2024-11-07T07:21:20-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2023-01-01 237164980 BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE BLUE 3122976000 200 E RANDOLPH STREET CHICAGO IL 60601 CHRISTINA FISHER TREASURER 3122976000 2024-11-06 1 1 DAVID LOWENTHAL P00378651 3122071040 2024-11-06 2023 2024-10-15 13:58:12Z X KIM KECK 200 E RANDOLPH STREET CHICAGO IL 60601 378739 0 X N/A X 1969 IL SEE SCEHDULE OADDRESSING SOCIAL DETERMINANTS OF HEALTH, ENABLING HEALTHIER LIVING, AND IMPROVING HEALTHCARE QUALITY. 4 0 0 0 0 0 51822 378739 0 0 0 0 0 0 51822 378739 51771 378693 0 0 0 0 0 0 0 414 402 52185 379095 -363 -356 101993 102810 51308 52481 50685 50329 THE ORGANIZATION'S TAX EXEMPT PURPOSE IS PROMOTED THROUGH CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES. THE FOCUS OF THE ORGANIZATION IS ON ADDRESSING SOCIAL DETERMINANTS OF HEALTH, ENABLING HEALTHIER LIVING, AND IMPROVING HEALTHCARE QUALITY. 0 0 378693 378693 THE ORGANIZATION ADDRESSES SOCIAL DETERMINANTS OF HEALTH, ENABLING HEALTHIER LIVING, AND IMPROVING HEALTHCARE QUALITY BY MAKING GRANTS TO OTHER 501(C)(3) ORGANIZATIONS WHO ALSO SUPPORT THIS MISSION. 378693 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 IL X CHRISTINA FISHER TREASURER 3122976000 200 E RANDOLPH STREET CHICAGO IL 60601 KIM KECK PRESIDENT AND BOARD MEMBER 0.05 40.00 X X 0 4374499 1666916 JENNIFER VACHON VICE PRESIDENT AND BOARD MEMBER 0.05 40.00 X X 0 1829407 296343 CHRISTINA FISHER TREASURER AND BOARD MEMBER 0.05 40.00 X X 0 915677 222222 W SCOTT NEHS SECRETARY AND BOARD MEMBER 0.05 40.00 X X 0 1006003 185080 0 8125586 2370561 0 0 1 0 0 50000 328739 378739 378739 0 0 0 378693 378693 BANKING FEES 357 357 ADMINISTRATIVE FEES 45 45 379095 378693 402 0 51773 51522 50220 51288 101993 102810 51308 52481 51308 52481 X 0 0 0 0 50685 50329 50685 50329 101993 102810 -356 0 X 0 0 0 X 4663 57217 58213 51822 52527 224442 4663 57217 58213 51822 52527 224442 172640 51802 224442 0.23080 0.46530 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: CASH DATE: 09/08/23 AMOUNT: 326212. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 CONTRIBUTIONS RECEIVABLE 51288 51288 GRANTS PAYABLE 52481 52481 1 BOYS AND GIRLS CLUB OF AMERICA 1275 PEACHTREE ST NTE ATLANTA GA 30309 135562976 501(C)(3) 326212 0 GENERAL MISSION SUPPORT FEEDING AMERICA 161 NORTH CLARK STREET SUITE 700 CHICAGO IL 60601 363673599 501(C)(3) 13745 0 GENERAL MISSION SUPPORT HOWARD BROWN HEALTH 4025 N SHERIDAN RD CHICAGO IL 60613 362894128 501(C)(3) 12780 0 GENERAL MISSION SUPPORT NAACP LEGAL DEFENSE FUND 40 RECTOR STREET 5TH FLOOR NEW YORK NY 10006 131655255 501(C)(3) 12600 0 GENERAL MISSION SUPPORT WHITMAN WALKER HEALTH 1377 R STREET NW SUITE 200 WASHINGTON DC 20009 521122122 501(C)(3) 12500 0 GENERAL MISSION SUPPORT 5 0 PART I, LINE 2: THE FOUNDATION MANAGEMENT SELECTS ORGANIZATIONS SUPPORTING HEALTHY LIVING ON A DISCRETIONARY BASIS. THE FOUNDATION CONFIRMS WITH THE RECIPIENT THAT FUNDS ARE EXPENDED. THE FOUNDATION DOES NOT MAKE RESTRICTIVE GRANTS. 0 1 0 0 0 0 0 0 0 KIM KECK PRESIDENT AND BOARD MEMBER 0 1482893 0 2873900 0 17706 0 1630064 0 36852 0 6041415 0 0 JENNIFER VACHON VICE PRESIDENT AND BOARD MEMBER 0 705981 0 1119400 0 4026 0 257296 0 39047 0 2125750 0 154600 W SCOTT NEHS SECRETARY AND BOARD MEMBER 0 562117 0 439300 0 4586 0 153641 0 31439 0 1191083 0 101900 CHRISTINA FISHER TREASURER AND BOARD MEMBER 0 569975 0 343100 0 2602 0 192677 0 29545 0 1137899 0 0 PART I, LINE 4B KIM KECK PARTICIPATES IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING 2023. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. FORM 990 CONTENT AND SOURCES OF INFORMATION ARE REVIEWED BY SUBJECT MATTER EXPERTS INCLUDING, BUT NOT LIMITED TO, TAX, ACCOUNTING PROFESSIONALS AND LEGAL COUNSEL. FINALIZING THE RETURN DRAFT CONSISTS OF DISCUSSIONS BETWEEN SUCH SUBJECT MATTER EXPERTS REGARDING THE NUMERIC RESULTS AND WRITTEN RESPONSES TO SELECT RETURN QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS OF THE FOUNDATION ARE EMPLOYEES OF BCBSA AND AS SUCH ARE COVERED BY THE CONFLICT OF INTEREST POLICY OF BCBSA. BCBSA MAINTAINS A COMPREHENSIVE CODE OF CONDUCT AND COMPLIANCE PROGRAM APPLICABLE TO ALL EMPLOYEES AND OFFICERS. IN ADDITION, ALL EMPLOYEES, OFFICERS, AND BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM. THE BCBSA CHIEF AUDITOR AND COMPLIANCE OFFICER IS CHARGED WITH INVESTIGATING ANY ALLEGATIONS OF NON-COMPLIANCE WITH THE CODE OF CONDUCT, INCLUDING ANY COMPLAINTS REPORTED THROUGH THE ANONYMOUS HOTLINE MAINTAINED THROUGH AN INDEPENDENT ORGANIZATION. THE RESULTS OF THE COMPLIANCE PROGRAM'S EFFECTIVENESS ARE REPORTED TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. FAILURE TO ADHERE TO THE CODE OF CONDUCT MAY RESULT IN DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ANY DIRECTORS, OFFICERS, OR KEY EMPLOYEES. COMPENSATION REPORTED ON THIS RETURN IS PAID BY A RELATED ORGANIZATION, BCBSA, FOR SERVICES PROVIDED TO BCBSA. AS SUCH, BCBSA DETERMINES COMPENSATION FOR THE INDIVIDUALS REPORTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FORM 990 ARE MADE AVAILABLE UPON REQUEST. BLUE CROSS BLUE SHIELD ASSOCIATION 200 E RANDOLPH ST CHICAGO IL 60601 135656874 BCBSA SERVES ITS INDEPENDENT MEMBER INSURANCE PLANS IL 501(C)(4) N/A N/A 0 HEALTH SERVICES FOUNDATION 200 E RANDOLPH ST CHICAGO IL 60601 237011867 EDUCATIONAL RESEARCH IL 501(C)(3) LINE 10 BLUE CROSS BLUE SHIELD ASSOCIATION 0 BLUE CROSS BLUE SHIELD BENEFIT CORP 200 E RANDOLPH ST CHICAGO IL 60601 364176277 COMMUNITY HEALTH IL N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0