BLUE CROSS BLUE SHIELD OF MASS FD INC FOR EXPANDING HEALTHCARE ACCES: Form 990PF, tax year 2022
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
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202333199349108603
- Schema version
- 2022v5.0
- 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
- Contractor Compensation Expln
- Investments Corp Stock Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T16:40:00+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043148824 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS FOUNDATION FOR EXPANDING HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CARE ACCESS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 6172465000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE SUITE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021997611 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUBY KAM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RUBY | PersonFirstNm |
| Person Last | CAM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Katherine Kurtzman | PreparerPersonNm |
| PTIN | P01236691 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $98,000,596 | 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 | $1,230,171 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $1,377,284 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,377,284 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $4,620,122 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $16,368,518 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $4,620,122 | CapGainNetIncmNetInvstIncmAmt |
| Gross Sales Less Ret And Allwnc | $0 | GrossSalesLessRetAndAllwncAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $262,275 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $7,489,852 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $5,997,406 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $0 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $2,037,685 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $353,327 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $1,684,358 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $0 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Deprec And Dpltn Adj Net Incm | $0 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $72,930 | OccupancyRevAndExpnssAmt |
| Occupancy Dsbrs Chrtbl | $72,930 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $73,077 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $73,077 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $2,375 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Dsbrs Chrtbl | $2,375 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,879,945 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $1,879,945 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,066,012 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $353,327 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $3,712,685 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,700,978 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,700,978 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $7,766,990 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $353,327 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $7,413,663 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$277,138 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $5,644,079 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $4,801,383 | CashBOYAmt |
| Cash EOY | $5,301,170 | CashEOYAmt |
| Cash EOYFMV | $5,301,170 | CashEOYFMVAmt |
| Acct Rcvbl | $44,415 | AcctRcvblAmt |
| Acct Rcvbl BOY | $32,355 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $44,415 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $44,415 | AcctRcvblEOYFMVAmt |
| Pledges Rcvbl EOY | $0 | PledgesRcvblEOYAmt |
| Pledges Rcvbl EOYFMV | $0 | PledgesRcvblEOYFMVAmt |
| Grants Receivable BOY | $160,460 | GrantsReceivableBOYAmt |
| Grants Receivable EOY | $262,565 | GrantsReceivableEOYAmt |
| Grants Receivable EOYFMV | $262,565 | GrantsReceivableEOYFMVAmt |
| Rcvbl From Officers BOY | $0 | RcvblFromOfficersBOYAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Rcvbl From Officers EOYFMV | $0 | RcvblFromOfficersEOYFMVAmt |
| Other Nts And Loans Rcvbl | $0 | OtherNtsAndLoansRcvblAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Nts And Loans Rcvbl BOY | $0 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $0 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Prepaid Expenses EOY | $37,094 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $37,094 | PrepaidExpensesEOYFMVAmt |
| US Government Obligations BOY | $0 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $0 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $0 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $116,289,550 | CorporateStockBOYAmt |
| Corporate Stock EOY | $92,168,672 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $92,168,672 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $0 | CorporateBondsBOYAmt |
| Corporate Bonds EOYFMV | $0 | CorporateBondsEOYFMVAmt |
| Invst Land Cost Or Other Basis | $0 | InvstLandCostOrOtherBasisAmt |
| Invst Land Accum Depreciation | $0 | InvstLandAccumDepreciationAmt |
| Land Bldg Investments BOY | $0 | LandBldgInvestmentsBOYAmt |
| Land Bldg Investments EOYFMV | $0 | LandBldgInvestmentsEOYFMVAmt |
| Other Investments BOY | $0 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $0 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $0 | LandBOYAmt |
| Land EOYFMV | $0 | LandEOYFMVAmt |
| Other Assets BOY | $107,960 | OtherAssetsBOYAmt |
| Other Assets EOY | $186,680 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $186,680 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $121,391,708 | TotalAssetsBOYAmt |
| Total Assets EOY | $98,000,596 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $98,000,596 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $139,773 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $125,472 | AccountsPayableEOYAmt |
| Grants Payable EOY | $1,730,779 | GrantsPayableEOYAmt |
| Loans From Officers BOY | $0 | LoansFromOfficersBOYAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable BOY | $0 | MortgagesAndNotesPayableBOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $1,024,965 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $749,007 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $1,164,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,605,258 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $120,226,970 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $95,395,338 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $120,226,970 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $95,395,338 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $121,391,708 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $98,000,596 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $120,226,970 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$277,138 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $119,949,832 | SubtotalAmt |
| Other Decreases | $24,554,494 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $95,395,338 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | $16,368,518 | GrossSalesPriceAmt |
| Cost Or Other Basis | $11,748,396 | CostOrOtherBasisAmt |
| Gain Or Loss | $4,620,122 | GainOrLossAmt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $4,620,122 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $4,620,122 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $0 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $78,453 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $78,453 | SubtotalAmt |
| Tax Based On Investment Income | $78,453 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $238,543 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $238,543 | TotalPaymentsAndCreditsAmt |
| Overpayment | $160,090 | OverpaymentAmt |
| Applied To ES Tax | $160,090 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 |
| 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 | BCBSMAFOUNDATION.ORG | WebsiteAddressTxt |
| Individual With Books | MICHAEL CARDER | IndividualWithBooksNm |
| Phone | 6172465000 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE SUITE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021997611 | 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 | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| 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 | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| AUDREY SHELTO | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | PRESIDENT & CEO | 0 | $0 | $0 | $0 |
| ANDREW DREYFUS | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | CHAIR | 0 | $0 | $0 | $0 |
| PATRICIA WASHINGTON | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | VICE CHAIR | 0 | $0 | $0 | $0 |
| ANTHONY CRISCUOLO | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | TREASURER | 0 | $0 | $0 | $0 |
| ANTONIA (TONI) MCGUIRE | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| HENRY THOMAS III | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| JD CHESLOFF | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| MARY KAY LEONARD | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| MICHAEL HUNTER | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| MICHAEL MILLER | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| SANDHYA RAO | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| SANDRO GALEA | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| SHELLY GREENFIELD | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| THEA JAMES | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| ZAMAWA ARENAS | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
| KIAME MANAHIAH | ||||||||
| 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | DIRECTOR | 0 | $0 | $0 | $0 |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| MANATT PHELPS & PHILLIPS LLP | ||||||
| 7 TIMES SQUARE | NEW YORK | NY | 10036 | CONSULTING | $430,000 | |
| UNIVERSITY OF MASSACHUSETTS MEDICAL SCHO | ||||||
| 55 LAKE AVE NORTH | WORCESTER | MA | 01655 | CONSULTING | $235,176 | |
| TYE LAWRENCE S | ||||||
| 139A FAYERWAEATHER STREET | CAMBRIDGE | MA | 02138 | CONSULTING | $144,229 | |
| EMVISION LLC | ||||||
| 1471 F ROAD LOXAHATCHEE | LOXAHATCHEE | FL | 33470 | CONSULTING | $107,480 | |
| CENTER FOR HEALTH CARE STRATEGIES INC | ||||||
| 200 AMERICAN METRO BLVD | HAMILTON | NJ | 08619 | CONSULTING | $85,000 | SUITE 119 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | THE 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 | $7,413,663 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $102,778,612 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $4,933,522 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $107,712,134 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $107,712,134 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,615,682 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $106,096,452 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $5,304,823 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $5,304,823 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $78,453 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $78,453 | TotalTaxAmt |
| Distributable Before Adj | $5,226,370 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $5,226,370 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $5,226,370 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $7,413,663 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $7,413,663 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $5,226,370 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $3,732,685 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $2,441,391 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $2,695,308 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $2,712,596 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,838,046 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $13,420,026 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $7,413,663 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $5,226,370 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $2,187,293 | RemainingDistriFromCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $15,607,319 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $3,732,685 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $11,874,634 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $2,441,391 | ExcessFromYear4Amt |
| Excess From Year3 | $2,695,308 | ExcessFromYear3Amt |
| Excess From Year2 | $2,712,596 | ExcessFromYear2Amt |
| Excess From Year1 | $1,838,046 | ExcessFromYear1Amt |
| Excess From Current Year | $2,187,293 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | AUDREY SHELTO | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE SUITE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021997611 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 6172465000 | RecipientPhoneNum |
| Form And Info And Materials | A TWO PAGE LETTER OF INQUIRY CAN BE SUBMITTED TO AUDREY SHELTO | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE ATTACHMENT | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE SUITE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Foundation Status | I | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | TOTAL GRANTS PAID | GrantOrContributionPurposeTxt |
| Amt | $3,700,978 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,700,978 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,023,957 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $4,620,122 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $5,644,079 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $5,644,079 | 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 | Yes (true) | RelationshipsNonchrtblEOInd |
Relationship Schedule Detail RelationshipScheduleDetail
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BCBSMA HMO BLUE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Type | 501(c)(4) | OrganizationTypeDesc |
| Relationship Description | AFFILIATE | RelationshipDescriptionTxt |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (13 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Address Line2ContributorUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| ROBERT WOOD JOHNSON FOUNDATION | |||||||
| 1 | 50 COLLEGE ROAD EAST | PRINCETON | NJ | 085432316 | $20,500 | Yes (X) | |
| EMPLOYEES OF BLUE CROSS BLUE SHIELD OF M | |||||||
| 2 | 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | $81,528 | Yes (X) | |
| BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | |||||||
| 3 | 101 HUNTINGTON AVENUE SUITE 1300 | BOSTON | MA | 021997611 | $997,143 | Yes (X) | |
| ENDOWMENT FOR HEALTH | |||||||
| 4 | ONE PILLSBURY STREET SUITE 301 | CONCORD | NH | 03301 | $20,000 | Yes (X) | |
| BOWER FOUNDATION GRANT - HC FELLOWSHIP | |||||||
| 5 | 578 HIGHLAND COLONY PARKWAY SUITE 1 | RIDGELAND | MS | 39157 | $19,000 | Yes (X) | 20 |
| CT HEALTH FOUNDATION | |||||||
| 6 | 100 PEARL STREET | HARTFORD | CT | 06103 | $21,000 | Yes (X) | |
| ST DAVID'S FOUNDATION | |||||||
| 7 | 1303 SAN ANTONIO STREET SUITE 500 | SAN ANTONIO | TX | 78701 | $5,000 | Yes (X) | |
| EPISCOPAL HEALTH FOUNDATION | |||||||
| 8 | 500 FANNIN ST SUITE 300 | HOUSTON | TX | 77002 | $5,000 | Yes (X) | |
| MEADOWS MENTAL HEALTH POLICY | |||||||
| 9 | 1303 SAN ANTONIO STREET SUITE 810 | SAN ANTONIO | TX | 78701 | $5,000 | Yes (X) | |
| METHODIST HEALTHCARE MINSITRIES OF TX - | |||||||
| 10 | 4507 MEDICAL DRIVE | SAN ANTONIO | TX | 78229 | $5,000 | Yes (X) | |
| HENRY J KAISER FOUNDATION | |||||||
| 11 | 185 BERRY STREET SUITE 2000 | SAN FRANCISCO | CA | 94107 | $10,000 | Yes (X) | |
| MAIN HEALTH ACCESS FOUNDATION | |||||||
| 12 | 150 CAPITOL STREET SUITE 4 | AUGUSTA | ME | 04330 | $20,000 | Yes (X) | |
| NATIONAL INSTITUTE FOR HEALTH CARE MANAG | |||||||
| 13 | 1225 19TH STREET NW STE 710 | WASHINGTON | DC | 20036 | $20,000 | Yes (X) | |
Contractor Compensation Expln ContractorCompensationExpln
Contractor Comp Expln ContractorCompExplnGrp (5 entries)
| ExplanationExplanationTxt |
|---|
| MANATT PHELPS & PHILLIPS LLP |
| PROFESSIONAL LEGAL AND CONSULTING SERVICES |
| UNIVERSITY OF MASSACHUSETTS MEDICAL SCHO |
| PROFESSIONAL CONSULTING SERVICES |
| TYE LAWRENCE S |
| PROFESSIONAL CONSULTING SERVICES |
| EMVISION LLC |
| DEVELOPMENT OF A SUITE OF VIDEO STORIES TO SPOTLIGHT THE UNINSURED IN MASSACHUSETTS |
| CENTER FOR HEALTH CARE STRATEGIES INC |
| CONSULTING |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (16 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| PIMCO ALL ASSET FUND | $3,678,615 | $3,678,615 |
| PUTNAM TOTAL RETURN FUND | $12,820,730 | $12,820,730 |
| SSGA S&P 500 TOBACCO FREE FUND | $26,859,726 | $26,859,726 |
| SANDERSON TOBACCO FREE INT'L V | $5,821,148 | $5,821,148 |
| LOOMIS SAYLES ASSET | $6,390,389 | $6,390,389 |
| SCHRODER EM MKT M/S BND-R6 | $3,691,358 | $3,691,358 |
| SCHRODER EMERG MKT EQ FD-SDR | $3,754,268 | $3,754,268 |
| SEGALL BRYANT & HAMILL INTL SM | $4,277,782 | $4,277,782 |
| WILLIAM BLAIR EMERGING MARKET | $3,229,017 | $3,229,017 |
| HARDMAN INTL LP | $5,070,073 | $5,070,073 |
| BENTALLGREENOAK US CORE PLUS | $6,132,030 | $6,132,030 |
| BOSTON TRUST SMID CAP FUND | $7,462,301 | $7,462,301 |
| IR+M CREDIT FUND | $2,981,235 | $2,981,235 |
| CF DV DYNAMIC GROWTH FUND | $0 | $0 |
| IRONBRIDGE SMALL CAP LIFE CYCL | $0 | $0 |
| HARDMAN INTL EQ | $0 | $0 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED TAX RECEIVABLE | Desc |
| BOY Book Value | $107,960 | BOYBookValueAmt |
| EOY Book Value | $186,680 | EOYBookValueAmt |
| EOYFMV | $186,680 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED GAIN OR LOSS ON INVESTMENTS | Desc |
| Amt | $24,554,494 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| POSTAGE AND TELEPHONE | $3,106 | $3,106 |
| PURCHASED SERVICES - SALARIES | $1,405,486 | $1,405,486 |
| MISCELLANEOUS EXPENSES | $5,498 | $5,498 |
| PURCHD SERVICES - EMPLOY BENS | $209,849 | $209,849 |
| PURCHD SERVICES - PAYROLL TAX | $90,365 | $90,365 |
| PURCHD SERVICES - CHARGEBACK | $165,641 | $165,641 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFUND OF TAXES | Desc |
| Revenue And Expenses Per Books | $262,275 | RevenueAndExpensesPerBooksAmt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| DUE TO AFFILIATE BLUE CROSS AN | $574,680 | $624,852 |
| FEDERAL INCOME TAXES ON INVEST | $428,903 | $115,348 |
| SECURITY DEPOSITS PAYABLE | $21,382 | $8,807 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| EXTERNAL PROFESSIONAL FEES | $1,653,507 | $1,653,507 | |
| INVESTMENT FEES | $353,327 | $353,327 | |
| OTHER PROFESSIONAL FEES | $30,851 | $30,851 |