TENNESSEE HEALTH FOUNDATION INC: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TENNESSEE HEALTH FOUNDATION INC (EIN 20-0298456)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202323189349100842
Schema version
2022v5.0
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)
Return2023-11-14T08:25:37-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

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 Begin2022-01-01TaxPeriodBeginDt

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)
PersonDANIEL GREGORYPersonNm
Person TitleCONTROLLER AND CAOPersonTitleTxt
Phone4235358224PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDANIELPersonFirstNm
Person LastGREGORYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES W TOMLINPreparerPersonNm
PTINP00079970PTIN
Phone4237566585PhoneNum
Preparation2023-11-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$235,127,572FMVAssetsEOYAmt
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$76,358InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,281,187InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$1,581,590DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,593,480DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$3,377,790NetGainSaleAstRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$4,409,538CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$442,753OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$5,035,738TotalRevAndExpnssAmt
Total Net Invst Incm$10,726,958TotalNetInvstIncmAmt
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$16,900AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,535AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$14,365AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$1,664,940OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$758,290OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$906,650OtherProfFeesDsbrsChrtblAmt
Interest Net Invst Incm$855,704InterestNetInvstIncmAmt
Taxes Rev And Expnss$257,096TaxesRevAndExpnssAmt
Taxes Net Invst Incm$153,357TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$8,849,747OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$696,844OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$8,843,696OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,788,683TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,466,730TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$9,764,711TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,620,736ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$3,630,736ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$14,409,419TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,466,730TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$13,395,447TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$9,373,681ExcessRevenueOverExpensesAmt
Net Investment Income$8,260,228NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$696,849CashBOYAmt
Cash EOY$12,564CashEOYAmt
Cash EOYFMV$12,564CashEOYFMVAmt
Sav And Temp Cash Invst BOY$6,916,177SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$3,330,232SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$3,330,232SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$261,877,277CorporateStockBOYAmt
Corporate Stock EOY$231,755,060CorporateStockEOYAmt
Corporate Stock EOYFMV$231,755,060CorporateStockEOYFMVAmt
Corporate Bonds BOY$3,576,852CorporateBondsBOYAmt
Corporate Bonds EOY$0CorporateBondsEOYAmt
Corporate Bonds EOYFMV$0CorporateBondsEOYFMVAmt
Other Assets BOY$53,956OtherAssetsBOYAmt
Other Assets EOY$29,716OtherAssetsEOYAmt
Other Assets EOYFMV$29,716OtherAssetsEOYFMVAmt
Total Assets BOY$273,121,111TotalAssetsBOYAmt
Total Assets EOY$235,127,572TotalAssetsEOYAmt
Total Assets EOYFMV$235,127,572TotalAssetsEOYFMVAmt
Accounts Payable BOY$732,461AccountsPayableBOYAmt
Accounts Payable EOY$181,717AccountsPayableEOYAmt
Other Liabilities BOY$73,033OtherLiabilitiesBOYAmt
Other Liabilities EOY-$5,993OtherLiabilitiesEOYAmt
Total Liabilities BOY$805,494TotalLiabilitiesBOYAmt
Total Liabilities EOY$175,724TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$272,315,617NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$234,951,848NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$272,315,617TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$234,951,848TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$273,121,111TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$235,127,572TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$272,315,617TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$9,373,681ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$262,941,936SubtotalAmt
Other Decreases$27,990,088OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$234,951,848TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (24 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
SILCHESTER ST CAPITAL GAINSP$241,261$241,261
SILCHESTER LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$1,185,187$1,185,187
SILCHESTER ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$261,439-$261,439
OTHER MARKETABLE SECURITIESP$2,153,674$2,153,674
IRM ST CAPITAL GAINSP$467,352$467,352
IRM LT CAPITAL GAINS BOOK - TAX DIFFERENCEP-$602,249-$602,249
IRM ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$1,159,201-$1,159,201
NEWBURY IV LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$576,375$576,375
NEWBURY IV ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$44,814$44,814
NEWBURY V LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$55,148$55,148
NEWBURY V ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$2,479$2,479
TA XIII-B LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$846,426$846,426
TA XIII-B ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$21,568$21,568
TA XIV-B LT CAPITAL GAINS BOOK - TAX DIFFERENCEP-$5,523-$5,523
TA XIV-B ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$4,397-$4,397
WHITEHORSE II LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$310,097$310,097
WHITEHORSE II ST CAPITAL GAINS BOOK - TAX DIFFERENCEP$18,653$18,653
WHITEHORSE IV LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$410,616$410,616
WHITEHORSE IV ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$9,072-$9,072
EAGLE POINT ST CAPITAL GAINSP$3,816$3,816
EAGLE POINT LT CAPITAL GAINSP-$2,219-$2,219
WHITEHORSE V ST CAPITAL GAINSP$515,503$515,503
WHITEHORSE V LT CAPITAL GAINS BOOK - TAX DIFFERENCEP$115,514$115,514
WHITEHORSE V ST CAPITAL GAINS BOOK - TAX DIFFERENCEP-$514,845-$514,845
FieldValueIRS element (for citing)
Capital Gain Net Income$4,409,538CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$114,817InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$114,817SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$114,817TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$173,942EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$43,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$216,942TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$102,125OverpaymentAmt
Applied To ES Tax$102,125AppliedToESTaxAmt
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 (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SCOTT WILSON
1 CAMERON HILL CIRCLECHATTANOOGATN37402VP CORPORATE COM. - TERM. 11/14/202220.00$0$0$0
CHELSEA JOHNSON
1 CAMERON HILL CIRCLECHATTANOOGATN37402DIRECTOR20.00$0$0$0
JAMES HOBBS
1 CAMERON HILL CIRCLECHATTANOOGATN37402ASSISTANT SECRETARY1.00$0$0$0
DENNIS CULVER
1 CAMERON HILL CIRCLECHATTANOOGATN37402TREASURER/CRO - TERM. 9/5/20221.00$0$0$0
DARRELL S FREEMAN
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD MEMBER - TERM. 6/28/20221.00$0$0$0
MARTY G DICKENS
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 MEM1.00$0$0$0
HERBERT H HILLIARD
1 CAMERON HILL CIRCLECHATTANOOGATN37402BOARD 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 2022 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 $11.2M RESULTING IN THIS TRULY BEING A SIGNATURE PROGRAM SUPPORT WITH FUNDS AND RESOURCES.Description1Txt
Expenses1$11,200,000Expenses1Amt
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 $2.2M).Description2Txt
Expenses2$2,200,000Expenses2Amt

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$243,197,499AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$8,423,084AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$251,620,583TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$251,620,583AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$3,774,309CashDeemedCharitableAmt
Net Vl Noncharitable Assets$247,846,274NetVlNoncharitableAssetsAmt
Minimum Investment Return$12,392,314MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$12,392,314MinimumInvestmentReturnAmt
Tax Based On Investment Income$114,817TaxBasedOnInvestmentIncomeAmt
Income Tax$181,722IncomeTaxAmt
Total Tax$296,539TotalTaxAmt
Distributable Before Adj$12,095,775DistributableBeforeAdjAmt
Recoveries Qualfied Distri$10,000RecoveriesQualfiedDistriAmt
Distributable Before Ded$12,105,775DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$12,105,775DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$13,395,447ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$13,395,447QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$12,105,775DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$866,878ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$866,878TotalExcessDistributionCyovAmt
Qualifying Distributions$13,395,447QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$12,105,775AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,289,672RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$2,156,550TotalCorpusAmt
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$2,156,550ExcessDistriCyovToNextYrAmt
Excess From Year1$866,878ExcessFromYear1Amt
Excess From Current Year$1,289,672ExcessFromCurrentYearAmt

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 (50 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
A STEP AHEAD FOUNDATION
PO BOX 4212CHATTANOOGATN37405NONEPC2:1 MATCH OF MR. HILLIARD'S $2,000 GIFT$4,000
AMERICAN RED CROSS
2201 CHARLOTTE AVENASHVILLETN37203NONEPC2023 MS TORNADOES; MEMPHIS FIRE SUPPORT 2023; HURRICANE IAN AND MEMPHIS ICE STORM 2022$50,000
BOYS & GIRLS CLUBS OF GREATER MEMPHIS
445 REMBERTMEMPHISTN38104NONEPC2:1 MATCH OF MR. MOORE'S $2,500 GIFT$5,000
CHAMBLISS CENTER FOR CHILDREN
315 GILLESPIE ROADCHATTANOOGATN37411NONEPCTEAMBLUE PROGRAM FUNDS$303
CHATTANOOGA AREA FOOD BANK
2009 CURTAIN POLE RDCHATTANOOGATN37406NONEPC2:1 MATCH OF MR. MCCALLIE'S $2,000 GIFT$5,500
CHATTANOOGA COMMUNITY KITCHEN
PO BOX 11203CHATTANOOGATN37401NONEPCHOMELESS SUPPORT 2022 - CHATTANOOGA$10,000
CHATTANOOGA GIRLS LEADERSHIP ACADEMY
1802 BAILEY AVECHATTANOOGATN37401NONEPC2:1 MATCH OF MR. HICKEY'S $5,000 GIFT$10,000
CHATTANOOGA THEATRE CENTRE
PO BOX 4023CHATTANOOGATN37405NONEPCTEAMBLUE PROGRAM FUNDS$500
CHATTANOOGA UNITE
180 HAMM RDCHATTANOOGATN37405NONEPCTEAMBLUE PROGRAM FUNDS$5,000
CHI BOULE FOUNDATION
PO BOX 210051NASHVILLETN37221NONEPC$15K MATCH TO MR. FREEMAN'S $20K GIFT; $10,000 DONATION IN MEMORY OF MR. FREEMAN$25,000
CHURCH OF THE GOOD SHEPHARD
211 FRANKLIN RDLOOKOUT MOUNTAINTN37350NONEPC2:1 MATCH OF MR. HICKEY'S $10,000 GIFT$20,000
COMMUNITY FOUNDATION OF MIDDLE TN INC
3833 CLEGHORN AVE 400NASHVILLETN37215NONEPCBLUECROSS FAMILY FUND - COMMUNITY FOUNDATION OF MIDDLE TENNESSEE$1,760,603
DOROTHY DAY HOUSE OF HOSPITALITY
PO BOX 40269MEMPHISTN38174NONEPCTEAMBLUE PROGRAM FUNDS$500
EAST TENNESSEE FOUNDATION
520 W SUMMIT HILL DR STE 1101KNOXVILLETN37902NONEPCPOW 2022 SCHOLAR$600,000
EAST TENNESSEE STATE UNIVERSITY
PO BOX 70621JOHNSON CITYTN37614NONEPCLOTTIE RYANS - ETSU$7,450
FRIENDS OF THE TROOPS CHATTANOOGA UNITE
PO BOX 21375CHATTANOOGATN37424NONEPCBLUECROSS BLUESHIELD OF TENNESSEE HEALTH FOUNDATION DONATION$5,000
GOVERNOR'S BOOKS FOR BIRTH FOUNDATION
710 JAMES ROBERTSON PARKWAYNASHVILLETN37219NONEPCRURAL READING SUMMER PROGRAM SUPPORT$100,000
HUNTER MUSEUM OF AMERICAN ART
10 BLUFF VIEW STCHATTANOOGATN37403NONEPC2:1 MATCH OF MR. HICKEY'S $5,000 GIFT$10,000
IVY ROSE FOUNDATION INC
PO BOX 81053CHATTANOOGATN37414NONEPC2:1 MATCH OF MR. PARTRIDGE'S $5,000 GIFT$10,000
MEMPHIS FIRE DEPARTMENT FOUNDATION
65 SOUTH FRONT STREETMEMPHISTN38103NONEPCRADAR MEMPHIS PROGRAM$50,000
METROPOLITAN INTER-FAITH ASSOCIATION
910 VANCE AVENUEMEMPHISTN38126NONEPC2022 FOOD DRIVE$10,000
MIDDLE TN STATE UNIVERSITY
1301 E MAIN STMURFREESBOROTN37132NONEPCPOW 2022 SCHOLAR$10,000
MID-SOUTH FOOD BANK
3865 S PERKINS RDMEMPHISTN38118NONEPC2022 FOOD DRIVE$1,000
MILLIGAN COLLEGE
PO BOX 500MILLIGANTN37682NONEPC2:1 MATCH OF MS. RYANS' $3,575 GIFT$7,150
NATIONAL CIVIL RIGHTS MUSEUM
2210 HAYES STGARYIN46404NONEPC2:1 MATCH OF MR. HILLIARD'S $5,000 GIFT$10,000
NE STATE COMMUNITY COLLEGE FOUNDATION
2425 TN-75BLOUNTVILLETN37617NONEPC2:1 MATCH OF MS. RYANS' $1,500 GIFT$3,400
NTL ASSC OF HEALTH SERVICES EXECUTIVES
1050 CONNECTICUT AVEWASHINGTONDC20036NONEPCPOW 2022 SCHOLAR$10,000
REGIONAL INTER-FAITH ASSOCIATION INC
133 AIRWAYS BLVDJACKSONTN38301NONEPC2022 FOOD DRIVE$500
ROCKETOWN OF MIDDLE TENNESSEE
601 4TH AVE SNASHVILLETN37210NONEPC2:1 MATCH OF MR. DICKENS' $5,000 GIFT$10,000
SECOND HARVEST FOOD BANK OF EAST TN
136 HARVEST LNMARYVILLETN37801NONEPC2022 FOOD DRIVE$750
SECOND HARVEST FOOD BANK OF MIDDLE TN
331 GREAT CIRCLE RDNASHVILLETN37228NONEPC2023 FOOD DRIVE$1,000
SECOND HARVEST FOOD BANK OF NE TN
1020 JERICHO DRKINGSPORTTN37663NONEPC2024 FOOD DRIVE$500
ST JUDE CHILDREN'S RESEARCH HOSPITAL
262 DANNY THOMAS PLACEMEMPHISTN38105NONEPCTEAMBLUE PROGRAM FUNDS$500
STEPPING STONES SAFE HAVEN INC
720 OLD SALEM ROADMURFREESBOROTN37129NONEPCTEAMBLUE PROGRAM FUNDS$500
TENNIS MEMPHIS
4145 SOUTHERN AVEMEMPHISTN38117NONEPCLEFTWICH TENNIS CENTER PROJECT SUPPORT$500,000
THE NEXT DOOR INC
402 22ND AVE NNASHVILLETN37203NONEPC2:1 MATCH OF MR. DICKENS' $5,000 GIFT$10,000
THE TRUST FOR PUBLIC LAND
101 MONTGOMERY STREET NO 900SAN FRANCISCOCA94104NONEPC2:1 MATCH OF MR. MCCALLIE'S $5,000 GIFT$10,000
THE UNIVERSITY OF MEMPHIS
3720 ALUMNI AVEMEMPHISTN38152NONEPCPOW 2022 SCHOLAR$30,000
THE UNIVERSITY OF TN AT CHATTANOOGA
615 MCCALLIE AVENUECHATTANOOGATN37403NONEPCPOW 2022 SCHOLAR$10,000
THE UNIVERSITY OF TN FOUNDATION INC
DEVELOPMENT HOUSE DEPT 6806 - 605CHATTANOOGATN37403NONEPC2:1 MATCH OF MS. WALLEN'S $10,000 GIFT$20,000OAK STREET
TN SCORE
1207 18TH AVE S NO 326NASHVILLETN37212NONEPCGENERAL EDUCATION PROGRAMMING SUPPORT$25,000
UNITED WAY OF EAST TN HIGHLANDS
1907 N ROAN STREET STE 409JOHNSON CITYTN37601NONEPC2:1 MATCH OF MS. RYANS' $1,040 GIFT$2,080
UNITED WAY OF GREATER CHATTANOOGA
630 MARKET STCHATTANOOGATN37402NONEPC100TH ANNIVERSARY IMPACT DAYS$150,000
UNITED WAY OF GREATER KINGSPORT INC
301 LOUIS STREET STE 201KINGSPORTTN37660NONEPC2:1 MATCH OF MR. BURDINE'S $2,500 GIFT$5,000
UNITED WAY OF GREATER KNOXVILLE
1301 HANNAH AVENUEKNOXVILLETN37921NONEPC2:1 MATCH OF MR. BOSSE'S $2,500 GIFT$7,500
UNITED WAY OF METROPOLITAN NASHVILLE
250 VENTURE CIRCLENASHVILLETN37228NONEPC2022 NASHVILLE UNITED WAY$2,500
UNITED WAY OF THE MID-SOUTH
1005 TILLMAN STREETMEMPHISTN38112NONEPC2:1 MATCH OF MR. MOORE'S $7,500 GIFT$20,000
UNIVERSITY OF TENNESSEE
1525 UNIVERSITY AVEKNOXVILLETN37921NONEPC2:1 MATCH OF MR. BOSSE'S $20,000 GIFT$77,000
VOLUNTEER ODYSSEY
88 UNION AVE SUITE 200MEMPHISTN38103NONEPCTEAMBLUE PROGRAM FUNDS$7,500
YMCA OF MIDDLE TENNESSEE
5101 MARYLAND WAYBRENTWOODTN37027NONEPC2:1 MATCH OF MR. DICKENS' $5,000 GIFT$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$3,630,736TotalGrantOrContriPdDurYrAmt
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$76,358ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,581,590ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$3,377,790ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$5,035,738ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$5,035,738TotalIncomeProducingActyAmt

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$16,900Amt
Net Investment Income$2,535NetInvestmentIncomeAmt
Disbursements Charitable Prps$14,365DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (58 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACUSHNET HOLDINGS ORD$269,706$269,706
BANK OZK ORD$663,394$663,394
BLACKBAUD ORD$605,375$605,375
BLUCORA ORD$685,327$685,327
BRADY NONVOTING CL A ORD$550,552$550,552
BRUNSWICK ORD$505,713$505,713
CERENCE ORD$377,215$377,215
CHEMED ORD$581,890$581,890
CHRLS RIVER LABS ORD$422,944$422,944
DOUBLEVERIFY HOLDINGS ORD$451,300$451,300
EAGLE POINT DEFENSIVE INC US$9,792,569$9,792,569
ENSIGN GROUP ORD$838,339$838,339
ENVESTNET ORD$787,662$787,662
EURONET WORLDWIDE ORD$754,662$754,662
FEDERAL SIGNAL ORD$840,921$840,921
FOX FACTORY HOLDING ORD$556,777$556,777
FTI CONSULTING ORD$471,318$471,318
GENTHERM ORD$494,115$494,115
GLOBUS MEDICAL CL A ORD$650,011$650,011
GRAND CANYON EDUCATION ORD$804,707$804,707
HIG MIDDLE MARKET LBO FUND III, LP$4,328,997$4,328,997
HOULIHAN LOK CL A ORD$664,595$664,595
INSTALLED BUILDING PRODUCTS ORD$460,956$460,956
INVICTUS OPPORTUNITY FUND II, LP$4,887,589$4,887,589
IR&M CORE BOND FD II$26,868,754$26,868,754
IRIDIUM COMMUNICATIONS ORD$842,138$842,138
ISHARES:CORE S&P 500$68,757,454$68,757,454
LAUREATE EDUCATION CL A ORD$630,302$630,302
MARKETAXESS HOLDINGS ORD$413,036$413,036
MARRIOTT VACATIONS WORLDWIDE ORD$590,446$590,446
MAXIMUS ORD$712,328$712,328
NEWBURY EQUITY PARTNERS IV, LP$12,827,680$12,827,680
NEWBURY EQUITY PARTNERS V, LP$6,100,338$6,100,338
NMI HOLDINGS CL A ORD$632,309$632,309
ORMAT TECH ORD$583,481$583,481
PRIMORIS SERVICES ORD$533,098$533,098
QUALYS ORD$514,013$514,013
RLI ORD$577,588$577,588
SHAKE SHACK CL A ORD$428,382$428,382
SILCHESTER INTL EQUITY TRUST$41,529,125$41,529,125
SILICON LABORATORIES ORD$583,788$583,788
STONEX GROUP ORD$815,768$815,768
TA XIII-B, LP$12,301,393$12,301,393
TA XIV-B LP$4,017,818$4,017,818
TEMPUR SEALY INTERNATIONAL ORD$641,765$641,765
THERMON GROUP HOLDINGS ORD$234,113$234,113
UNIVERSAL HEALTH SERVICES CL B ORD$344,053$344,053
VICTORY CAPITAL HOLDINGS CL A ORD$419,541$419,541
VIRTU FINANCIAL CL A ORD$457,653$457,653
WHITEHORSE LIQUIDITY PARTNERS II, LP$5,937,012$5,937,012
WHITEHORSE LIQUIDITY PARTNERS IV, LP$5,997,386$5,997,386
WHITEHORSE LIQUIDITY PARTNERS V, LP$3,460,728$3,460,728
ARMSTRONG WORLD INDUSTRIES ORD$445,286$445,286
DIGITALOCEAN HOLDINGS ORD$340,890$340,890
HAMILTON LANE CL A ORD$609,160$609,160
HEALTHEQUITY ORD$521,474$521,474
WCAS XIV LP$145,645$145,645
YETI HOLDINGS ORD$494,481$494,481

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
BOND INTEREST RECEIVABLE$47,322$21,316$21,316
INTEREST SALES RECEIVABLE$6,634$8,400$8,400

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$27,990,088Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROGRAM SUPPORT$8,843,696$0$8,843,696
DUES$500$0$0
OTHER DEDUCTIONS$5,551$696,844$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHER INCOME FROM PASS THROUGHDesc
Net Investment Income$442,753NetInvestmentIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescTAXES PAYABLEDesc
BOY Book Value$73,033BOYBookValueAmt
EOY Book Value-$5,993EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MANAGEMENT FEES$758,290$758,290$0
MANAGEMENT CONSULTING$906,650$0$906,650

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX$255,585$0$0
INTEREST PAID ON EXCISE TAX$1,511$0$0
FOREIGN TAXES FROM PASS THROUGH$0$153,357$0

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