2026-08-04T20:02:48+00:00 2025-09-30 135565207 KPMG LLP 401 UNION STREET SUITE 2800 SEATTLE WA 98101 990 2024-10-01 861448700 UMBRELLA PEDIATRICS PC UMBR 2068842351 PO BOX 5371 MS 818-FI SEATTLE WA 981455005 SAMANTHA SLOANE VP FINANCE 2068842351 2026-08-05 true false KATHRYN J OKIMOTO P00746598 2069134000 2026-08-05 2024 2025-03-06 01:10:19Z SEE SCHEDULE O DAVID STOLTE PO BOX 5371 MS 818-FI SEATTLE WA 981455005 3406944 false X WWW.SEATTLECHILDRENS.ORG/ABOUT/SEATTLE-CHILDRENS-PRIMARY-CARE-GROUP X 2020 WA TO PROVIDE HIGH-QUALITY PRIMARY CARE SERVICES TO CHILDREN, TEENS AND YOUNG ADULTS. 3 1 34 1 0 0 3219304 3406591 14423 353 11284 0 3245011 3406944 0 0 2694952 3385983 0 0 1331372 1204284 4026324 4590267 -781313 -1183323 4404618 3506738 5185931 5471374 -781313 -1964636 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. false false 3557323 0 3406591 UMBRELLA PEDIATRICS, PC (UMBRELLA PEDIATRICS) IS PART OF SEATTLE CHILDREN'S HEALTHCARE SYSTEM. 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. 3557323 true false false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false true 8 0 true 34 true false false false false false false false false false false false false X 3 1 false false false false true true true true false false false false true true true true true true false false false false X SAMANTHA SLOANE 2068842351 818 STEWART ST 8TH FLOOR SEATTLE WA 98101 JEFF OJEMANN MD TREASURER/SECRETARY 1.0 55.0 X X 0 733600 83569 KIMBERLY STONE MD VICE CHAIR 1.0 0.0 X X 0 0 0 RUTH MCDONALD MD CHAIR 1.0 55.0 X X 0 605594 40794 GINGER HINES EXEC DIRECTOR, SCCN & UMBRELLA PEDIATRICS 14.0 41.0 X 59511 285363 37890 DAVID DE GIVE MD PHYSICIAN, GENERAL PEDIATRICS 40.0 0 X 236449 0 18804 GISELLE FALKENBERG MD PHYSICIAN, GENERAL PEDIATRICS 40.0 0 X 256717 0 4727 JEFFREY ERNST MD PHYSICIAN, GENERAL PEDIATRICS 38.0 0 X 217196 0 29586 JESSICA EBBERSON MD PHYSICIAN, GENERAL PEDIATRICS 40.0 0 X 198617 0 12815 MELISSA WALSH MD PHYSICIAN, GENERAL PEDIATRICS 40.0 0 X 253123 0 4511 JEFFREY AVANSINO MD FORMER OFFICER 0.0 55.0 X 0 424627 59148 1221613 2049184 291844 8 true true false 0 0 PATIENT SVC REVENUES 622111 3310093 3310093 OTHER HEALTHCARE SVCS 622111 96498 96498 0 0 0 0 3406591 353 353 0 0 0 0 0 0 0 0 0 3406944 3406591 0 353 105171 105171 2766223 2728594 37629 103132 23614 79518 259142 59334 199808 152315 33290 119025 28036 18440 9596 275964 222826 53138 0 9781 9781 125957 125632 325 28487 28487 81277 81277 490 490 258 258 46241 46241 552413 141035 411378 2238 2238 TAXES & LICENSES 38514 38514 BAD DEBT EXPENSE 12863 12863 1765 0 1765 0 4590267 3557323 1032944 0 810797 0 499700 336479 0 0 0 0 2978550 679861 2081516 2298689 0 0 13605 13605 999000 857965 4404618 3506738 126733 162969 0 0 5059198 5308405 5185931 5471374 -781313 -1964636 -781313 -1964636 4404618 3506738 -1183323 0 X false true true false X 0 3219304 3406591 6625895 0 0 0 0 0 0 3219304 3406591 6625895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6625895 14423 353 14776 0 0 0 0 14423 353 14776 0 0 0 0 11284 0 11284 0 0 0 3245011 3406944 6651955 X 0 0 0 0 SCHEDULE A, PART III, LINE 12 OTHER INCOME DESCRIPTION - INSURANCE REFUNDS, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 11284.0, COLUMN E - , COLUMN F - 11284.0; 2335277 559493 1775784 643273 120368 522905 2298689 RIGHT-OF-USE ASSETS, NET 857965 857965 FEDERAL INCOME TAXES PAYABLE TO AFFILIATE 4385290 FINANCE LEASE LIABILITIES 923115 PAYABLES RELATED TO CLINIC PURCHASE 0 5308405 false true false false false false false false false JEFFREY AVANSINO MD FORMER OFFICER 0 338930 0 85021 0 676 0 38014 0 21134 0 483775 0 0 JEFF OJEMANN MD TREASURER/SECRETARY 0 243581 0 467105 0 22914 0 75992 0 7577 0 817169 0 20793 RUTH MCDONALD MD CHAIR 0 521037 0 77699 0 6858 0 26142 0 14652 0 646388 0 0 GINGER HINES EXEC DIRECTOR, SCCN & UMBRELLA PEDIATRICS 53148 253722 6363 30374 0 1267 4107 19604 2456 11723 66074 316690 0 0 GISELLE FALKENBERG MD PHYSICIAN, GENERAL PEDIATRICS 150565 0 106152 0 0 0 4707 0 20 0 261444 0 0 0 MELISSA WALSH MD PHYSICIAN, GENERAL PEDIATRICS 199571 0 53552 0 0 0 4276 0 235 0 257634 0 0 0 DAVID DE GIVE MD PHYSICIAN, GENERAL PEDIATRICS 187173 0 49276 0 0 0 4076 0 14728 0 255253 0 0 0 JEFFREY ERNST MD PHYSICIAN, GENERAL PEDIATRICS 155522 0 61674 0 0 0 4973 0 24613 0 246782 0 0 0 JESSICA EBBERSON MD PHYSICIAN, GENERAL PEDIATRICS 170378 0 28239 0 0 0 4211 0 8604 0 211432 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: JEFFREY OJEMANN MD - $20,293 EMPLOYER CONTRIBUTIONS, $20,793 TAXABLE PAYMENT SCHEDULE J, 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 SCHEDULE J, 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 - $20,793 FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE VOTING MEMBER OF UMBRELLA PEDIATRICS, PC (UMBRELLA PEDIATRICS) IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY 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, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS 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, LINE 8B DOCUMENTATION OF MEETINGS HELD BY COMMITTEES OF GOVERNING BODY THE ORGANIZATION HAD NO COMMITTEES. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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, LINE 12C CONFLICT OF INTEREST POLICY 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, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC UMBRELLA PEDIATRICS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 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. SEATTLE CHILDREN'S HEALTHCARE SYSTEM PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911250116 HEALTHCARE WA 501(C)(3) 7 NA false SEATTLE CHILDREN'S HOSPITAL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 910564748 PEDIATRIC MEDICAL CARE WA 501(C)(3) 3 SEATTLE CHILDREN'S HEALTHCARE SYSTEM false SEATTLE CHILDREN'S FOUNDATION PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911156519 FUNDRAISING WA 501(C)(3) 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM false 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) 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM false CHILDREN'S RETAIL PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911998909 THRIFT STORES WA 501(C)(3) TYPE I SEATTLE CHILDREN'S HEALTHCARE SYSTEM false CHILDREN'S HEALTH NETWORK PO BOX 5371 MS 818-FI SEATTLE WA 981455005 911226716 PEDIATRIC HEALTHCARE SERVICES WA 501(C)(3) TYPE I SEATTLE CHILDREN'S HEALTHCARE SYSTEM false CHARITABLE REMAINDER UNITRUSTS (12) INVESTMENTS WA NA false CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS AK NA false CHARITABLE REMAINDER UNITRUSTS (3) INVESTMENTS CA NA false CHARITABLE REMAINDER UNITRUST (1) INVESTMENTS FL NA false CHARITABLE REMAINDER ANNUITY TRUSTS (2) INVESTMENTS WA NA false PERPETUAL TRUSTS (7) INVESTMENTS WA NA false POOLED INCOME FUND (1) INVESTMENTS WA NA false BRAINCHILD BIO INC 1920 TERRY AVE SEATTLE WA 98101 934381482 BIOTECHNOLOGY DE NA C CORPORATION false false false false false true false false false false false false false false true true false false false true