TENNESSEE HEALTH FOUNDATION INC: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
TENNESSEE HEALTH FOUNDATION INC (EIN 20-0298456)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349102348
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-15T09:41:40-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621199757PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LBMC PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1605 CHESTNUT STREET SUITE 1100AddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37450ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200298456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TENNESSEE HEALTH FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTENNBusinessNameControlTxt
Phone4235356746PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 CAMERON HILL CIRCLEAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY ANDREWSPersonNm
Person TitleVP TREASURER & CHIEF RISK OFFIPersonTitleTxt
Phone4235354077PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES W TOMLINPreparerPersonNm
PTINP00079970PTIN
Phone4237566585PhoneNum
Preparation2024-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$258,697,791FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$215,079InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,710,952InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,212,868DividendsRevAndExpnssAmt
Dividends Net Invst Incm$3,970,511DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$15,020,822NetGainSaleAstRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$9,651,652CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$13,505OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$620,402OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$16,462,274TotalRevAndExpnssAmt
Total Net Invst Incm$15,953,517TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$22,150AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,322AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$18,828AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,049,747OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$837,990OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$211,757OtherProfFeesDsbrsChrtblAmt
Interest Net Invst Incm$496,065InterestNetInvstIncmAmt
Taxes Rev And Expnss$520,598TaxesRevAndExpnssAmt
Taxes Net Invst Incm$207,840TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$9,170,638OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,864,653OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$9,170,638OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,763,133TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$3,409,870TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$9,401,223TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,877,111ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,877,111ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$12,640,244TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$3,409,870TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$11,278,334TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$3,822,030ExcessRevenueOverExpensesAmt
Net Investment Income$12,543,647NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$12,564CashBOYAmt
Cash EOY$65,197CashEOYAmt
Cash EOYFMV$65,197CashEOYFMVAmt
Sav And Temp Cash Invst BOY$3,330,232SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$9,242,466SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$9,242,466SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$189,800,069CorporateStockBOYAmt
Corporate Stock EOY$164,769,716CorporateStockEOYAmt
Corporate Stock EOYFMV$164,769,716CorporateStockEOYFMVAmt
Other Investments BOY$41,954,991OtherInvestmentsBOYAmt
Other Investments EOY$84,471,889OtherInvestmentsEOYAmt
Other Investments EOYFMV$84,471,889OtherInvestmentsEOYFMVAmt
Other Assets BOY$29,716OtherAssetsBOYAmt
Other Assets EOY$148,523OtherAssetsEOYAmt
Other Assets EOYFMV$148,523OtherAssetsEOYFMVAmt
Total Assets BOY$235,127,572TotalAssetsBOYAmt
Total Assets EOY$258,697,791TotalAssetsEOYAmt
Total Assets EOYFMV$258,697,791TotalAssetsEOYFMVAmt
Accounts Payable BOY$181,717AccountsPayableBOYAmt
Accounts Payable EOY$336,788AccountsPayableEOYAmt
Other Liabilities BOY-$5,993OtherLiabilitiesBOYAmt
Other Liabilities EOY$102,340OtherLiabilitiesEOYAmt
Total Liabilities BOY$175,724TotalLiabilitiesBOYAmt
Total Liabilities EOY$439,128TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$234,951,848NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$258,258,663NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$234,951,848TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$258,258,663TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$235,127,572TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$258,697,791TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$234,951,848TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$3,822,030ExcessRevenueOverExpensesAmt
Other Increases$19,484,786OtherIncreasesAmt
Subtotal$258,258,664SubtotalAmt
Other Decreases$1OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$258,258,663TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (27 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
SILCHESTER ST CAPITAL GAINSP$7,358,017$7,358,017
SILCHESTER LT CAPITAL GAINS BOOK - TAX DIFFERENCEP-$408,932-$408,932
SILCHESTER ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$7,438,025-$7,438,025
OTHER MARKETABLE SECURITIESP$8,222,054$8,222,054
IRM ST CAPITAL GAINS( LOSS)P-$43,746-$43,746
IRM LT CAPITAL GAINS BOOK - TAX DIFFERENCEP-$833,607-$833,607
IRM ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$71,213-$71,213
NEWBURY IV LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$964,605$964,605
NEWBURY IV ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$3,822$3,822
NEWBURY V LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$179,433$179,433
NEWBURY V ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$1,480$1,480
TA XIII-B LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$529,307$529,307
TA XIII-B ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$24,267-$24,267
TA XIV-B LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$205,107$205,107
TA XIV-B ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$7,596-$7,596
DAWSON PORTFOLIO FINANCE 2 LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$417,308$417,308
DAWSON PORTFOLIO FINANCE 2 ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$6,067$6,067
DAWSON PORTFOLIO FINANCE 4 LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$400,002$400,002
DAWSON PORTFOLIO FINANCE 4 ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$3,581$3,581
EAGLE POINT LT CAPITAL GAINS BOOK-TAX DIFFERENCEP$87,633$87,633
EAGLE POINT ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$22,912-$22,912
EAGLE POINT II LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$7,722$7,722
EAGLE POINT II ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$93,827-$93,827
DAWSON PORTFOLIO FINANCE 5 ST CAPITAL GAINSP-$515,503-$515,503
DAWSON PORTFOLIO FINANCE 5 LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$183,569$183,569
DAWSON PORTFOLIO FINANCE 5 ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$515,230$515,230
H.I.G. MIDDLE MARKET III AIV I, L.P LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$26,343$26,343
FieldValueIRS element (for citing)
Capital Gain Net Income$9,651,652CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$174,357InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$174,357SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$174,357TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$194,658EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$83,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$277,658TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$103,301OverpaymentAmt
Applied To ES Tax$103,301AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateTNOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressSEE STATEMENT FOR PART XVWebsiteAddressTxt
Individual With BooksDANIEL GREGORYIndividualWithBooksNm
Phone4235358224PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11 CAMERON HILL CIRCLEAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37402ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
CHELSEA JOHNSON
1 CAMERON HILL CIRCLECHATTANOOGATN37402DIRECTOR20.00$0$0$0
JAMES HOBBS
1 CAMERON HILL CIRCLECHATTANOOGATN37402ASSISTANT SECRETARY1.00$0$0$0
DECOSTA E JENKINS
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
MICHAEL D BROOKSHIRE
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
REGINALD W COOPWOOD
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
JD HICKEY
1 CAMERON HILL CIRCLECHATTANOOGATN37402PRESIDENT & CEO, BOARD MEMBER1.00$0$0$0
EMILY J REYNOLDS
1 CAMERON HILL CIRCLECHATTANOOGATN37402CHAIRPERSON1.00$0$0$0
LAMAR J PARTRIDGE
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
MARTHA S WALLEN
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
BRUCE A BOSSE
1 CAMERON HILL CIRCLECHATTANOOGATN37402VICE CHAIRPERSON1.00$0$0$0
MILES A BURDINE
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
LOTTIE F RYANS
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
JILL LANGSTON
1 CAMERON HILL CIRCLECHATTANOOGATN37402SECRETARY1.00$0$0$0
MANDY SAVAGE
1 CAMERON HILL CIRCLECHATTANOOGATN37402ASSISTANT TREASURER1.00$0$0$0
JOHN GIBLIN
1 CAMERON HILL CIRCLECHATTANOOGATN37402CFO1.00$0$0$0
DALYA QUALLS WHITE
1 CAMERON HILL CIRCLECHATTANOOGATN37402EXECUTIVE DIRECTOR1.00$0$0$0
JACK B MCCALLIE
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
DAVID CRISWELL
1 CAMERON HILL CIRCLECHATTANOOGATN37402TREASURER/CRO1.00$0$0$0
JOHNNY B MOORE JR
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER1.00$0$0$0
DANIEL GREGORY
1 CAMERON HILL CIRCLECHATTANOOGATN37402CONTROLLER & CAO1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE BLUECROSS BLUESHIELD OF TENNESSEE HEALTH FOUNDATION INVESTMENT FOCUS IN 2023 IS THE BLUECROSS HEALTHY PLACE SIGNATURE PROGRAM. THE PROGRAM REQUESTS PROPOSALS FROM COMMUNITIES OF ALL SIZES THROUGHOUT TENNESSEE FOR COMMUNITY PROJECTS THAT WILL BRING CONNECTION AND OPPORTUNITIES FOR ACTIVITY TO THEIR TOWN, COMMUNITY, CITY, ETC. THIS PROGRAM IS ALLOCATED APPROXIMATELY $10M RESULTING IN THIS TRULY BEING A SIGNATURE PROGRAM SUPPORT WITH FUNDS AND RESOURCES.Description1Txt
Expenses1$10,000,000Expenses1Amt
Description2OTHER FUNDS ARE DISTRIBUTED THROUGHOUT THE YEAR/STATE FOR GRANTS SUPPORTING EVENTS OF COMMUNITY NON-PROFITS FOCUSED ON EDUCATION, DIVERSITY AND INCLUSION EFFORTS, DISEASE MANAGEMENT AND CHARITABLE CARE/CLINICS (APPROXIMATELY $1.3M).Description2Txt
Expenses2$1,300,000Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$209,076,806AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$4,901,568AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$213,978,374TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$213,978,374AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$3,209,676CashDeemedCharitableAmt
Net Vl Noncharitable Assets$210,768,698NetVlNoncharitableAssetsAmt
Minimum Investment Return$10,538,435MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$10,538,435MinimumInvestmentReturnAmt
Tax Based On Investment Income$174,357TaxBasedOnInvestmentIncomeAmt
Income Tax$133,472IncomeTaxAmt
Total Tax$307,829TotalTaxAmt
Distributable Before Adj$10,230,606DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$10,230,606DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$10,230,606DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$11,278,334ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$11,278,334QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$10,230,606DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$866,878ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,289,672ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,156,550TotalExcessDistributionCyovAmt
Qualifying Distributions$11,278,334QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$10,230,606AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,047,728RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,204,278TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$3,204,278ExcessDistriCyovToNextYrAmt
Excess From Year2$866,878ExcessFromYear2Amt
Excess From Year1$1,289,672ExcessFromYear1Amt
Excess From Current Year$1,047,728ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonCHELSEA JOHNSONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11 CAMERON HILL CIRCLEAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37402ZIPCd
FieldValueIRS element (for citing)
Recipient Phone4235351897RecipientPhoneNum
Form And Info And MaterialsWWW.BCBST.COM/ABOUT/IN-THE-COMMUNITY/HEALTHY-PLACES/FUNDING-CRITERIAFormAndInfoAndMaterialsTxt
Submission DeadlinesMAY, NOVEMBER FOR COMMUNITY TRUST FUNDING AND AUGUST FOR HEALTHY PLACE FUNDINGSubmissionDeadlinesTxt
Restrictions On AwardsWWW.BCBST.COM/ABOUT/IN-THE-COMMUNITY/HEALTHY-PLACES/FUNDING-CRITERIARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (31 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN RED CROSS
2201 CHARLOTTE AVENASHVILLETN37203NONEPCCIVIC, CHARITABLE$50,000
CHATTANOOGA GIRLS LEADERSHIP ACADEMY
1802 BAILEY AVECHATTANOOGATN37401NONEPCBOARD DIRECTED GIVING$10,000
CHURCH OF THE GOOD SHEPHARD
211 FRANKLIN RDLOOKOUT MOUNTAINTN37350NONEPCBOARD DIRECTED GIVING$20,000
COMMUNITY FOUNDATION OF MIDDLE TN INC
3833 CLEGHORN AVE 400NASHVILLETN37215NONEPCCIVIC, CHARITABLE$950,000
EAST TENNESSEE STATE UNIVERSITY FOUNDATION
520 W SUMMIT HILL DR STE 1101KNOXVILLETN37902NONEPCBOARD DIRECTED GIVING$8,300
HUNTER MUSEUM OF AMERICAN ART
10 BLUFF VIEW STCHATTANOOGATN37403NONEPCBOARD DIRECTED GIVING$10,000
IVY ROSE FOUNDATION INC
PO BOX 81053CHATTANOOGATN37414NONEPCBOARD DIRECTED GIVING$20,000
MILLIGAN COLLEGE
PO BOX 500MILLIGAN COLLEGETN37682NONEPCBOARD DIRECTED GIVING$7,000
NATIONAL CIVIL RIGHTS MUSEUM
2210 HAYES STGARYIN46404NONEPCBOARD DIRECTED GIVING$10,000
ROCKETOWN OF MIDDLE TENNESSEE
601 4TH AVE SNASHVILLETN37210NONEPCBOARD DIRECTED GIVING$10,000
THE TRUST FOR PUBLIC LAND
101 MONTGOMERY STREET NO 900SAN FRANCISCOCA94104NONEPCBOARD DIRECTED GIVING$10,000
THE UNIVERSITY OF MEMPHIS
3720 ALUMNI AVEMEMPHISTN38152NONEPCSCHOLARSHIP GRANT$10,000
THE UNIVERSITY OF TN AT CHATTANOOGA
615 MCCALLIE AVENUECHATTANOOGATN37403NONEPCSCHOLARSHIP GRANT$30,000
TN SCORE
1207 18TH AVE S NO 326NASHVILLETN37212NONEPCCIVIC, CHARITABLE$325,000
UNITED WAY OF GREATER CHATTANOOGA
630 MARKET STCHATTANOOGATN37402NONEPCCIVIC, CHARITABLE$50,000
UNITED WAY OF THE MID-SOUTH
1005 TILLMAN STREETMEMPHISTN38112NONEPCBOARD DIRECTED GIVING$20,000
UNIVERSITY OF TENNESSEE
1525 UNIVERSITY AVEKNOXVILLETN37921NONEPCBOARD DIRECTED GIVING$40,000
YMCA OF MIDDLE TENNESSEE
5101 MARYLAND WAYBRENTWOODTN37027NONEPCBOARD DIRECTED GIVING$20,000
BAPTIST MEMORIAL COLLEGE
1003 MONROE AVEMEMPHISTN38104NONEPCSCHOLARSHIP GRANT$10,000
BELMONT UNIVERSITY
1900 BELMONT BLVDNASHVILLETN37212NONEPCBOARD DIRECTED GIVING$40,000
BOULE FOUNDATION
12300 WILLOW RIDGE LNKNOXVILLETN37934NONEPCBOARD DIRECTED GIVING$5,000
BOYS & GIRLS AMERICA
1275 PEACHTREE ST NEATLANTAGA30309NONEPCPARTNERSHIP$62,500
CHILDREN'S ADVOCACY CENTER
51 CENTURY BLVDNASHVILLETN37214NONEPCTEAMBLUE CONTRIBUTION/ VOLUNTEERISM$5,000
JUNIOR ACHIEVEMENT OF MIDDLE TN
120 POWELL PLACENASHVILLETN37204NONEPCBOARD DIRECTED GIVING$10,000
RHODES COLLEGE
2000 NORTH PARKWAYMEMPHISTN38112NONEPCBOARD DIRECTED GIVING$20,000
SAMARITAN MINISTRIES TEMPLE
PO BOX 2441JOHNSON CITYTN37605NONEPCBOARD DIRECTED GIVING$20,000
TENNESSEE STATE MUSEUM FOUNDATION INC
POLK CULTURAL CENTERNASHVILLETN37243NONEPCBOARD DIRECTED GIVING$5,000
THE NEXT DOOR INC
402 22ND AVE NNASHVILLETN37203NONEPCBOARD DIRECTED GIVING$10,000
UNIVERSITY HEALTH SYSTEM INC
2121 MEDICAL CENTER WAY 200KNOXVILLETN37920NONEPCBOARD DIRECTED GIVING$20,000
UNIVERSITY OF CHATTANOOGA FOUNDATION
201 ALUMNI HOUSE 615 MCCALLIE AVECHATTANOOGATN37403NONEPCBOARD DIRECTED GIVING$20,000
VISIT JOHNSON CITY FOUNDATION
302 BUFFALO STJOHNSON CITYTN37604NONEPCCIVIC, CHARITABLE$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,832,800TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$215,079ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,212,868ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$13,505ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$15,020,822ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$16,462,274ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$16,462,274TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryAUDIT & TAX SERVICE EXPCategoryTxt
Amt$22,150Amt
Net Investment Income$3,322NetInvestmentIncomeAmt
Disbursements Charitable Prps$18,828DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BKM-VAN BERKOM$27,835,330$27,835,330
IR&M CORE BOND FD II$25,996,666$25,996,666
ISHARES:CORE S&P 500$72,242,493$72,242,493
SILCHESTER INTL EQUITY TRUST$38,695,227$38,695,227

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (12 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
DAWSON PORTFOLIO FINANCE 2, LPFMV$4,645,505$4,645,505
DAWSON PORTFOLIO FINANCE 4, LPFMV$6,452,389$6,452,389
DAWSON PORTFOLIO FINANCE 5, LPFMV$4,297,760$4,297,760
EAGLE POINT DEFENSIVE INC USFMV$10,381,190$10,381,190
EAGLE PINT DEF INC FUND II LPFMV$8,618,806$8,618,806
HIG MIDDLE MARKET LBO FUND III, LPFMV$5,105,967$5,105,967
INVICTUS OPPORTUNITY FUND II, LPFMV$4,559,809$4,559,809
NEWBURY EQUITY PARTNERS IV, LPFMV$12,700,579$12,700,579
NEWBURY EQUITY PARTNERS V, LPFMV$7,847,039$7,847,039
TA ASSOCIATESFMV$12,388,073$12,388,073
TA XIV-B LPFMV$5,337,614$5,337,614
WELSH CARSONFMV$2,137,158$2,137,158

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BOND INTEREST RECEIVABLE$21,316$46,637$46,637
INTEREST SALES RECEIVABLE$8,400$101,886$101,886

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescOTHER ADJUSTMENTDesc
Amt$1Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROGRAM SUPPORT$9,170,638$0$9,170,638
OTHER DEDUCTIONS$0$1,864,653$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescNet Investment IncomeNetInvestmentIncomeAmtRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
OTHER INCOME FROM PASS THROUGH$606,897
OTHER INVESTMENT INCOME$13,505$13,505$13,505

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$19,484,786Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescTAXES PAYABLEDesc
BOY Book Value-$5,993BOYBookValueAmt
EOY Book Value$102,340EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMANAGEMENT FEESCategoryTxt
Amt$1,049,747Amt
Net Investment Income$837,990NetInvestmentIncomeAmt
Disbursements Charitable Prps$211,757DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$520,598$0$0
FOREIGN TAXES FROM PASS THROUGH$0$207,840$0

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.