CAMBIA HEALTH FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CAMBIA HEALTH FOUNDATION (EIN 32-0200578)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202213189349103171
- Schema version
- 2021v4.2
- 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
- Form 990-PF
- Schedule B
- All Oth Prog Rltd Investments Sch
- Contractor Compensation Expln
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T12:34:34-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320200578 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cambia Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CAMBIA HEALTH SOLUTIONS INC | InCareOfNm |
| Business Name Control | CAMB | BusinessNameControlTxt |
| Phone | 5037214004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 SW Market Street WW2-25 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Anjie Vannoy | PersonNm |
| Person Title | Corp. Controller | PersonTitleTxt |
| Phone | 5037214004 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Anjie | PersonFirstNm |
| Person Last | Vannoy | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $95,632,719 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $18,745,641 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $27 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $27 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,752,442 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,787,662 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,611,964 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $21,465,412 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $13,402,677 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $22,110,074 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $15,190,366 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $96,074 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Dsbrs Chrtbl | $90,108 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $62,177 | TaxesRevAndExpnssAmt |
| Trav Conf Meeting Rev And Expnss | $118,871 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,620 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $9,062 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Dsbrs Chrtbl | $1,488 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $413,551 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $60,827 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $479,058 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $699,735 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $60,827 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $572,274 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $7,712,612 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $9,235,406 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $8,412,347 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $60,827 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $9,807,680 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $13,697,727 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $15,129,539 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $2,173,312 | CashBOYAmt |
| Cash EOY | $1,897,663 | CashEOYAmt |
| Cash EOYFMV | $1,897,663 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $256,759 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $73,413 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $73,413 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $19,734,648 | AcctRcvblAmt |
| Acct Rcvbl BOY | $15,388,553 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $19,734,648 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $19,734,648 | AcctRcvblEOYFMVAmt |
| Corporate Stock BOY | $22,388,723 | CorporateStockBOYAmt |
| Corporate Stock EOY | $23,895,947 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $23,895,947 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $43,218,183 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $50,031,048 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $50,031,048 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $83,425,530 | TotalAssetsBOYAmt |
| Total Assets EOY | $95,632,719 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $95,632,719 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $29,508 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $38,889 | AccountsPayableEOYAmt |
| Grants Payable BOY | $4,440,998 | GrantsPayableBOYAmt |
| Grants Payable EOY | $2,962,500 | GrantsPayableEOYAmt |
| Other Liabilities BOY | $130,048 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $108,627 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $4,600,554 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,110,016 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $78,824,976 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $92,522,703 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $78,824,976 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $92,522,703 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $83,425,530 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $95,632,719 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $78,824,976 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $13,697,727 | ExcessRevenueOverExpensesAmt |
| Subtotal | $92,522,703 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $92,522,703 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | VARIOUS INVESTMENT FUNDS | PropertyDesc |
| How Acquired | D | HowAcquiredCd |
| Gross Sales Price | $21,465,412 | GrossSalesPriceAmt |
| Cost Or Other Basis | $8,062,735 | CostOrOtherBasisAmt |
| Gain Or Loss | $13,402,677 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $13,402,677 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $13,402,677 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $210,301 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $210,301 | SubtotalAmt |
| Tax Based On Investment Income | $210,301 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $72,000 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $21,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $93,000 | TotalPaymentsAndCreditsAmt |
| Tax Due | $117,301 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | OR | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.CAMBIAHEALTHFOUNDATION.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMBIA HEALTH SOLUTIONS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5037214004 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 SW MARKET ST MS WW2-25 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|---|
| Margaret M Maguire | |||||||||
| 100 SW Market Street | WW2-25 | Portland | OR | 97201 | Chair & Pres. Board Member | 32.0 | $0 | $0 | $0 |
| Andreas B Ellis | |||||||||
| 1800 9th Ave | Seattle | WA | 98101 | Treasurer | 0.25 | $0 | $0 | $0 | |
| Lisa J Oman | |||||||||
| 1800 9th Ave | Seattle | WA | 98101 | Secretary, Board Member | 0.25 | $0 | $0 | $0 | |
| Anjie L Vannoy | |||||||||
| 100 SW Market St | WW2-25 | Portland | OR | 97201 | Controller, Board Member | 0.25 | $0 | $0 | $0 |
| Maddie E Andrews | |||||||||
| 100 SW Market Street WW2-25 | Portland | OR | 97201 | Board Member | 0.25 | $0 | $0 | $0 | |
| Robert M Coppedge | |||||||||
| 1800 9th Ave | Seattle | WA | 98101 | Board Member | 0.25 | $0 | $0 | $0 | |
| Stephen R Styles | |||||||||
| 2890 East Cottonwood Parkway | Salt Lake City | UT | 84121 | Board Member | 0.25 | $0 | $0 | $0 | |
| Kathleen Pitcher-Tobey | |||||||||
| 2890 East Cottonwood Parkway | Salt Lake City | UT | 84121 | Foundation Operations Director | 40.0 | $0 | $0 | $0 | |
| Gary H Lau | |||||||||
| 100 SW Market Street WW2-25 | Portland | OR | 97201 | Assistant Secretary | 0.25 | $0 | $0 | $0 | |
| Tonya Adams | |||||||||
| 100 SW Market Street WW2-25 | Portland | OR | 97201 | Board Member | 0.25 | $0 | $0 | $0 | |
| Lisa T Murphy | |||||||||
| 100 SW Market Street WW2-25 | Portland | OR | 97201 | Board Member | 0.25 | $0 | $0 | $0 | |
| Sam Yamoah | |||||||||
| 100 SW Market Street WW2-25 | Portland | OR | 97201 | Board Member | 0.25 | $0 | $0 | $0 | |
| Lindsay A Harris | |||||||||
| 1800 9th Ave | Seattle | WA | 98101 | Board Member | 0.25 | $0 | $0 | $0 | |
| Andrew J Over | |||||||||
| 100 SW Market St MS WW2-25 | Portland | OR | 97201 | Board Member | 0.25 | $0 | $0 | $0 | |
| Mark H Ruszczyk | |||||||||
| 1100 W Idaho Street Suite 400 | Boise | ID | 83702 | Board Member | 0.25 | $0 | $0 | $0 | |
| Leslie Foren | |||||||||
| 100 SW Market St MS WW2-25 | Portland | OR | 97201 | Director Program Strategy | 40.0 | $0 | $0 | $0 | |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Future Work Design | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8115 SW 4th Ave | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Service Type | 0 | ServiceTypeTxt |
| Compensation | $59,480 | CompensationAmt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $74,295,273 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $959,987 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $75,255,260 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $75,255,260 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,128,829 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $74,126,431 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $3,706,322 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $3,706,322 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $210,301 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $210,301 | TotalTaxAmt |
| Distributable Before Adj | $3,496,021 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $3,496,021 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $3,496,021 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $9,807,680 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $9,807,680 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $3,496,021 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $8,717,122 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $11,399,198 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $9,360,302 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $7,645,563 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $7,208,411 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $44,330,596 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $9,807,680 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $3,496,021 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $6,311,659 | RemainingDistriFromCorpusAmt |
| Total Corpus | $50,642,255 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $8,717,122 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $41,925,133 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $11,399,198 | ExcessFromYear4Amt |
| Excess From Year3 | $9,360,302 | ExcessFromYear3Amt |
| Excess From Year2 | $7,645,563 | ExcessFromYear2Amt |
| Excess From Year1 | $7,208,411 | ExcessFromYear1Amt |
| Excess From Current Year | $6,311,659 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NA | ContributingManagerNm |
| Shareholder Manager | NA | ShareholderManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | The Cambia Health Foundation | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 SW Market St MS E15B | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5032255221 | RecipientPhoneNum |
| Form And Info And Materials | See application guidelines at www.cambiahealthfoundation.org. Complete an online questionnaire for eligibility determination. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | Determined on an annual basis | SubmissionDeadlinesTxt |
| Restrictions On Awards | Grants are limited to non-profit organizations serving communities throughout Idaho, Oregon, Utah, and Washington. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (41 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | ||||||
| 133 Brookline Avenue HVMA Annex S | Boston | MA | 02115 | PC | Healthy People, Healthy Communities | $100,000 |
| Cascadia Behavioral Healthcare | ||||||
| 847 NE 19th Ave Suite 100 | Portland | OR | 97232 | PC | Healthy People, Healthy Communities | $10,000 |
| City of Hope | ||||||
| 1500 E Duarte Road | Duarte | CA | 91010 | PC | Sojourns | $140,000 |
| Clemson University | ||||||
| 105 Sikes Hall | Clemson | SC | 29634 | PC | Sojourns | $90,000 |
| Coalition to Transform Advanced Care | ||||||
| 900 16th St NW Suite 400 | Washington | DC | 20006 | PC | Sojourns | $25,000 |
| Downtown Emergency Service Center | ||||||
| 515 Third Ave | Seattle | WA | 98104 | PC | Healthy People, Healthy Communities | $10,000 |
| Eastern Washington University Foundation | ||||||
| 616 Study Lane | Cheney | WA | 99004 | PC | Healthy People, Healthy Communities | $25,000 |
| Emory University School of Medicine | ||||||
| 1599 Clifton Road 3rd Floor 3101 | Atlanta | GA | 30322 | PC | Sojourns | $90,000 |
| End Well Foundation | ||||||
| 41 Castle Street | San Francisco | CA | 94133 | PC | Sojourns | $50,000 |
| Idaho Immunization Coalition | ||||||
| PO Box 234 | Shoshone | ID | 83352 | PC | Healthy People, Healthy Communities | $50,000 |
| Idaho Immunization Coalition | ||||||
| PO Box 234 | Shoshone | ID | 83352 | PC | Healthy People, Healthy Communities | $20,000 |
| Maine Medical Center | ||||||
| 22 Bramhall St | Portland | ME | 04102 | PC | Sojourns | $90,000 |
| Medstar Georgetown University Hospital | ||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | PC | Sojourns | $90,000 |
| Memorial Sloan Kettering Cancer Center | ||||||
| 1275 York Ave | New York | NY | 10065 | PC | Sojourns | $90,000 |
| National Academy of Sciences | ||||||
| 500 5th Street NW | Washington | DC | 20001 | PC | Sojourns | $25,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Healthy People, Healthy Communities | $50,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Healthy People, Healthy Communities | $32,500 |
| People's Health Clinic | ||||||
| 650 Round Valley Drive | Park City | UT | 84068 | PC | Healthy People, Healthy Communities | $15,000 |
| Primary Care Progress | ||||||
| 24 School Street 2nd Floor | Boston | MA | 02108 | PC | Healthy People, Healthy Communities | $110,000 |
| Ronald McDonald House Charities of the Intermounta | ||||||
| 935 E South Temple | Salt Lake City | UT | 84102 | PC | Sojourns | $500,000 |
| Rosalynn Carter Institute for Caregivers | ||||||
| PO Box 647 | Americus | GA | 31709 | PC | Sojourns | $250,250 |
| Scripps Health Inpatient Providers Medical Group | ||||||
| 10010 Campus Point Drive Mailbox C | San Diego | CA | 92121 | PC | Sojourns | $90,000 |
| Seattle Children's Hospital Foundation | ||||||
| 6901 Sand Point Way NE Suite 200 | Seattle | WA | 98115 | PC | Sojourns | $438,892 |
| Jefferson University Physicians | ||||||
| 1101 Market Street Suite 2004 | Philadelphia | PA | 19107 | PC | Sojourns | $90,000 |
| Southern Oregon University Foundation | ||||||
| 1250 Siskiyou Blvd | Ashland | OR | 97520 | PC | Healthy People, Healthy Communities | $25,000 |
| St Charles Health System | ||||||
| 2500 NE Neff Road | Bend | OR | 97701 | PC | Healthy People, Healthy Communities | $5,000 |
| Trust for America's Health | ||||||
| 1730 M Street NW Suite 900 | Washington | DC | 20036 | PC | Sojourns | $75,000 |
| UCSF Division of Hospital Medicine | ||||||
| 521 Parnassus Avenue 5th Floor Bo | San Francisco | CA | 94143 | PC | Sojourns | $90,000 |
| UCSF Division of Palliative Medicine | ||||||
| PO Box 45339 | San Francisco | CA | 94145 | PC | Sojourns | $500,000 |
| University of Idaho Foundation | ||||||
| 875 Perimeter Drive MS 3143 | Moscow | ID | 83844 | PC | Healthy People, Healthy Communities | $25,000 |
| University of Texas at Austin | ||||||
| PO Box 7159 | Austin | TX | 78713 | PC | Sojourns | $90,000 |
| University of Utah | ||||||
| 201 S Presidents Circle Room 406 | Salt Lake City | UT | 84112 | PC | Sojourns | $90,000 |
| University of Utah | ||||||
| 332 South 1400 East Suite 160 | Salt Lake City | UT | 84112 | PC | Healthy People, Healthy Communities | $50,000 |
| University of Utah | ||||||
| 332 South 1400 East Suite 160 | Salt Lake City | UT | 84112 | PC | Healthy People, Healthy Communities | $40,000 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Healthy People, Healthy Communities | $50,000 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Sojourns | $76,720 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Healthy People, Healthy Communities | $50,000 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Healthy People, Healthy Communities | $20,000 |
| University of Wisconsin | ||||||
| PO Box 340 | Milwaukee | WI | 53201 | GOV | Sojourns | $90,000 |
| Utah Valley University | ||||||
| 800 West University Parkway 111 | Orem | UT | 84058 | PC | Healthy People, Healthy Communities | $20,000 |
| Cambia Health Solutions - Employee Giving | ||||||
| PO Box 1271 | Portland | OR | 97207 | PC | Employee Giving Campaign | $991,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $4,770,112 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (29 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| Association for Utah Community Health | ||||||
| 860 East 4500 South Suite 206 | Salt Lake City | UT | 84107 | PC | Healthy People, Healthy Communities | $100,000 |
| Beth Israel Deaconess Medical Center | ||||||
| 133 Brookline Avenue HVMA Annex S | Boston | MA | 02115 | PC | Healthy People, Healthy Communities | $100,000 |
| City of Hope | ||||||
| 1500 E Duarte Road | Duarte | CA | 91010 | PC | Sojourns | $280,000 |
| Clemson University | ||||||
| 105 Sikes Hall | Clemson | SC | 29634 | PC | Sojourns | $90,000 |
| Emory University School of Medicine | ||||||
| 1599 Clifton Road 3rd Floor 3101 | Atlanta | GA | 30322 | PC | Sojourns | $90,000 |
| Idaho Immunization Coalition | ||||||
| PO Box 234 | Shoshone | ID | 83352 | PC | Healthy People, Healthy Communities | $20,000 |
| Idaho Primary Care Association | ||||||
| 1087 W River Street Suite 160 | Boise | ID | 83702 | PC | Healthy People, Healthy Communities | $100,000 |
| Maine Medical Center | ||||||
| 22 Bramhall St | Portland | ME | 04102 | PC | Sojourns | $90,000 |
| March of Dimes Inc | ||||||
| 1550 Crystal Dr Suite 130 | Arlington | VA | 22202 | PC | Healthy People, Healthy Communities | $35,000 |
| Medstar Georgetown University Hospital | ||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | PC | Sojourns | $90,000 |
| Memorial Sloan Kettering Cancer Center | ||||||
| 1275 York Ave | New York | NY | 10065 | PC | Sojourns | $90,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Sojourns | $10,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Healthy People, Healthy Communities | $25,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Healthy People, Healthy Communities | $30,000 |
| OHSU Foundation | ||||||
| PO Box 29017 | Portland | OR | 97205 | PC | Healthy People, Healthy Communities | $32,500 |
| Oregon Primary Care Association | ||||||
| 333 SW 5th Ave | Portland | OR | 97204 | PC | Healthy People, Healthy Communities | $150,000 |
| Primary Care Progress | ||||||
| 24 School Street 2nd Floor | Boston | MA | 02108 | PC | Healthy People, Healthy Communities | $110,000 |
| Ronald McDonald House Charities of the Intermounta | ||||||
| 935 E South Temple | Salt Lake City | UT | 84102 | PC | Sojourns | $750,000 |
| Scripps Health Inpatient Providers Medical Group | ||||||
| 10010 Campus Point Drive Mailbox C | San Diego | CA | 92121 | PC | Sojourns | $90,000 |
| Jefferson University Physicians | ||||||
| 1101 Market Street Suite 2004 | Philadelphia | PA | 19107 | PC | Sojourns | $90,000 |
| Southern Oregon University Foundation | ||||||
| 1250 Siskiyou Blvd | Ashland | OR | 97520 | PC | Healthy People, Healthy Communities | $25,000 |
| UCSF Division of Hospital Medicine | ||||||
| 521 Parnassus Avenue 5th Floor Bo | San Francisco | CA | 94143 | PC | Sojourns | $90,000 |
| University of Idaho Foundation | ||||||
| 875 Perimeter Drive MS 3143 | Moscow | ID | 83844 | PC | Healthy People, Healthy Communities | $25,000 |
| University of Texas at Austin | ||||||
| PO Box 7159 | Austin | TX | 78713 | PC | Sojourns | $90,000 |
| University of Utah | ||||||
| 332 South 1400 East Suite 160 | Salt Lake City | UT | 84112 | PC | Healthy People, Healthy Communities | $20,000 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Healthy People, Healthy Communities | $40,000 |
| University of Washington | ||||||
| 433 NE Brooklyn Ave Box 359472 | Seattle | WA | 98195 | PC | Healthy People, Healthy Communities | $40,000 |
| University of Wisconsin | ||||||
| PO Box 340 | Milwaukee | WI | 53201 | GOV | Sojourns | $90,000 |
| Washington Association for Community Health | ||||||
| 101 Capitol Way N Suite 201 | Olympia | WA | 98501 | PC | Healthy People, Healthy Communities | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $2,942,500 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $27 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,752,442 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,611,964 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $3,364,433 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $3,364,433 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| Regence BlueShield | ||||||
| 1 | 1800 Ninth Avenue | Seattle | WA | 98101 | $8,148,083 | Yes (X) |
| Regence BlueCross BlueShield of Ore | ||||||
| 2 | 100 SW Market Street | Portland | OR | 97201 | $5,853,370 | Yes (X) |
| Regence BlueCross BlueShield of Uta | ||||||
| 3 | 2890 East Cottonwood Parkway | Salt Lake City | UT | 841210703 | $3,123,538 | Yes (X) |
| Regence BlueShield of Idaho | ||||||
| 4 | 1602 21st Avenue | Lewiston | ID | 835011930 | $1,620,650 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (4 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | Various Investment Funds | $8,148,083 | 2022-02-25 |
| 2 | Various Investment Funds | $5,853,370 | 2022-02-25 |
| 3 | Various Investment Funds | $3,123,538 | 2022-02-25 |
| 4 | Various Investment Funds | $1,620,650 | 2022-02-25 |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONE | Desc |
Contractor Compensation Expln ContractorCompensationExpln
Contractor Comp Expln ContractorCompExplnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Person | Future Work Design | ContractorPersonNm |
| Explanation | Consulting | ExplanationTxt |
Depreciation Schedule DepreciationSchedule
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| VANGUARD TIP FUND | $6,332,400 | $6,332,400 |
| MFB NTGI 999F11791 | $43,698,648 | $43,698,648 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MFB NTGI 999F11809 | $11,971,947 | $11,971,947 |
| MFB NTGI 999F11817 | $11,924,000 | $11,924,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| ADVERTISING | $521 | $521 | |
| INVESTMENT EXPENSES | $60,827 | $60,827 | |
| MISCELLANEOUS EXPENSES | $201,195 | $326,893 | |
| SOFTWARE EXPENSE | $33,445 | $34,081 | |
| SPONSORSHIPS | $105,000 | $105,000 | |
| OR COALITION | $12,563 | $12,563 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED TAXES | Desc |
| BOY Book Value | $130,048 | BOYBookValueAmt |
| EOY Book Value | $108,627 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (7 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| CASCADE WEB DEVELOPMENT | $10,388 | $10,388 |
| BUSATH | $199 | $199 |
| SPOT COLOR MARKETING | $3,158 | $3,158 |
| EDIS JURCYS PHOTOGRAPHY | $250 | $250 |
| CENTER FOR EQUITY AND INCLUSIO | $2,824 | $16,108 |
| US PATENT AND TRADEMARK OFFICE | $525 | $525 |
| FUTURE WORK DESIGN | $78,730 | $59,480 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX ON INVESTMENT INC | CategoryTxt |
| Amt | $62,177 | Amt |
Comments