STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BLUE CROSS BLUE SHIELD OF MASS FD INC FOR EXPANDING HEALTHCARE ACCES: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF MASS FD INC FOR EXPANDING HEALTHCARE ACCES (EIN 04-3148824)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202413209349102046
Schema version
2023v5.1
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)
Return2024-11-15T10:19:31+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N WACKER DRIVEAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043148824EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS FOUNDATION FOR EXPANDING HEALTHBusinessNameLine1Txt
Business Name Line2CARE ACCESSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone6172465000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRUBY KAMPersonNm
Person TitleCFOPersonTitleTxt
Phone6172465000PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKatherine KurtzmanPreparerPersonNm
PTINP01236691PTIN
Phone3128792000PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$104,059,867FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$324,080ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$1,341,064DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,341,064DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$6,739,861NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$28,515,373GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$6,739,861CapGainNetIncmNetInvstIncmAmt
Gross Sales Less Ret And Allwnc$0GrossSalesLessRetAndAllwncAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Rev And Expnss$0GrossProfitRevAndExpnssAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$8,405,005TotalRevAndExpnssAmt
Total Net Invst Incm$8,080,925TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Legal Fees Rev And Expnss$0LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$0AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$2,139,058OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$302,550OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$1,836,508OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$179,649TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$0OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$175,475TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$175,475TravConfMeetingDsbrsChrtblAmt
Printing And Pub Rev And Expnss$127PrintingAndPubRevAndExpnssAmt
Printing And Pub Dsbrs Chrtbl$127PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,322,363OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,322,363OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,816,672TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$302,550TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,334,473TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,649,589ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,895,928ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$7,466,261TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$302,550TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$5,230,401TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$938,744ExcessRevenueOverExpensesAmt
Net Investment Income$7,778,375NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$5,301,170CashBOYAmt
Cash EOY$7,295,972CashEOYAmt
Cash EOYFMV$7,295,972CashEOYFMVAmt
Acct Rcvbl$64,288AcctRcvblAmt
Acct Rcvbl BOY$44,415AcctRcvblBOYAmt
Acct Rcvbl EOY$64,288AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$64,288AcctRcvblEOYFMVAmt
Pledges Rcvbl BOY$0PledgesRcvblBOYAmt
Pledges Rcvbl EOY$0PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$0PledgesRcvblEOYFMVAmt
Grants Receivable BOY$262,565GrantsReceivableBOYAmt
Grants Receivable EOY$92,561GrantsReceivableEOYAmt
Grants Receivable EOYFMV$92,561GrantsReceivableEOYFMVAmt
Rcvbl From Officers BOY$0RcvblFromOfficersBOYAmt
Rcvbl From Officers EOY$0RcvblFromOfficersEOYAmt
Rcvbl From Officers EOYFMV$0RcvblFromOfficersEOYFMVAmt
Other Nts And Loans Rcvbl$0OtherNtsAndLoansRcvblAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Nts And Loans Rcvbl BOY$0OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$0OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$0OtherNtsAndLoansRcvblEOYFMVAmt
Prepaid Expenses BOY$37,094PrepaidExpensesBOYAmt
Prepaid Expenses EOY$8,975PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$8,975PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$0USGovernmentObligationsBOYAmt
US Government Obligations EOY$0USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$0USGovtObligationsEOYFMVAmt
Corporate Stock BOY$92,168,672CorporateStockBOYAmt
Corporate Stock EOY$96,544,082CorporateStockEOYAmt
Corporate Stock EOYFMV$96,544,084CorporateStockEOYFMVAmt
Corporate Bonds BOY$0CorporateBondsBOYAmt
Corporate Bonds EOYFMV$0CorporateBondsEOYFMVAmt
Invst Land Cost Or Other Basis$0InvstLandCostOrOtherBasisAmt
Invst Land Accum Depreciation$0InvstLandAccumDepreciationAmt
Land Bldg Investments BOY$0LandBldgInvestmentsBOYAmt
Land Bldg Investments EOYFMV$0LandBldgInvestmentsEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$0OtherInvestmentsEOYAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt
Land BOY$0LandBOYAmt
Land EOYFMV$0LandEOYFMVAmt
Other Assets BOY$186,680OtherAssetsBOYAmt
Other Assets EOY$53,987OtherAssetsEOYAmt
Other Assets EOYFMV$53,987OtherAssetsEOYFMVAmt
Total Assets BOY$98,000,596TotalAssetsBOYAmt
Total Assets EOY$104,059,865TotalAssetsEOYAmt
Total Assets EOYFMV$104,059,867TotalAssetsEOYFMVAmt
Accounts Payable BOY$125,472AccountsPayableBOYAmt
Accounts Payable EOY$171,520AccountsPayableEOYAmt
Grants Payable BOY$1,730,779GrantsPayableBOYAmt
Grants Payable EOY$1,760,411GrantsPayableEOYAmt
Loans From Officers BOY$0LoansFromOfficersBOYAmt
Loans From Officers EOY$0LoansFromOfficersEOYAmt
Mortgages And Notes Payable BOY$0MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$0MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$749,007OtherLiabilitiesBOYAmt
Other Liabilities EOY$606,082OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,605,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,538,013TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$95,395,338NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$101,521,854NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$95,395,338TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$101,521,854TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$98,000,596TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$104,059,867TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$95,395,338TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$938,744ExcessRevenueOverExpensesAmt
Other Increases$5,187,769OtherIncreasesAmt
Subtotal$101,521,851SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$101,521,851TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyGain on Sale of InvestmentsPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$28,702,338GrossSalesPriceAmt
Cost Or Other Basis$21,962,477CostOrOtherBasisAmt
Gain Or Loss$6,739,861GainOrLossAmt
Excess FMV Over Adjusted Bss$0ExcessFMVOverAdjustedBssAmt
Gains Minus Excess Or Losses$6,739,861GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$6,739,861CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$108,119InvestmentIncomeExciseTaxAmt
Subtotal$108,119SubtotalAmt
Tax Based On Investment Income$108,119TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$159,507EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$40,000ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$199,507TotalPaymentsAndCreditsAmt
Overpayment$91,388OverpaymentAmt
Applied To ES Tax$91,388AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressBCBSMAFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksMICHAEL CARDERIndividualWithBooksNm
Phone6172465000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
Tax Exempt Interest$0TaxExemptInterestAmt
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE STATEMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
TitleSEE STATEMENTTitleTxt
Average Hrs Per Wk Devoted To Pos0.000AverageHrsPerWkDevotedToPosRt
Compensation$0CompensationAmt
Employee Benefit Program$0EmployeeBenefitProgramAmt
Expense Account Other Allwnc$0ExpenseAccountOtherAllwncAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
BLUE CROSS BLUE SHIELD OF MASSACHUSSETTS INC
101 HUNTINGTON AVENUE SUITE 1300BOSTONMA021997611PURCHASED IN-KIND SERVICES$3,317,570
MANATT PHELPS & PHILLIPS LLP
7 TIMES SQUARENEW YORKNY10036LEGAL AND CONSULTING$435,000
TYE LAWRENCE S
139A FAYERWAEATHER STREETCAMBRIDGEMA02138CONSULTING$146,742
ALTARUM INSTITUTE
4 MILK ST 3PORTLANDME04101CONSULTING$146,000
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHO
55 LAKE AVE NORTHWORCESTERMA01655CONSULTING$85,000
FieldValueIRS element (for citing)
Contractor Paid Over50k9ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE MISSION (PURPOSE) OF THE BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS FOUNDATION INC. IS TO EXPAND ACCESS TO HEALTH CARE THROUGH GRANTS & POLICY INITIATIVES, THE FOUNDATION WORKS WITH PUBLIC AND PRIVATE ORGANIZATIONS TO BROADEN HEALTHCARE THROUGH GRANTS AND POLICY INITIATIVES. THE FOUNDATION WILL FOCUS ON DEVELOPING SOLUTIONS THAT BENEFIT UNINSURED, VULNERABLE AND LOW INCOME INDIVIDUALS AND FAMILIES IN THE COMMONWEALTH. THROUGH CATALYST GRANTS, THE FOUNDATION IS A RESOURCE FOR MINI GRANTS OF UP TO $5,000 TO ORGANIZATIONS SERVING THE HEALTH NEEDS OF LOW INCOME AND UNINSURED RESIDENTS OF MA.Description1Txt
Expenses1$6,154,190Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$96,207,485AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$5,526,020AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$101,733,505TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$101,733,505AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$1,526,003CashDeemedCharitableAmt
Net Vl Noncharitable Assets$100,207,502NetVlNoncharitableAssetsAmt
Minimum Investment Return$5,010,375MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$5,010,375MinimumInvestmentReturnAmt
Tax Based On Investment Income$108,119TaxBasedOnInvestmentIncomeAmt
Total Tax$108,119TotalTaxAmt
Distributable Before Adj$4,902,256DistributableBeforeAdjAmt
Distributable Before Ded$4,902,256DistributableBeforeDedAmt
Distributable As Adjusted$4,902,256DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$5,230,401ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$5,230,401QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$4,902,256DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year32019PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$2,441,391ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,695,308ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,712,596ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,838,046ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$2,187,293ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$11,874,634TotalExcessDistributionCyovAmt
Qualifying Distributions$5,230,401QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,902,256AppliedToCurrentYearAmt
Remaining Distri From Corpus$328,145RemainingDistriFromCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$12,202,779TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$2,441,391ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$9,761,388ExcessDistriCyovToNextYrAmt
Excess From Year4$2,695,308ExcessFromYear4Amt
Excess From Year3$2,712,596ExcessFromYear3Amt
Excess From Year2$1,838,046ExcessFromYear2Amt
Excess From Year1$2,187,293ExcessFromYear1Amt
Excess From Current Year$1,249,336ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonAUDREY SHELTORecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6172465000RecipientPhoneNum
Form And Info And MaterialsA TWO PAGE LETTER OF INQUIRY CAN BE SUBMITTED TO AUDREY SHELTOFormAndInfoAndMaterialsTxt
Submission DeadlinesN/ASubmissionDeadlinesTxt
Restrictions On AwardsN/ARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE STATEMENT 18ABusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
Grant Or Contribution PurposeSEE STATEMENT 18AGrantOrContributionPurposeTxt
Amt$1,895,928Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,895,928TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHMENT 18ABusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
Grant Or Contribution PurposeSEE STATEMENT 18AGrantOrContributionPurposeTxt
Amt$1,753,661Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$1,753,661TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,341,064ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$6,552,896ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$7,893,960ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$7,893,960TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOYes (true)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail (2 entries)

Organization TypeOrganizationTypeDescRelationship DescriptionRelationshipDescriptionTxt
BCBSMA HMO BLUE INC
501(c)(4)AFFILIATE
HCAF
501(c)(3)INACTIVE AFFILIATE

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (11 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndBusiness Name Line2ContributorBusinessName/BusinessNameLine2Txt
Henry J Kaiser Family Foundation - HC Fellowship
1185 Berry Street Suite 2000San FranciscoCA94107$52,000Yes (X)
National Institute for Health Care Management Foundation (NIHCM) - 2023 HC
21225 19th Street NW STE 710WashingtonDC20036$22,000Yes (X)Fellowship
Methodist Healthcare Ministries of South Texas Inc
34507 Medical DrSan AntonioTX78229$5,250Yes (X)
The Endowment for Health Inc
4One Pillsbury St Suite 301ConcordNH03301$21,000Yes (X)
Episcopal Health Foundation - 2023 HC Fellowship
5500 Fannin St Suite 300HoustonTX77002$5,250Yes (X)
The Commonwealth Fund-Grants
61 East 75th Street New York NY 10New YorkNY10021$21,000Yes (X)
Meadows Mental Health Policy Institute for Texas - HCF
73003 Swiss AvenueDallasTX75204$5,250Yes (X)
St David's Foundaton - HC Fellowship
81303 San Antonio Street Suite 600AustinTX78701$5,250Yes (X)
Connecticut Health Foundation - 2024 HC Fellowship
9100 Pearl StreetHartfordCT06103$21,000Yes (X)
BCBSMA Catalyst Fund Match
10101 Huntington Avenue Sute 1300BostonMA02199$82,814Yes (X)
Employees of BCBSMA Catalyst Fund Donations
11102 Huntington Avenue Sute 1300BostonMA02200$83,266Yes (X)

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
PIMCO ALL ASSET FUND$3,853,620$3,853,620
PUTNAM TOTAL RETURN FUND$12,829,362$12,829,362
SSGA S&P 500 TOBACCO FREE FUND$28,264,557$28,264,557
SANDERSON TOBACCO FREE INT'L V$0$0
LOOMIS SAYLES ASSET$6,944,075$6,944,075
SCHRODER EM MKT M/S BND-R6$0$0
SCHRODER EMERG MKT EQ FD-SDR$4,091,534$4,091,534
SEGALL BRYANT & HAMILL INTL SM$4,281,000$4,281,000
WILLIAM BLAIR EMERGING MARKET$3,560,238$3,560,239
HARDMAN INTL LP$5,359,095$5,359,095
BENTALLGREENOAK US CORE PLUS$6,137,781$6,137,781
BOSTON TRUST SMID CAP FUND$8,443,073$8,443,073
IR+M CREDIT FUND$6,167,175$6,167,176
SPRUCEGROVE U.S.$6,612,572$6,612,572

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDEFERRED TAX RECEIVABLEDesc
BOY Book Value$186,680BOYBookValueAmt
EOY Book Value$53,987EOYBookValueAmt
EOYFMV$53,987EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PURCHASED SERVICES - SALARIES$1,039,134$1,039,134
MISCELLANEOUS EXPENSES$9,330$9,330
PURCHD SERVICES - EMPLOY BENS$192,897$192,897
PURCHD SERVICES - PAYROLL TAX$79,802$79,802
PURCHD SERVICES - CHARGEBACK$1,200$1,200

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN OR LOSS ON INVESTMENTSDesc
Amt$5,187,769Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (3 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO AFFILIATE BLUE CROSS AN$624,852$433,903
FEDERAL INCOME TAXES ON INVEST$115,348$162,302
SECURITY DEPOSITS PAYABLE$8,807$9,877

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXTERNAL PROFESSIONAL FEES$1,835,637$0$1,835,637
INVESTMENT FEES$302,550$302,550$0
OTHER PROFESSIONAL FEES$871$0$871

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAX ON INVESTMENT INCOMECategoryTxt
Amt$179,649Amt