BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CROSS AND BLUE SHIELD FOUNDATION ON HEALTH CARE (EIN 23-7164980)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-30
- IRS object ID
- 202013049349201121
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-30T15:27:20-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237164980 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CROSS AND BLUE SHIELD FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | ON HEALTH CARE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROBERT J KOLODGY TREASURER | InCareOfNm |
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 3122976000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 NORTH MICHIGAN AVENUE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT J KOLODGY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3122976462 | PhoneNum |
| Signature | 2020-10-29 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.14.227.140 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 23522320203045000021 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-10-30 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 89FB5D98E829DD21200C01116704A62AF7315463 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 89FB5D98E829DD21200C01116704A62AF7315463 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $4,663 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $4,663 | ContributionsGiftsGrantsEtcAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $4,663 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $4,663 | GrantsAndSimilarAmountsPaidAmt |
| Salaries Other Comp Empl Bnft | $0 | SalariesOtherCompEmplBnftAmt |
| Other Expenses Total | $513 | OtherExpensesTotalAmt |
| Total Expenses | $5,176 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$513 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $52,333 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,820 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,803 | BOYAmt |
| EOY | $56,082 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $724 | BOYAmt |
| EOY | $418 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,527 | BOYAmt |
| EOY | $56,500 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,194 | BOYAmt |
| EOY | $4,680 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,333 | BOYAmt |
| EOY | $51,820 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | 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 IMRPOVING HEALTHCARE QUALITY. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Grant for Special Olympics | $1,555 | $1,555 |
| Grant for Alzheimer's Association | $1,554 | |
| Grant for Common Thread | $1,554 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,663 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (23 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Paul Markovich | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Curtis Barnett | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Christopher Booth | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Gail Boudreaux | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Andrew Dreyfus | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| John Forsyth | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Steve Grandfield | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| David Holmberg | ||||
| Chairman | 1.0 | $0 | $0 | $0 |
| Kim Keck | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| David Lesar | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Daniel Loepp | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Charlene Maher | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| J D Hickey | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Jeffrey Roe | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Maurice Smith | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Steven Udvarhelyi | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Timothy Vines | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Daniel Hilferty | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Paula Steiner | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| Scott Serota | ||||
| Board Member | 1.0 | $0 | $0 | $0 |
| W Scott Nehs | ||||
| President | 1.0 | $0 | $0 | $0 |
| Robert Kolodgy | ||||
| Treasurer | 1.0 | $0 | $0 | $0 |
| Jennifer Vachon | ||||
| Vice President | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT J KOLODGY TREASURER | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 N MICHIGAN AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3122976000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,149 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $162,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,663 | CurrentTaxYearAmt |
| Total | $401,117 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,149 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $162,163 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,663 | CurrentTaxYearAmt |
| Total | $401,117 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $168,084 | SubstantialContributorsTotAmt |
| Public Support Total170 | $233,033 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $401,117 | TotalSupportAmt |
| Public Support CY170 | 0.58096 | PublicSupportCY170Pct |
| Public Support PY170 | 0.59288 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990EZ PART I LINE 16 | Description:BANKING FEES Amount:513 |
| FORM 990EZ PART II LINE 24 | Description:CONTRIBUTION RECEIVABLE BOY Amount:724 EOY Amount:418 |