWING RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, WHICH IS BEING REPORTED IN COLUMN (B)(III). THIS PORTION OF THAT COMPENSATION WAS REPORTED IN COLUMN (C) IN PRIOR FORMS 990 OF RELATED ORGANIZATIONS: JEFFREY OJEMANN MD - $29,781 FORM 990, BOX J, WEBSITE: WWW.SEATTLECHILDRENS.ORG/ABOUT/SEATTLE-CHILDRENS-PRIMARY-CARE-GROUP FORM 990, BOX C: UMBRELLA PEDIATRICS, PC DOES BUSINESS AS: SEATTLE CHILDREN'S PRIMARY CARE GROUP RICHMOND PEDIATRICS RICHMOND PEDIATRICS CLINIC RICHMOND PEDIATRICS, PART OF SEATTLE CHILDREN'S PRIMARY CARE GROUP FORM 990, PART I, LINE 6: ONE MEMBER OF THE BOARD OF DIRECTORS PERFORMS THEIR DUTIES UNCOMPENSATED. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE REVISED DURING THE YEAR. THE PURPOSES CLAUSE WAS CHANGED TO EXPAND THE PROTECTED CATEGORIES ON WHICH NON-DISCRIMINATION IS PROHIBITED AND WAS REVISED TO CLARIFY THE BASIS UNDER WHICH FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS CONSISTENT WITH STATE LAW. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE VOTING MEMBER OF UMBRELLA PEDIATRICS, PC (UMBRELLA PEDIATRICS) IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF UMBRELLA PEDIATRICS, ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS (WHICH IS THE GOVERNING BODY) OF UMBRELLA PEDIATRICS. FORM 990, PART VI, SECTION A, LINE 7B SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF UMBRELLA PEDIATRICS, HAS THE SOLE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF UMBRELLA PEDIATRICS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAD NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS THE FORM 990 WITH THE GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS), A RELATED ORGANIZATION THAT IS THE DIRECT CONTROLLING ENTITY OF UMBRELLA PEDIATRICS. AFTER REVIEW BY THE GOVERNANCE, AUDIT AND COMPLIANCE COMMITTEE AND PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE, THE ENTIRE BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C UMBRELLA PEDIATRICS HAS A CONFLICT OF INTEREST POLICY APPLICABLE TO ITS DIRECTORS AND ANY MEMBER OF A COMMITTEE WITH BOARD DELEGATED AUTHORITY ("COVERED PERSONS"). EVERY COVERED PERSON IS REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST CONCERNING ANY MATTER UNDER CONSIDERATION AS SOON AS THE POTENTIAL CONFLICT IS DETERMINED. ANY PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT OF INTEREST IS EVALUATED BY THE FULL BOARD OF DIRECTORS. IN ANY TRANSACTION OR ARRANGEMENT INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE COVERED PERSON MUST RECUSE HIMSELF OR HERSELF FROM DELIBERATION AND VOTING ON THE MATTER UNDER CONSIDERATION. IN ADDITION, ANY COVERED PERSON WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE ORGANIZATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT COVERED PERSON'S COMPENSATION. FURTHERMORE, FOR ANY MATTER IN WHICH A COVERED PERSON HAS A MATERIAL FINANCIAL INTEREST, THE BOARD OF DIRECTORS MUST DETERMINE IN GOOD FAITH THAT (A) THE ORGANIZATION WILL ENTER INTO THE TRANSACTION FOR ITS OWN BENEFIT; (B) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION; AND (C) THE ORGANIZATION COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES. EACH COVERED PERSON IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY, DISCLOSING WHETHER THE COVERED PERSON, OR SOMEONE WITH WHOM A COVERED PERSON HAS A CLOSE RELATIONSHIP (A FAMILY MEMBER OR CLOSE COMPANION), HAS OR HAS HAD A FINANCIAL, EMPLOYMENT, OR PERSONAL RELATIONSHIP WITH AN APPLICANT, GRANTEE OR VENDOR TO THE ORGANIZATION. EACH COVERED PERSON IS REQUIRED TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (1) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, (2) HAS READ AND UNDERSTANDS THE POLICY (3) HAS AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT OF SEATTLE CHILDREN'S HOSPITAL (SCH), A RELATED ORGANIZATION TO UMBRELLA PEDIATRICS. USING A COMPREHENSIVE MARKET REVIEW PROCESS THROUGH WHICH POSITIONS ARE COMPARED TO RELEVANT SURVEY DATA, THE SALARY OF THE EXECUTIVE DIRECTOR IS DETERMINED BY PERFORMANCE AND POSITION RANGE AND GOVERNED BY THE RANGE MINIMUM AND MAXIMUM TO MAINTAIN COMPENSATION WITHIN THE BOUNDS OF COMPETITIVE PRACTICE. THE FULL SCHS BOARD OF TRUSTEES REVIEWS AND APPROVES THE CAPITAL AND OPERATING BUDGETS OF UMBRELLA PEDIATRICS, INCLUDING SALARIES AS RECOMMENDED BY THE HUMAN RESOURCES DEPARTMENT OF SCH. FORM 990, PART VI, SECTION C, LINE 19 UMBRELLA PEDIATRICS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BEHAVIORAL HEALTH SERVICES: PROGRAM SERVICE EXPENSES 103,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,499. CONTRACT NURSING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,179. MEDICAL DIRECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 59,081. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,081. NURSE MANAGER: PROGRAM SERVICE EXPENSES 49,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,185. BILLING & ACCOUNTS RECEIVABLE: PROGRAM SERVICE EXPENSES 35,029. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,029. CONSULTING: PROGRAM SERVICE EXPENSES 34,148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,148. JANITORIAL: PROGRAM SERVICE EXPENSES 26,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,250. NURSE CONSULTING: PROGRAM SERVICE EXPENSES 8,520. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,520. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 143,284. MANAGEMENT AND GENERAL EXPENSES 44. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,328. RICHMOND PEDIATRICS PLLC PO BOX 5371 MS 818-FI SEATTLE WA 981455005 861448700 PEDIATRIC HEALTHCARE SERVICES WA 1748147 0 UMBRELLA PEDIATRICS PC SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911250116 HEALTHCARE WA 501(C)(3) LINE 7 N/A 0 SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 910564748 PEDIATRIC MEDICAL CARE WA 501(C)(3) LINE 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 SEATTLE CHILDREN'S FOUNDATION PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911156519 FUNDRAISING WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 SEATTLE CHILDREN'S GUILD ASSOCIATION PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911394056 FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C)(3) LINE 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S RETAIL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911998909 THRIFT STORES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHILDREN'S HEALTH NETWORK PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911226716 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) LINE 12A, I SEATTLE CHILDREN'S HEALTHCARE SYSTEM 0 CHARITABLE REMAINDER UNITRUSTS (12) INVESTMENTS WA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK N/A 0 CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA N/A 0 CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL N/A 0 CHARITABLE REMAINDER ANNUITY TRUSTS (2) INVESTMENTS WA N/A 0 PERPETUAL TRUSTS (7) INVESTMENTS WA N/A 0 POOLED INCOME FUND (1) INVESTMENTS WA N/A 0 BRAINCHILD BIO INC 1920 TERRY AVE SEATTLE WA 98101 934381482 BIOTECHNOLOGY DE N/A C 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 1 0 0 0 1