2014-09-12T16:02:50-05:00 2013-12-31 621199757 LATTIMORE BLACK MORGAN & CAIN PC 605 CHESTNUT STREET SUITE 1100 CHATTANOOGA TN 37450 990PF 2013-01-01 200298456 TENNESSEE HEALTH FOUNDATION INC TENN 4235357163 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 TREY WHITE CAO & CONTROLLER 4235357163 2014-09-12 0 BECKY G MURPHY P01029295 4237566585 2014-09-12 2013 2015-12-30 17:16:21Z X 203665743 X 27000000 1864 430145 1235505 2205379 5450447 19547550 208379 33687816 22391453 0 0 0 8450 1268 7182 300263 300263 0 252033 98382 0 518643 81531 517461 1079389 481444 524643 7537113 7537113 8616502 481444 8061756 25071314 21910009 34421 34421 10340087 8258198 8258198 153725995 190771218 190771218 4783 4601906 4601906 164070865 203665743 203665743 4236 18152 -267 -8556 3969 9596 X 164066896 203656147 164066896 203656147 164070865 203665743 164066896 25071314 14517937 203656147 0 203656147 CAPITAL GAIN ON CONTRIBUTED STOCKS D 12838884 12838884 SILCHESTER ST CAPITAL GAINS P 156391 156391 SILCHESTER LT CAP GAINS BOOK-TAX DIFFERENCE P 685856 685856 SILCHESTER LT CAPITAL GAINS P 1152684 1152684 MISCELLANEOUS OTHER INVESTMENTS P 335 335 GAMMA ST CAPITAL GAINS P 45064 45064 GAMMA LT CAPITAL GAINS P 370908 370908 OTHER MARKETABLE SECURITIES GAINS P 4297428 4297428 19547550 0 6107244 132433040 0.046116 5278257 115203888 0.045817 4246999 103465432 0.041048 4194354 87277228 0.048058 3302145 88399801 0.037355 0.218394 0.043679 168066934 7340996 219100 7560096 8061756 X 219100 0 219100 0 219100 242773 242773 X 264 23409 23409 0 0 0 0 0 0 0 0 1 0 0 1 1 TN 1 0 0 0 0 1 BCBST.COM/ABOUT/COMMUNITY/TN-HEALTH-FOUNDATION TREY WHITE 4235357036 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1 CA CJ 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BETTY W DEVINNEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 CHAIRPERSON 1.00 0 0 0 HERBERT H HILLIARD 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 VICE CHAIRPERSON 1.00 0 0 0 JAMES B BAKER 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 HULET M CHANEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 REGINALD W COOPWOOD 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 MARTY G DICKENS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 WILLIAM M GRACEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 PRESIDENT/CEO 1.00 0 0 0 LAMAR J PARTRIDGE 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 JAMES M PHILLIPS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 EMILY J REYNOLDS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 PAUL E STANTON 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 BOARD MEMBER 1.00 0 0 0 SHELIA D CLEMONS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 SECRETARY 1.00 0 0 0 JILL OAKS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 ASSISTANT SECRETARY 1.00 0 0 0 BRIAN STANA 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 TREASURER 1.00 0 0 0 ALAINE ZACHARY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 ASSISTANT TREASURER 1.00 0 0 0 JOHN GIBLIN 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 CFO 1.00 0 0 0 T RALPH WOODARD JR 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 CONTROLLER/CAO 1.00 0 0 0 CALVIN ANDERSON 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 EXECUTIVE DIRECTOR 1.00 0 0 0 DAWN WEBER 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 FOUNDATION MANAGER 20.00 0 0 0 NONE 0 NONE 0 SHAPE THE STATE PROGRAM FOCUSES ON COMBATING CHILDHOOD OBESITY THROUGH PHYSICAL ACTIVITY AND NUTRITION. MORE THAN 88,000 CHILDREN AT ALMOST 200 SCHOOL SITES HAVE PARTICIPATED 517461 0 165576608 5049721 0 170626329 0 0 170626329 2559395 168066934 8403347 8403347 219100 219100 8184247 0 8184247 0 8184247 8061756 0 8061756 219100 7842656 8184247 5388926 0 0 8061756 5388926 0 0 2672830 0 0 0 0 0 0 0 0 5511417 0 0 0 DAWN WEBER FOUNDATION MANAGER 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 4235357163 WWW.BCBST.COM/ABOUT/COMMUNITY/TN-HEALTH-FOUNDATION/ SUBMISSIONS MUST BE WITHIN 3 CYCLES: JAN,MAY,SEP WWW.BCBST.COM/ABOUT/COMMUNITY/TN-HEALTH-FOUNDATION/ AVERY TRACE MIDDLE SCHOOL 230 RAIDER DR COOKEVILLE TN 38501 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 BURCHFIELD SCHOOL 1112 W 3RD AVENUE ONEIDA TN 37841 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 CHILHOWEE MIDDLE SCHOOL 216 SCHOOLHOUSE HILL ROAD BENTON TN 37307 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 COMMUNITY FOUNDATIONREGIONAL OBSTETRICAL CONSULTANTS 902 MCCALLIE AVE CHATTANOOGA TN 37403 NONE 509(A)(1) STORC - SOLUTIONS TO OBSTETRICS IN RURAL COUNTIES PROGRAM 617074 COUNTRY MUSIC HALL OF FAME AND MUSEUM 222 FIFTH AVENUE SOUTH NASHVILLE TN 37203 NONE 509(A)(1) BCBST LEARNING LAB 100000 DICKSON COMMUNITY CLINIC 111 HIGHWAY 70 E DICKSON TN 37055 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 3000 DYER SCHOOL 322 E COLLEGE STREET DYER TN 38330 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 EAST NASHVILLE MAGNET SCHOOL 110 GALLATIN STREET NASHVILLE TN 37206 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 EXCHANGE CLUB CARL PERKINS CENTER PO BOX 447 JACKSON TN 38302 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 FAITH FAMILY MEDICAL CLINIC 326 21ST AVENUE NORTH NASHVILLE TN 37205 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 225000 FRIENDS IN NEED HEALTH CENTER INC 1105 W STONE DR KINGSPORT TN 37660 NONE 509(A)(1) MATCHING GRANT PROJECT 108000 GIRLS INC OF CHATTANOOGA 709 SOUTH GREENWOOD AVENUE CHATTANOOGA TN 37404 NONE 509(A)(1) INFANT MORTALITY PUBLIC AWARENESS CAMPAIGN FOR TENNESSEE (IMPACT) PROGRAM 50497 GOVERNORS FOUNDATION FOR HEALTH AND WELLNESS 511 UNION ST SUITE 720 NASHVILLE TN 37219 NONE 509(A)(1) HEALTHIER TENNESSEE 1000000 GREENFIELD 319 WEST MAIN STREET GREENFIELD TN 38230 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 HARDIN COUNTY MIDDLE SCHOOL 299 LACEFIELD DR SAVANNAH TN 38372 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 HELEN ROSS MCNABB CENTER 201 WEST SPRINGDALE AVENUE KNOXVILLE TN 37917 NONE 509(A)(1) GEOGRAPHIC EXPANSION - BEHAVIORAL HEALTH PROGRAMS 83333 HOPE FAMILY HEALTH SERVICES 2 WESTMORELAND TN 37186 12124 TENNESSEE 52 WESTMORELAND TN 37186 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 6000 INTERFAITH HEALTH CLINIC 315 GILL AVENUE KNOXVILLE TN 37917 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 8000 KNOXVILLE AREA PROJECT ACCESS 115 SUBURBAN ROAD SOUTHWEST KNOXVILLE TN 37923 NONE 509(A)(1) EMERGENCY ROOM UTILIZATION INITIATIVE EXPANSION 100000 KNOXVILLE NEWS SENTINEL CHARITIES INC 2332 NEWS SENTINEL DR KNOXVILLE TN 37921 NONE 509(A)(1) FREE FLU SHOT SATURDAY PROGRAM 60000 LEBONHEUR CHILDREN'S HOSPITAL 50 N DUNLAP ST MEMPHIS TN 38103 NONE 509(A)(1) PEDIFLIGHT CRASH MEMORIAL DONATION 10500 MEIGS MIDDLE SCHOOL 564 N MAIN ST DECATUR TN 37322 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 METHODIST HEALTHCARE FOUNDATION PO BOX 42048 MEMPHIS TN 38174 NONE 509(A)(1) SICKLE CELL CENTER OF MEMPHIS 50000 MORRISON ELEMENTARY SCHOOL 500 SOUTH FAIR STREET MORRISON TN 37357 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 MOUNTAIN STATES FOUNDATION 2335 KNOB CREEK ROAD SUITE 101 JOHNSON CITY TN 37604 NONE 509(A)(1) COMMUNITY BENEFIT INITIATIVES 250000 MTN HOPE GOOD SHEPHERD CLINIC 312 PRINCE ST SEVIERVILLE TN 37862 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 8000 NATIONAL CIVIL RIGHTS MUSEUM MEMPHIS TN 38103 450 MULBERRY MEMPHIS TN 38103 NONE 509(A)(1) RENOVATION PROJECT 100000 NEW CENTER ELEMENTARY 2701 OLD NEWPORT HIGHWAY SEVIERVILLE TN 37876 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 NORRIS MIDDLE SCHOOL 5 NORRIS SQUARE PO BOX 980 NORRIS TN 37828 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 NORTHEAST MIDDLE SCHOOL 2665 CHRISTMASVILLE RD JACKSON TN 38305 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 ONE FUND BOSTON PO BOX 990009 BOSTON MA 02199 NONE 509(A)(1) BOSTON BOMBING CONTRIBUTION 10000 ORCHARD KNOB MIDDLE SCHOOL 500 NORTH HIGHLAND PARK AVE CHATTANOOGA TN 37840 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 PETROS-JOYNER SCHOOL (K-8) 125 PETROS-JOYNER SCHOOL ROAD OLIVER SPRINGS TN 37840 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 PRIMARY CARE & HOPE CLINIC MURFREESBORO TN 37129 1453A HOPE WAY MURFREESBORO TN 37129 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 6000 RICHARD HARDY MEMORIAL SCHOOL SOUTH PITTSBURG TN 37380 1620 HAMILTON AVENUE SOUTH PITTSBURG TN 37380 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 RIDGEVIEW PSYCHIATRIC CENTER 110 NORTH TENNESSEE AVENUE LAFOLLETTE TN 37766 NONE 509(A)(1) MOTHERS AND INFANTS SOBER TOGETHER (MIST) PROGRAM 145228 ROCKVALE MIDDLE 6543 HWY 99 ROCKVALE TN 37153 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 RONALD MCDONALD HOUSE CHARITIES OF NASHVILLE 2144 FAIRFAX AVENUE NASHVILLE TN 37212 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 RONALD MCDONALD HOUSE OF CHATTANOOGA 200 CENTRAL AVENUE CHATTANOOGA TN 37403 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 RONALD MCDONALD HOUSE OF JOHNSON CITY 418 N STATE OF FRANKLIN RD JOHNSON CITY TN 37604 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 RONALD MCDONALD HOUSE OF KNOXVILLE 1705 W CLINCH AVE SW KNOXVILLE TN 37916 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 RONALD MCDONALD HOUSE OF MEMPHIS 535 ALABAMA AVENUE MEMPHIS TN 38105 NONE 509(A)(1) TEAM BLUE BENEFICIARY - STATE-WIDE INITIATIVE 10000 RUTHERFORD SCHOOL 108 WEST KNOX STREET RUTHERFORD TN 38369 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 SHELBY COUNTY BOOKS FROM BIRTH 5865 RIDGEWAY CENTER PKWY MEMPHIS TN 37204 NONE 509(A)(1) PROGRAM SUPPORT 200000 SILOAM FAMILY HEALTH CENTER 820 GALE LN NASHVILLE TN 37204 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 10000 SMYRNA MIDDLE SCHOOL 712 HAZELWOOD DRIVE SMYRNA TN 37167 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 TN HOSPITAL EDUCATION & RESEARCH FDN 500 INTERSTATE BLVD SOUTH NASHVILLE TN 37210 NONE 509(A)(1) TN SURGICAL QUALITY IMPROVEMENT PROJECT 1060800 UNIVERSITY OF MEMPHIS SCHOOL OF PUBLIC HEALTH 106 ROBISON HALL MEMPHIS TN 38152 NONE 509(A)(1) FITKIDS PROGRAM 275000 UNIVERSITY OF TN AT CHATTANOOGA SCHOOL OF NURSING 615 MCCALLIE AVENUE DEPT 5605 CHATTANOOGA TN 37403 NONE 509(A)(1) GERONTOLOGY CHAIR, SCHOOL OF NURSING 500000 UNIVERSITY OF TN 62 SOUTH DUNLAP MEMPHIS TN 38163 NONE 509(A)(1) TEAMWORK-FOCUSED INTERDISCIPLINARY SIMULATIONS PROGRAM 973420 UNIVERSITY OF TN 910 MADISON AVE STE 827 MEMPHIS TN 38163 NONE 509(A)(1) BLUES PROJECT, PHASE III (HAMILTON CO & SHELBY CO) 1392261 URBAN LEAGUE OF CHATTANOOGA 730 E MARTIN LUTHER KING BLVD CHATTANOOGA TN 37411 NONE 509(A)(1) FIT4LIFE PROGRAM 100000 VOLUNTEERS IN MEDICINE 5705 MARLIN RD CHATTANOOGA TN 37729 NONE 509(A)(1) VOLUNTEER CLINIC SUPPORT 5000 WHITE OAK ELEMENTARY 5634 WHITE OAK ROAD DUFF TN 37729 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 WINFREE BRYANT MIDDLE SCHOOL 1213 LEEVILLE PIKE LEBANON TN 38506 NONE 509(A)(1) SHAPE THE STATE GRANT WINNER 1000 7537113 0 14 1864 14 1235505 14 5450447 0 6687816 0 6687816 0 0 0 0 0 0 0 0 0 0 X X 1 BLUECROSS BLUESHIELD OF TENNESSEE INC 1 CAMERON HILL CIRCLE CHATTANOOGA TN 374022520 299849 X 2 BLUECROSS BLUESHIELD OF TENNESSEE INC 1 CAMERON HILL CIRCLE CHATTANOOGA TN 374022520 26700151 X 2 PUBLICLY TRADED SECURITIES 26700151 2013-12-12 AUDIT & TAX SERVICE EXP 8450 1268 7182 FORM 990PF, PART XV FORM 990PF, PART XVINFORMATION REGARDING FOUNDATION MANAGERS============================================================THE DIRECTORS AND OFFICERS OF THE FOUNDATION ARE DIRECTORSOR OFFICERS OR EMPLOYEES OF BLUECROSS BLUESHIELD OFTENNESSEE, INC., WHICH IS THEIR PRIMARY SUPPORTER ANDSUBSTANTIAL CONTRIBUTOR TO THE FOUNDATION. A LISTING OFTHESE INDIVIDUALS IS CONTAINED IN STATEMENT 11 FORFORM 990-PF FORM 990PF, PART XV 3B PART XV 3B - FUTURE CONTRIBUTIONS============================================================NO FUTURE COMMITMENTS CONSIDERED UNCONDITIONAL PIMCO TOTAL RETURN FD-INST 12331944 12331944 PIMCO BOND FUND 24400651 24400651 ISHARES S&P 500 INDEX FUNDS 17240945 17240945 ISHARES S&P SMALLCAP 600 10339740 10339740 ISHARES MSCI EAFE ETF 8943629 8943629 AURORA OFFSHORE FD LTD II CL A 19696203 19696203 SELECTINVEST MULTISTRATEGY LTD 426231 426231 ABS OFFSHORE SPC GLOBAL PORT 15308513 15308513 SILCHESTER INT'L EQUITY TRUST 33818282 33818282 EATON VANCE PARAMETRIC TAX-MGD EMERGING MARKETS FUND 16252892 16252892 ISHARES BARCLAYS 0-5 YEAR TIPS 14117750 14117750 GAMMA CONVERTIBLE FUND 12506304 12506304 BABSON FLOATING RATE INCOME 5388134 5388134 ACCRUED BOND INTEREST RECEIVABLE 4783 0 0 EQ/MMF INTEREST RECEIVABLE 0 1906 1906 INVESTMENT RECEIVABLE 0 4600000 4600000 PROGRAM SUPPORT 517461 0 517461 DUES 500 0 0 OTHER PASSTHROUGH INVESTMENT EXPENSES 0 81531 0 MISCELLANEOUS EXPENSE 187 0 0 LATE FEES AND PENALTIES 495 0 0 UNREALIZED GAIN 14517937 FRANCHISE & EXCISE TAX PAYABLE -267 -8556 MANAGEMENT FEES 300263 300263 0 TAX AND LICENSE 322 0 0 FOREIGN TAXES FROM PASS THROUGH 0 98382 0 EXCISE TAX 251711 0 0