BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE (EIN 23-7164980)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202323189349202867
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)
Return2023-11-14T09:45:24-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237164980EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS AND BLUE SHIELD FOUNDATIONBusinessNameLine1Txt
Business Name Line2ON HEALTH CAREBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone3122976000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 NORTH MICHIGAN AVENUEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTINA FISHERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3122976000PhoneNum
Signature2023-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTINAPersonFirstNm
Person LastFISHERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone3122071040PhoneNum
Preparation2023-10-31PreparationDt

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-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$51,822GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$51,822ContributionsGiftsGrantsEtcAmt
Total Revenue$51,822TotalRevenueAmt
Grants And Similar Amounts Paid$51,771GrantsAndSimilarAmountsPaidAmt
Other Expenses Total$414OtherExpensesTotalAmt
Total Expenses$52,185TotalExpensesAmt
Excess Or Deficit For Year-$363ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$51,048NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$50,685NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$51,048BOYAmt
EOY$51,773EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$55,392BOYAmt
EOY$50,220EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$106,440BOYAmt
EOY$101,993EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,392BOYAmt
EOY$51,308EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$51,048BOYAmt
EOY$50,685EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE 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.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (5 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
GRANT FOR FEEDING AMERICA$13,041$13,041
GRANT FOR NAACP LEGAL DEFENSE FUND$12,540$12,540
GRANT FOR HOWARD BROWN HEALTH$12,635$12,635
WHITMAN-WALKER HEALTH$0$12,515
UNICEF - UKRAINE ASSISTANCE$0$1,040
FieldValueIRS element (for citing)
Total Program Service Expenses$51,771TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KIM KECK
PRESIDENT AND BOARD MEMBER1.00$0$0$0
JENNIFER VACHON
VICE PRESIDENT AND BOARD MEMBER1.00$0$0$0
CHRISTINA FISHER
TREASURER AND BOARD MEMBER1.00$0$0$0
W SCOTT NEHS
SECRETARY AND BOARD MEMBER1.00$0$0$0
MATTHEW ALL
BOARD MEMBER THRU FEB 20221.00$0$0$0
GAIL BOUDREAUX
BOARD MEMBER THRU FEB 20221.00$0$0$0
ANDREW DREYFUS
BOARD MEMBER THRU FEB 20221.00$0$0$0
PATRICK GERAGHTY
BOARD MEMBER THRU FEB 20221.00$0$0$0
STEVEN GRANDFIELD
BOARD MEMBER THRU FEB 20221.00$0$0$0
DAVID HOLMBERG
BOARD MEMBER THRU FEB 20221.00$0$0$0
DANIEL LOEPP
BOARD MEMBER THRU FEB 20221.00$0$0$0
PAUL MARKOVICH
BOARD MEMBER THRU FEB 20221.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTINA FISHER TREASURERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 NORTH MICHIGAN AVENUEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60601ZIPCd
FieldValueIRS element (for citing)
Phone3122976000PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$162,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,213CurrentTaxYearMinus1YearAmt
Current Tax Year$51,822CurrentTaxYearAmt
Total$334,078TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$162,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,663CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,213CurrentTaxYearMinus1YearAmt
Current Tax Year$51,822CurrentTaxYearAmt
Total$334,078TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$178,626SubstantialContributorsTotAmt
Public Support Total170$155,452PublicSupportTotal170Amt
Total Support$334,078TotalSupportAmt
Public Support CY1700.46530PublicSupportCY170Pct
Public Support PY1700.54230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: FEEDING AMERICA. AMOUNT GIVEN: 13,041.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: HOWARD BROWN HEALTH. AMOUNT GIVEN: 12,635.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: NAACP LEGAL DEFENSE FUND. AMOUNT GIVEN: 12,540.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: WHITMAN-WALKER HEALTH. AMOUNT GIVEN: 12,515.
FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAIDACTIVITY CLASSIFICATION: . GRANTEE NAME: UNICEF. AMOUNT GIVEN: 1,040. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 51,771.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: BANKING FEES. AMOUNT: 363. DESCRIPTION: ADMINISTRATIVE FEES. AMOUNT: 51. TOTAL TO FORM 990-EZ, LINE 16: 414.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: CONTRIBUTIONS RECEIVABLE. BEG. OF YEAR AMOUNT: 55,392. END OF YEAR AMOUNT: 50,220.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: GRANTS PAYABLE. BEG. OF YEAR AMOUNT: 55,392. END OF YEAR AMOUNT: 51,308.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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