2013-09-19T12:50:56-05:00 2012-12-31 621199757 LATTIMORE BLACK MORGAN & CAIN PC 605 CHESTNUT STREET SUITE 1100 CHATTANOOGA TN 37450 990PF 2012-01-01 200298456 TENNESSEE HEALTH FOUNDATION INC TENN 4235357350 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 T RALPH WOODARD JR 4235357350 2013-09-19 0 PATRICIA K COSGROVE P00025712 4237566585 2012 2016-02-24 21:20:13Z X 164070865 X 28000000 4457 265521 2110553 2913659 1259520 15854161 28328 31374530 19061669 0 0 0 8750 1313 7438 221720 221720 0 195711 66879 0 570194 46847 569584 996375 336759 577022 5717471 5717471 6713846 336759 6294493 24660684 18724910 15663368 10340087 10340087 104183198 153725995 153725995 9101284 4783 4783 128947850 164070865 164070865 2165 4236 44342 -267 46507 3969 X 128901343 164066896 128901343 164066896 128947850 164070865 128901343 24660684 10504869 164066896 0 164066896 CAPITAL GAIN ON CONTRIBUTED STOCKS D 13721651 13721651 SILCHESTER K-1 CAP GAINS P 4235 4235 SILCHESTER K-1 CAP GAINS P 868755 868755 MARKETABLE SECURITIES P 1259520 1259520 15854161 0 5278257 115203888 0.045817 4246999 103465432 0.041048 4194354 87277228 0.048058 3302145 88399801 0.037355 2427801 79614291 0.030495 0.202773 0.040555 132433040 5370822 187249 5558071 6294493 X 187249 0 187249 0 187249 170022 20000 190022 X 2773 2773 0 0 0 0 0 0 0 0 0 0 0 1 1 TN 1 0 0 0 0 1 BCBST.COM/ABOUT/COMMUNITY/TN-HEALTH-FOUNDATION T RALPH WOODARD JR 4235355192 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 LAMAR J PARTRIDGE 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 BETTY W DEVINNEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 VICKY B GREGG 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 SHELIA D CLEMONS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 JILL OAKS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 BRIAN STANA 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 ALAINE ZACHARY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 JOHN GIBLIN 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 HULET M CHANEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 MARTY G DICKENS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 HERBERT H HILLIARD 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 T RALPH WOODARD JR 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 PAUL E STANTON 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 WILLIAM M GRACEY 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 EMILY J REYNOLDS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 JAMES M PHILLIPS 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 CALVIN ANDERSON 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 REGINALD W COOPWOOD 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 JAMES B BAKER 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 1.00 0 0 0 KATHY BINGHAM 1 CAMERON HILL CIRCLE CHATTANOOGA TN 37402 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 569584 0 128108570 6341217 0 134449787 0 0 134449787 2016747 132433040 6621652 6621652 187249 187249 6434403 0 6434403 0 6434403 6294493 0 6294493 187249 6107244 6434403 5249016 0 0 6294493 5249016 0 0 1045477 0 0 0 0 0 0 0 0 5388926 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/ AMERICAN RED CROSS GREATER CHATTANOOGA AREA CHAPTER 801 MCCALLIE AVE CHATTANOOGA TN 37403 NONE 509(A)(1) CHATTANOOGA AREA TORNADO RELIEF EFFORTS 25000 AMERICAN WAY MIDDLE 3805 AMERICAN WAY MEMPHIS TN 38118 NONE 509(A)(1) SHAPE THE STATE GRANT 1000 BACHMAN MEMORIAL HOME INC 414 BRYMER CREEK ROAD MCDONALD TN 37353 NONE 509(A)(1) SHAPE THE STATE GRANT 1477 BLEDSOE COUNTY BOARD OF EDUCATION 478 SPRING ST PIKEVILLE TN 37367 NONE 509(A)(1) SHAPE THE STATE GRANT 1792 CANNON COUNTY BOARD OF EDUCATION 301 W MAIN STSTE 100 WOODBURY TN 37190 NONE 509(A)(1) SHAPE THE STATE GRANT 1930 CHESTER COUNTY JUNIOR HIGH SCHOOL 930E MAIN ST HENDERSON TN 38340 NONE 509(A)(1) SHAPE THE STATE GRANT 1000 CHILD & FAMILY TENNESSEE 901 EAST SUMMIT HILL DRIVE 200 KNOXVILLE TN 37915 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARY - STATE WIDE INITIATIVE 10000 CHILDREN'S HOME-CHAMBLISS SHELTER 315 GILLESPIE ROAD CHATTANOOGA TN 37411 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARY - STATE WIDE INITIATIVE 10000 CLAIBORNE GOUNTY BOARD OF EDUCATION 1403 TAZEWELL ROAD TAZEWELL TN 37879 NONE 509(A)(1) SHAPE THE STATE GRANT 3769 COMMUNITY HEALTH FOUNDATIONREGIONAL OBSTETRICAL CONSULTANTS 902 MCCALLIE AVE CHATTANOOGA TN 37403 NONE 509(A)(1) STORC - SOLUTIONS TO OBSTETRICS IN RURAL COUNTIES PROGRAM 357042 CREATIVE DISCOVERY MUSEUM 321 CHESTNUT ST CHATTANOOGA TN 37402 NONE 509(A)(1) GOOD FOR YOU TRAVELING EXHIBIT 25000 CUMMINGS SCHOOL 1037 CUMMINGS STREET MEMPHIS TN 38106 NONE 509(A)(1) SHAPE THE STATE GRANT 2245 EXCHANGE CLUB-CARL PERKINS CENTER 341 REDDEN STREET HUNTINGDON TN 38344 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARY STATE WIDE INITIATIVE 10000 FAITH FAMILY MEDICAL CLINIC 326 21ST AVENUE NORTH NASHVILLE TN 37205 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 8000 FIRST ASSEMBLY OF GOD - HOUSTON COUNTY CHRISTIAN ACADEMY 270 ARLINGTON STREET ERIN TN 37061 NONE 509(A)(1) SHAPE THE STATE GRANT 1575 FRIENDS IN NEED HEALTH CENTER INC 1105 W STONE DR KINGSPORT TN 37660 NONE 509(A)(1) MATCHING GRANT PROJECT 100000 GIRLS INC OF MEMPHIS 2670 UNION AVE EXT STE 606 MEMPHIS TN 38112 NONE 509(A)(1) NO BABY TEEN PREGNANCY PREVENTION CAMPAIGN 25000 GRACE MEDICAL CLINIC 100 COVEY DRIVE FRANKLIN TN 37067 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 5000 GREENEVILLE CITY SCHOOLS PO BOX 1420 GREENEVILLE TN 37744 NONE 509(A)(1) SHAPE THE STATE GRANT 1560 HAMILTON COUNTY GOVERNMENT 117 E 7TH ST 500 CHATTANOOGA TN 37402 NONE 509(A)(1) RIVERWALK PROJECT 250000 HEALING HANDS HEALTH CENTER 210 MEMORIAL DRIVE BRISTOL TN 37620 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 4000 HEAVENLY HOST LUTHERAN SCHOOL 777 S WILLOW AVENUE COOKEVILLE TN 38501 NONE 509(A)(1) SHAPE THE STATE GRANT 1341 HOPE FAMILY HEALTH SERVICES 12124 TENNESSEE 52 WESTMORELAND TN 37186 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 6000 INTERFAITH HEALTH CLINIC 315 GILL AVENUE KNOXVILLE TN 37917 NONE 509(A)(1) 2012 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 DRIVE KNOXVILLE TN 37921 NONE 509(A)(1) FREE FLU SHOT SATURDAY PROGRAM 60000 LAMPLIGHTER MONTESSORI 8563 FAY ROAD CORDOVA TN 38018 NONE 509(A)(1) SHAPE THE STATE GRANT 1000 LENIOR CITY INTERMEDIATE MIDDLE SCHOOL 2141 HARRISON AVENUE LENOIR CITY TN 37771 NONE 509(A)(1) SHAPE THE STATE GRANT 1742 MEDICAL FOUNDATION OF CHATTANOOGA 1917 EAST THIRD STREET CHATTANOOGA TN 37404 NONE 509(A)(1) HEALTH KIDS HEALTH COMMUNITIES 30000 MERCY HEALTH PARTNERS FOUNDATION 900 E OAK HILL AVE KNOXVILLE TN 379174505 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 8000 METHODIST HEALTHCARE FOUNDATION PO BOX 42048 MEMPHIS TN 381742048 NONE 509(A)(1) SICKLE CELL CENTER OF MEMPHIS 50000 MILAN SPECIAL SCHOOL DISTRICT 1165 S MAIN STREET MILAN TN 38358 NONE 509(A)(1) SHAPE THE STATE GRANT 2005 MONROE HARDING 1120 GLENDALE LANE NASHVILLE TN 37204 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARY - STATE WIDE INITIATIVE 10000 MT JULIET CHRISTIAN ACADEMY 735 N MT JULIET ROAD MT JULIET TN 37122 NONE 509(A)(1) SHAPE THE STATE GRANT 1313 MTN HOPE GOOD SHEPHERD CLINIC 312 PRINCE STREET SEVIERVILLE TN 37862 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 8000 NATIONAL CIVIL RIGHTS MUSEUM 450 MULBERRY MEMPHIS TN 38103 NONE 509(A)(1) RENOVATION PROJECT 100000 ONEIDA SPECIAL SCHOOL DISTRICT PO BOX 4819 ONEIDA TN 37841 NONE 509(A)(1) SHAPE THE STATE GRANT 1617 PARTNERS FOR HEALING 109 W BLACKWELL ST TULLAHOMA TN 37388 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 5000 PORTER LEATH CHILDREN'S HOME 868 NORTH MANASSAS STREET MEMPHIS TN 38107 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARY - STATE WIDE INITIATIVE 10000 PRIMARY CARE & HOPE CLINIC 1453 A HOPE WAY MURFREESBORO TN 37129 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 6000 PUTNAM COUNTY BOARD OF EDUCATION 1400 EAST SPRING STREET COOKEVILLE TN 38506 NONE 509(A)(1) SHAPE THE STATE GRANT 1444 ROCK SPRINGS MIDDLE 3301 ROCK SPRINGS ROAD SMYRNA TN 37167 NONE 509(A)(1) SHAPE THE STATE GRANT 1253 SE SUCCESS SCHOOL 5396 MEDENHALL SQUARE MALL MEMPHIS TN 38115 NONE 509(A)(1) SHAPE THE STATE GRANT 1000 SALVUS CENTER INC 556 HARTSVILLE PIKE GALLATIN TN 37066 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 5000 SILOAM FAMILY HEALTH CENTER 820 GALE LANE NASHVILLE TN 37204 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 10000 THE CHURCH HEALTH CENTER 1210 PEABODY AVE MEMPHIS TN 38104 NONE 509(A)(1) 2ND OF 3 DIABETIC OBESITY WEIGHT LOSS 84000 TN HOSPITAL EDUCATION & RESEARCH FDN 500 INTERSTATE BLVD SOUTH NASHVILLE TN 37210 NONE 509(A)(2) TN PATIENT SAFETY PROGRAM 507885 TN HOSPITAL EDUCATION & RESEARCH FDN 500 INTERSTATE BLVD SOUTH NASHVILLE TN 37210 NONE 509(A)(2) TN SURGICAL QUALITY IMPROVEMENT PROJECT 935050 TN PHARMACISTS RESEARCH & EDUCATION FDN 500 CHURCH STREET SUITE 650 NASHVILLE TN 37219 NONE 509(A)(1) PHARMACISTS PROVIDED DIABETES CARE PROGRAM 195969 TN SCORE 1207 18TH AVE SOUTH 326 NASHVILLE TN 37212 NONE 509(A)(1) STATE COLLABORATIVE ON REFORMING EDUCATION 100000 TUSCULUM UNIVERSITY PO BOX 5048 GREENEVILLE TN 37743 NONE 509(A)(1) SIMULATION CENTER - NURSING 263996 UNIVERSITY OF TN 62 SOUTH DUNLAP MEMPHIS TN 38163 NONE 509(A)(1) TEAMWORK - FOCUSED INTERDISCIPLINARY SIMULATIONS PROGRAM 944993 UNIVERSITY OF TN 910 MADISON AVE STE 827 MEMPHIS TN 38163 NONE 509(A)(1) BLUES PROJECT, PHASE III 1392261 VAN BUREN COUNTY BOARD OF EDUCATION 293 SPARTA STREET SPENCER TN 38585 NONE 509(A)(1) SHAPE THE STATE GRANT 2012 VOLUNTEERS IN MEDICINE 5705 MARLIN RD CHATTANOOGA TN 37411 NONE 509(A)(1) 2012 VOLUNTEER CLINIC SUPPORT 5000 WEAKLEY COUNTY BOARD OF EDUCATION 8319 HIGHWAY 22 SUITE A DRESDEN TN 38225 NONE 509(A)(1) SHAPE THE STATE GRANT 1200 WEST MIDDLE SCHOOL 317 DENMARK-JACKSON ROAD DENMARK TN 38391 NONE 509(A)(1) SHAPE THE STATE GRANT 1000 YOUTH VILLAGES 3915 BRISTOL HIGHWAY JOHNSON CITY TN 37601 NONE 509(A)(1) 2012 TEAM BLUE BENEFICIARTY - STATE WIDE INITIATIVE 10000 5717471 0 14 4457 14 2110553 14 1259520 0 3374530 0 3374530 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 21349 X 2 BLUECROSS BLUESHIELD OF TENNESSEE INC 1 CAMERON HILL CIRCLE CHATTANOOGA TN 374022520 27978651 X 2 PUBLICLY TRADED SECURITIES 27978651 2012-12-31 AUDIT & TAX SERVICE EXP 8750 1313 7438 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 12 FORFORM 990-PF PART XV 3B - FUTURE CONTRIBUTIONS============================================================NO FUTURE COMMITMENTS CONSIDERED UNCONDITIONAL PIMCO TOTAL RETURN FD-INST 45311308 45311308 ISHARES S&P 500 INDEX FUNDS 18403653 18403653 ISHARES S&P SMALLCAP 600 8370602 8370602 AURORA OFFSHORE FD LTD II CL A 13541480 13541480 SELECTINVEST MULTISTRATEGY LTD 993662 993662 ABS OFFSHORE SPC GLOBAL PORT 11021315 11021315 SILCHESTER INT'L EQUITY TRUST 24467440 24467440 EATON VANCE PARAMETRIC TAX-MGD EMERGING MARKETS FUND 13452884 13452884 ISHARES BARCLAYS 0-5 YEAR TIPS 11265510 11265510 GAMMA CONVERTIBLE FUND 6898141 6898141 ACCRUED BOND INTEREST RECEIVABLE 1284 4783 4783 INVESTMENT RECEIVABLE 9100000 PUBLIC RELATIONS 569584 0 569584 DUES 500 0 0 MISC INVESTMENT EXP 110 46847 0 UNREALIZED GAIN 10504869 FRANCHISE & EXCISE TAX PAYABLE 44342 -267 MANAGEMENT FEES 221720 221720 0 TAX AND LICENSE 320 66879 0 EXCISE TAX 195391 0 0