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← BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE

Form 990 for tax year 2023

Filed by BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE.

Totals

Total revenue
$378,739
Total expenses
$379,095
Contributions and grants received
$378,739
Grants paid
$378,693
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$102,810
Total liabilities, end of year
$52,481
Net assets or fund balances, end of year
$50,329
Program services expenses (Part IX)
$378,693
Management and general expenses
$402
Fundraising expenses
$0
Program service expenses (Part III)
$378,693

Program services were 99.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $50,000

  • 1f · All other contributions, gifts and grants

    $328,739

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $378,693 · program services $378,693

  • 24a · Other expenses: BANKING FEES

    total $357 · management and general $357

  • 24b · Other expenses: ADMINISTRATIVE FEES

    total $45 · management and general $45

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $51,773 · end of year $51,522

  • 15 · Other assets

    beginning of year $50,220 · end of year $51,288

  • 25 · Other liabilities

    beginning of year $51,308 · end of year $52,481

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $50,685 · end of year $50,329

Mission and programs · 2023

Mission

THE 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.

Activities or mission (Part I)

SEE SCEHDULE OADDRESSING SOCIAL DETERMINANTS OF HEALTH, ENABLING HEALTHIER LIVING, AND IMPROVING HEALTHCARE QUALITY.

  • THE ORGANIZATION ADDRESSES SOCIAL DETERMINANTS OF HEALTH, ENABLING HEALTHIER LIVING, AND IMPROVING HEALTHCARE QUALITY BY MAKING GRANTS TO OTHER 501(C)(3) ORGANIZATIONS WHO ALSO SUPPORT THIS MISSION.

    Expenses $378,693 · Grants $378,693

As filed on the 2023 return.

Listed in Part VII

  • Kim Keck

    PRESIDENT AND BOARD MEMBER

    Total calculated
    $6,041,415
    From this org
    $0
    From related orgs
    $4,374,499
    Other
    $1,666,916
    Hours/week
    0.05 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,482,893 related
    Bonus
    $0 + $2,873,900 related
    Other
    $0 + $17,706 related
    Deferred
    $0 + $1,630,064 related
    Nontaxable benefits
    $0 + $36,852 related
    Filer's total
    $0 + $6,041,415 related
  • Jennifer Vachon

    VICE PRESIDENT AND BOARD MEMBER

    Total calculated
    $2,125,750
    From this org
    $0
    From related orgs
    $1,829,407
    Other
    $296,343
    Hours/week
    0.05 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $705,981 related
    Bonus
    $0 + $1,119,400 related
    Other
    $0 + $4,026 related
    Deferred
    $0 + $257,296 related
    Nontaxable benefits
    $0 + $39,047 related
    Filer's total
    $0 + $2,125,750 related
  • Christina Fisher

    TREASURER AND BOARD MEMBER

    Total calculated
    $1,137,899
    From this org
    $0
    From related orgs
    $915,677
    Other
    $222,222
    Hours/week
    0.05 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $569,975 related
    Bonus
    $0 + $343,100 related
    Other
    $0 + $2,602 related
    Deferred
    $0 + $192,677 related
    Nontaxable benefits
    $0 + $29,545 related
    Filer's total
    $0 + $1,137,899 related
  • W Scott Nehs

    SECRETARY AND BOARD MEMBER

    Total calculated
    $1,191,083
    From this org
    $0
    From related orgs
    $1,006,003
    Other
    $185,080
    Hours/week
    0.05 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $562,117 related
    Bonus
    $0 + $439,300 related
    Other
    $0 + $4,586 related
    Deferred
    $0 + $153,641 related
    Nontaxable benefits
    $0 + $31,439 related
    Filer's total
    $0 + $1,191,083 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
KIM KECK PARTICIPATES IN A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING 2023.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BLUE CROSS BLUE SHIELD BENEFIT CORP

    C · COMMUNITY HEALTH · IL

Provenance

Return type
form_990
Tax year
2023
Filed
6 November 2024
IRS schema version
2023v5.1
Source object
202443129349301504

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