Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
Independence Blue Cross Foundation
 
% G KENNETH ROBINSON III
Number and street (or P.O. box number if mail is not delivered to street address)1901 MARKET STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PHILADELPHIA, PA19103
A Employer identification number

36-4685801
B Telephone number (see instructions)

(215) 241-4065
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$129,156,525J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 30,140,412
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,624,120 1,621,341  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 5,006,949
b Gross sales price for all assets on line 6a 58,818,080
7 Capital gain net income (from Part IV, line 2)... 5,006,949
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 36,771,481 6,628,290  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 7,132 0 0 7,132
b Accounting fees (attach schedule)....... Click to see attachment 15,600 0 0 15,600
c Other professional fees (attach schedule).... Click to see attachment 351,571     351,571
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 98,192      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications.......... 310     310
23 Other expenses (attach schedule)....... Click to see attachment 483,056 423,057   59,999
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 955,861 423,057 0 434,612
25 Contributions, gifts, grants paid....... 5,576,089 5,529,910
26 Total expenses and disbursements. Add lines 24 and 25 6,531,950 423,057 0 5,964,522
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 30,239,531
b Net investment income (if negative, enter -0-) 6,205,233
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 13,354,989 4,255,347 4,255,347
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet205,883
Less: allowance for doubtful accounts bullet   270,149 205,883 205,883
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................   7,613 7,613
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....   Click to see attachment30,000,000 30,000,000
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 12,687,064 Click to see attachment6,093,821 6,093,821
b Investments—corporate stock (attach schedule)....... 15,212,607 Click to see attachment45,997,677 45,997,677
c Investments—corporate bonds (attach schedule)....... 12,934,354 Click to see attachment15,529,531 15,529,531
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 40,041,802 Click to see attachment27,066,653 27,066,653
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 94,500,965 129,156,525 129,156,525
Liabilities 17 Accounts payable and accrued expenses.......... 108,461 3,321
18 Grants payable................. 409,349 25,000
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons 587,510 997,928
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment165,298 Click to see attachment177,199
23 Total liabilities (add lines 17 through 22)......... 1,270,618 1,203,448
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds 93,230,347 127,953,077
29 Total net assets or fund balances (see instructions)..... 93,230,347 127,953,077
30 Total liabilities and net assets/fund balances (see instructions). 94,500,965 129,156,525
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
93,230,347
2
Enter amount from Part I, line 27a .....................
2
30,239,531
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
4,483,199
4
Add lines 1, 2, and 3 ..........................
4
127,953,077
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
127,953,077
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a SEE ATTACHMENT   2020-12-31 2020-12-31
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 58,818,080   53,811,131 5,006,949
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       5,006,949
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 5,006,949
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 86,253
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2........................... 3 86,253
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 86,253
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 77,239
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 10,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 87,239
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 986
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet986 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? Click to see list of attachments....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changesClick to see list of attachments....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.Click to see list of attachments
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletwww.ibxfoundation.org
    14
    The books are in care ofbulletG KENNETH ROBINSON III Telephone no.bullet (215) 241-4065

    Located atbullet1901 MARKET STREETPHILADELPHIAPA ZIP+4bullet19103
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
     
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    Patrick B Gillespie Chairman of Board of Directors
    0.5     		0 0 0
    4170 Woodhaven Road
    Philadelphia,PA19154
    Lorina L Marshall-Blake President
    1.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Juan A Lopez Jr Treasurer
    0.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Lilton R Taliaferro Jr Esq Secretary
    1.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Joan P Hilferty Director
    0.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Paul A Tufano Esq Director
    0.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Christopher Cashman Director
    0.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    Richard L Snyder M D Director
    0.5     		0 0 0
    1901 Market Street
    Philadelphia,PA19103
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 NONE  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    87,428,971
    b
    Average of monthly cash balances.......................
    1b
    5,271,910
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    92,700,881
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    92,700,881
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,390,513
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    91,310,368
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,565,518
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    4,565,518
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    86,253
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    86,253
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,479,265
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    4,479,265
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    4,479,265
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    5,964,522
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    5,964,522
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    5,964,522
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 4,479,265
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:2018, 2017, 2016  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 2,100,527
    b From 2016...... 2,059,154
    c From 2017...... 2,148,418
    d From 2018...... 1,893,815
    e From 2019...... 1,506,763
    fTotal of lines 3a through e........ 9,708,677
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 5,964,522
    a Applied to 2019, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		 
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		 
    d Applied to 2020 distributable amount..... 4,479,265
    e Remaining amount distributed out of corpus 1,485,257
    5 Excess distributions carryover applied to 2020.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 11,193,934
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		 
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		2,100,527
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		9,093,407
    10 Analysis of line 9:
    a Excess from 2016.... 2,059,154
    b Excess from 2017.... 2,148,418
    c Excess from 2018.... 1,893,815
    d Excess from 2019.... 1,506,763
    e Excess from 2020.... 1,485,257
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    wwwibxfoundationorg
    1901 Market Street 37th Floor
    Philadelphia,PA19103
    (855) 422-3386
    bThe form in which applications should be submitted and information and materials they should include:
    Applications are submitted to the Foundation through its website (www.ibxfoundation.org), which describes several categories of grant applications that may be accepted by the Foundation. These include applications for grants to support "safety net clinics" that provide medical services to vulnerable populations in underserved areas of the community, grants to nursing schools to fund student scholarships, and "innovation grants" supporting innovative projects and initiatives that seek to advance the practice and delivery of healthcare. The form of application, the information and materials required to be included, submission deadlines, grant criteria, and the form of grant agreement to be entered into with the Foundation may vary depending on the type of grant sought by the applicant. The website includes contact information if additional information is needed.
    cAny submission deadlines:
    Submission deadlines may vary depending on the type of grant sought by the applicant. The website in
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    In general, the Foundation seeks to support, advance, and raise funds for health care, health education, wellness, medical training and medical research. More specifically, the Foundation is interested in making grants that further its core mission of enhancing the delivery of healthcare and improving health, wellness and quality of life in communities throughout southeastern Pennsylvania. The Foundation's goals include improving access to quality, affordable healthcare; supporting education in health-related vocations; and supporting programs to improve health and wellness. At present, grant awards are generally limited to recipients located in, or carrying out grant purposes in, the following Pennsylvania counties: Philadelphia, Montgomery, Delaware, Bucks and Chester.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ABINGTON HEALTH CHILDREN'S CLINIC - LANDSALE HOSPI
    51 MEDICAL CAMPUS DRIVE
    LANDSDALE,PA19446     		  PC CORE SUPPORT 30,000
    Abington Hospital Dental Clinic
    1200 Old York Road
    Abington,PA19001     		  PC Core support 30,000
    Albert Einstein Healthcare Network - Community Pra
    5501 Old York Road
    Philadelphia,PA19141     		  PC Core support 40,000
    Angels in Motion
    9883 Cowden Street
    Philadelphia,PA19115     		  PC Add an additional Certified Recovery Specialist (CRS) to increase Naloxone training and distribution and provide treatment navigation across Philadelphia's 10 mobile syringe service locations 15,000
    Ann Silverman Community Health Clinic
    595 W State Street
    DOYLESTOWN,PA18901     		  PC Core support 70,000
    Ann Silverman Community Health Clinic
    595 W State Street
    Doylestown,PA18901     		  PC Technology and medical devices for in home monitoring to expand quality and reach of telehealth services 25,000
    Aqueduct
    3401 Civic Center Blvd
    Philadelphia,PA19104     		  PC Study on impact of SARS-CoV-2 lockdown on preterm birth and prenatal care usage 150,000
    Bhutanese American Organization - P (BAOP)
    2507 S 7th Street
    Philadelphia,PA19148     		  PC Support the Senior Engagement-Arresting Emotional Health Concerns project -5,000
    Bucks Count Drug and Alcohol Commission
    55 E Court Street 4th Floor
    Doylestown,PA18901     		  PC Ensure that prescribers working in four of the Bucks County hospital emergency departments (EDs) are able to obtain their x-waiver allowing them to prescribe Buprenorphine. 11,500
    Bucks County Community College - Undergraduate Nur
    275 Swamp Road
    Newtown,PA18940     		  PC Undergraduate nursing scholarships 22,559
    Caron Treatment Centers
    401 Plymouth Road Suite 325
    Plymouth Meeting,PA19462     		  PC Opioid related education and prevention 100,000
    ChesPenn Health Services Inc Center for Family H
    744 Lincoln Highway
    Coatesville,PA19320     		  PC Core support 200,000
    Colorectal Cancer Alliance
    1025 Vermont Avenue NW Suite 1066
    Washintgon,DC20005     		  PC Support for CCA campaign and outreach to raise awareness in African American and communities of color 25,000
    Community College of Philadelphia - Undergraduate
    1700 Spring Garden Street
    Philadelphia,PA19130     		  PC Undergraduate nursing scholarships 33,061
    Community Volunteers In Medicine Inc
    300B Lawrence Drive
    West Chester,PA19380     		  PC Core support 100,000
    Community Volunteers In Medicine Inc
    300B Lawrence Drive
    West Chester,PA19380     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 23,000
    Community Volunteers In Medicine Inc
    300B Lawrence Drive
    West Chester,PA19380     		  PC Support for nursing intern 6,000
    Congreso de Latinos Unidos Inc
    412 W Lehigh Avenue
    Philadelphia,PA19133     		  PC Core support 50,000
    Congreso de Latinos Unidos Inc
    412 W Lehigh Avenue
    Philadelphia,PA19133     		  PC Technology and in home devices to expand quality and reach of telehealth services as well as infection control infrastructure on site 21,250
    CORA Services Inc - Alternative Peer Group (APG)
    8540 Verree Road
    Philadelphia,PA19111     		  PC Parent/caregiver support call system to provide early counseling intervention and academic support helplines as well as occupational and speech therapy telehealth videoconferencing. 24,300
    Covenant House Pennsylvania - CH PENNSYLVANIA UND
    31 E Armat Street
    Philadelphia,PA19144     		  PC Core support 15,000
    Dauphin County
    112 Market Street 7th Floor
    Harrisburg,PA17101     		  PC Mobile COVID-19 testing and education for Latinx and Hispanic populations 25,000
    Dauphin County Economic Development Corp
    112 Market Street 7th Floor
    Harrisburg,PA17101     		  PC Expansion to 10 additional locations for CATE Mobile COVID-19 testing and education for Latinx and Hispanic populations 100,000
    David's New Day
    33 Summer Drive
    Holland,PA18966     		  PC Supporting Treatment and Overdose Prevention Grant - Recovery Support 10,000
    Delaware County Community College
    901 S Media Line Road
    Media,PA19063     		  PC Undergraduate nursing scholarships 44,341
    Delaware Valley Community Health Inc Fairmount P
    1412 Fairmount Avenue
    Philadelphia,PA19130     		  PC Core support 200,000
    Drexel University
    3141 Chestnut Street
    Philadelphia,PA19104     		  PC Community Innovation Grant - Good Life Model 50,000
    Drexel University
    3141 Chestnut Street
    Philadelphia,PA19104     		  PC Support for nursing intern 7,500
    Drexel University - Undergraduate Nursing Scholars
    3141 Chestnut Street
    Philadelphia,PA19104     		  PC Undergraduate nursing scholarships 149,956
    Eastern Center for Arts and Technology - Undergrad
    3075 Terwood Road
    Willow Grove,PA19090     		  PC Undergraduate nursing scholarships 14,780
    Eastern University - Undergraduate Nursing Scholar
    1300 Eagle Road
    St Davids,PA19087     		  PC Undergraduate nursing scholarships 9,983
    Ed Snider Hockey Foundation
    3601 S Broad Street
    Philadelphia,PA19148     		  PC Emergency food distribution to families impacted economically and living in high need areas of Kensington 25,000
    Esperanza Health Center Inc
    4417 N 6th Street
    Philadelphia,PA19140     		  PC Nursing Internship Program 7,500
    Esperanza Health Center Inc
    4417 N 6th Street
    Philadelphia,PA19140     		  PC Core support 100,000
    Esperanza Health Center Inc Kensington & Alleghen
    861 E Allegheny Avenue
    Philadelphia,PA19134     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 25,000
    Face to Face Inc
    123 E Price Street
    Philadelphia,PA19144     		  PC Core support 15,000
    Family Support line of Delco Inc
    100 W 6th Street Suite 1
    Media,PA19063     		  PC In response to COVID-19, sexual abuse prevention and education programming will be made accessible digitally through The Prevention Awareness Campaign 25,000
    Family Practice Counseling Network Abbottsford
    4700 Wissahickon Ave Building D
    Philadelphia,PA19144     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 20,910
    Family Practice Counseling Network Health Annex
    807 N 48th St
    Philadelphia,PA19139     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 20,910
    Greater Philadelphia Health Action Inc Southest
    1401 S 31st Street 2nd Floor
    Philadelphia,PA19146     		  PC Core support 50,000
    Greater Philadelphia Health Action Dental Clinic
    5501 Woodland Avenue
    Philadelphia,PA19143     		  PC PPE for dental operations 25,000
    Gwynedd Mercy University Adult Health Center
    51 Medical Campus Drive
    Landsdale,PA19446     		  PC Core support 50,000
    Gwynedd Mercy University Adult Health Center
    51 Medical Campus Drive
    Landsdale,PA19446     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 23,450
    Gwynedd-Mercy University - Undergraduate Nursing S
    1325 Sumneytown Pike
    Gwynedd Valley,PA19437     		  PC Undergraduate nursing scholarships 62,881
    Harcum College Dental Clinic
    750 Montgomery Avenue
    Bryn Mawr,PA19010     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 23,485
    Harcum College - The Cohen Dental Center
    750 Montgomery Avenue
    Bryn Mawr,PA19010     		  PC Core support 30,000
    Harcum College - Undergraduate Nursing Scholarship
    750 Montgomery Avenue
    Bryn Mawr,PA19010     		  PC Undergraduate nursing scholarships 5,445
    HealthLink Dental Clinic Inc
    1775 Street Road
    Southampton,PA18966     		  PC Core support 25,000
    Holy Family University - Undergraduate Nursing Sch
    9801 Frankford Avenue
    Philadelphia,PA19114     		  PC Undergraduate nursing scholarships 95,035
    Immaculata University - Undergraduate Nursing Scho
    1145 King Road
    Immaculata,PA19345     		  PC Undergraduate nursing scholarships 30,209
    It Takes Philly
    419 Johnson Street
    Jenkintown,PA19046     		  PC COVID-19 support 125,000
    Jefferson Abington Dental
    1200 Old York Rd
    Abington,PA19001     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care 13,760
    Jefferson Abington Health Children's Clinic
    100 Medical Campus Drive
    Landsdale,PA19446     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care and telehealth 25,000
    Kids Smiles Inc
    2900 Island Avenue Suite 2924
    Philadelphia,PA19153     		  PC Core support 75,000
    Kids Smiles Inc Dental Clinic Southwest
    2900 Island AvenueSuite 2924
    Philadelphia,PA19153     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care and education 25,000
    Kids Smiles Inc Dental Clinic West
    5828 Market Street
    Philadelphia,PA19139     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care and education 25,000
    La Communidad Hispana Inc
    731 W Cypress St
    Kennett Square,PA19348     		  PC Support for nursing intern 6,800
    La Comunidad Hispana Inc Health Center
    303 N 3rd Street Suite 2
    Oxford,PA19363     		  PC PPE and cleaning supplies for clinic operations 25,000
    La Communidad Hispana Inc - Kennet Square
    731 W Cypress Street
    Kennett Square,PA19348     		  PC Core support 100,000
    LaSalle University - Undergraduate Nursing Scholar
    1900 W Olney Avenue
    Philadelphia,PA19141     		  PC Undergraduate nursing scholarships 56,330
    Manor College Dental Center
    700 Fox Chase Road
    Jenkintown,PA19046     		  PC Core support 25,000
    Manor College Dental Clinic
    700 Fox Chase Rd
    Jenkintown,PA19046     		  PC Tools and infrastructure to come into compliance with CDC recommendations to deliver preventative dental health care and telehealth infrastructure 25,000
    Mazzoni Center
    1348 Bainbridge Street
    Philadelphia,PA19147     		  PC Nursing Internship Program 6,000
    Mazzoni Center
    1348 Bainbridge Street
    Philadelphia,PA19147     		  PC Core support 75,000
    Mazzoni Center
    1348 Bainbridge Street
    Philadelphia,PA19147     		  PC Technology to expand telehealth, infection control infrastructure and PPE 25,000
    Montgomery County Community College - Undergraduat
    340 Dekalb Pike
    Blue Bell,PA19422     		  PC Undergraduate nursing scholarships 38,247
    National Nurse-Led Care Consortium
    c/o National Nurse-Led Care Consort
    1500 Market Street Suite 1500 LM-
    Philadelphia,PA19102     		  PC Nursing Internship Program 22,500
    Neumann University - Undergraduate Nursing Scholar
    1 Neumann Drive
    Aston,PA19014     		  PC Undergraduate nursing scholarships 54,065
    One Day At A Time Inc (ODAAT)
    2532 N Broad Street
    Philadelphia,PA19132     		  PC Infection control infrastructure and PPE for mobile street outreach and drop in center in Kensington 25,000
    Pathways to Housing Clinic PA
    5201 Old York Road
    Philadelphia,PA19141     		  PC Technology to expand telehealth 25,000
    Pathways to Housing PA Medical Clinic
    5201 Old York Road
    Philadelphia,PA19141     		  PC Core support 15,000
    Penn State Abington - Undergraduate Nursing Schola
    1600 Woodland Road
    Abington,PA19001     		  PC Undergraduate nursing scholarships 10,502
    Philadelphia College of Osteopathic Medicine Healt
    4170 City Avenue
    Philadelphia,PA19131     		  PC Core support 50,000
    Philadelphia College of Osteopathic Medicine Healt
    2100 West Cambria Street
    Philadelphia,PA19131     		  PC Technology to expand telehealth 25,000
    Philadelphia College of Osteopathic Medicine Heal
    4190 City Avenue
    Philadelphia,PA19131     		  PC Technology to expand telehealth 25,000
    Philadelphia College of Osteopathic Medicine Healt
    4148 Lancaster Avenue
    Philadelphia,PA19104     		  PC Technology to expand telehealth 25,000
    Philadelphia FIGHT
    1233 Locust Street
    Philadelphia,PA19107     		  PC Core support 50,000
    Philadelphia FIGHT
    1233 Locust Street
    Philadelphia,PA19107     		  PC Technology to expand telehealth, infection control infrastructure, and PPE 25,000
    Philip Jaisohn Memorial Foundation - Lansdale
    51 Medical Campus Drive
    Landsdale,PA19446     		  PC Core support 80,000
    PHLCOVID19 Fund
    1835 Market Street Suite 2410
    Philadelphia,PA19103     		  PC COVID-19 stabilization grants, general operating and long-term challenges associated with COVID-19 500,000
    Project HOME - Stephen Klein Wellness Center
    2144 Cecil B Moore Avenue
    Philadelphia,PA19121     		  PC Core support 75,000
    Public Health Management Corporation
    1500 Market Street Centre Square E
    LM - Rm 500 - West Tower
    Philadelphia,PA19102     		  PC Nursing Internship Program 52,500
    Public Health Management Corporation Care Clinic
    1200 Callowhill Street 101
    Philadelphia,PA19123     		  PC Core support 170,000
    Puentes de Salud
    1700 South Street
    Philadelphia,PA19146     		  PC Nursing Internship Program 7,000
    Puentes de Salud
    1700 South Street
    Philadelphia,PA19146     		  PC Core support 75,000
    Resources for Human Development - Family Practice
    4700 Wissahickon Avenue
    Philadelphia,PA19144     		  PC Core support 120,000
    Rock Ministries of Philadelphia
    2755 Kensington Avenue
    Philadelphia,PA19134     		  PC Expanding services to homeless and extremely vulnerable addicts, creating a street-level drop in center where immediate access to treatment will be provided 20,000
    Salus University - The Eye Institute
    1200 W Godfrey Avenue
    Philadelphia,PA19141     		  PC Core support 25,000
    Spectrum Health Services
    5201 Haverford Ave
    Philadelphia,PA19139     		  PC Nursing Internship Program 14,000
    Spectrum Health Service Inc
    5201 Haverford Avenue
    Philadelphia,PA19139     		  PC Core support 60,000
    St Christopher's Foundation For Children - Commun
    1800 John F Kennedy Boulevard Suit
    Philadelphia,PA19103     		  PC Core support 30,000
    St Mary Medical Center - Community Ministries
    1201 Langhorne-Newtown Road
    Langhorne,PA19047     		  PC Technology to expand telehealth 25,000
    St Mary Mother Bachmann Maternity Center & Childr
    2546 Knights Road
    Bensalem,PA19020     		  PC Targeted project 100,000
    Stephen Klein Wellness Center
    2144 Cecil B Moore Ave
    Philadelphia,PA19121     		  PC Nursing Internship Program 13,500
    Stephen & Sandra Sheller 11th Street Family Health
    850 N 11th Street
    Philadelphia,PA19123     		  PC Core support 100,000
    Temple University - Doctoral Nursing Scholarships
    3307 N Broad Street
    Philadelphia,PA19122     		  PC Doctoral of nursing practice scholarships -1
    Temple University - Undergraduate Nursing Scholars
    3307 N Broad Street
    Philadelphia,PA19122     		  PC Undergraduate nursing scholarships 42,266
    The Clinic
    143 Church Street
    Phoenixville,PA19460     		  PC Nursing Internship Program 6,575
    The Clinic
    143 Church Street
    Phoenixville,PA19460     		  PC Core support 75,000
    The Clinic
    143 Church Street
    Phoenixville,PA19460     		  PC Technology to expand telehealth in partnership with Comcast 23,000
    The Philip Jaisohn Memorial Foundation Inc Healt
    6705 Old York Road
    Philadelphia,PA19126     		  PC Technology to expand telehealth 25,000
    Thomas Jefferson University - Undergraduate Nursin
    130 S 9th Street
    Philadelphia,PA19107     		  PC Undergraduate nursing scholarships 117,348
    University of Pennsylvania - Undergraduate Nursing
    3451 Walnut Street
    Philadelphia,PA19104     		  PC Undergraduate nursing scholarships 105,620
    Urban Affairs Coalition
    1207 Chesnut Street Suite 700
    Philadelphia,PA19107     		  PC Coalition U Workshops -5,000
    Villanova University - Undergraduate Nursing Schol
    800 Lancaster Avenue
    Villanova,PA19085     		  PC Undergraduate nursing scholarships 58,822
    Vision To Learn - Eagles Eye Mobile
    12100 Wilshire Blvd Suite 1275
    Los Angeles,CA90025     		  PC Core support 75,000
    Vision To Learn
    12100 Wilshire Blvd Suite 1275
    Los Angeles,CA90025     		  PC Bridge the additional costs for eye exams with new protocols in place for 265 children 25,000
    VNA-Community Services
    1421 Highland Avenue
    Abington,PA18976     		  PC Support for nursing intern 7,000
    VNA-Community Services Inc - Ginny Coombs Childr
    1421 Highland Avenue
    Abington,PA18976     		  PC Core support 40,000
    VNA - Community Services Inc Health Center
    1421 Highland Avenue
    Abington,PA18976     		  PC Technology to expand telehealth, infection control infrastructure and PPE 16,850
    West Chester University - Undergraduate Nursing Sc
    700 S High Street
    West Chester,PA19382     		  PC Undergraduate nursing scholarships 45,458
    The West Philadelphia Community Mental Health Cons
    3801 Market Street Suite 201
    Philadelphia,PA19104     		  PC Technology to expand telehealth to bridge the gap in behavioral health services 24,847
    Widener University - Undergraduate Nursing Scholar
    One University Place
    Chester,PA19013     		  PC Undergraduate nursing scholarships 93,866
    YMCA of Greater Brandywine - Expansion of the Live
    1 East Chestnut Street
    West Chester,PA19380     		  PC Expansion of the LiveStrong at the Y: helping cancer survivors through working to improve functional capacity and improving quality of life through a fitness and strength training program -10,000
    Youth Service Inc
    410 N 34th Street
    Philadelphia,PA19104     		  PC Core support 15,000
    Total .................................bullet 3a 5,529,910
    bApproved for future payment
    Colorectal Cancer Alliance
    1025 Vermont Avenue NW Suite 1066
    Washington,DC20005     		  PC Support for CCA campaign and outreach to raise awareness in African American and communities of color 25,000
    Total .................................bullet 3b 25,000
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities....     14 1,624,120  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 5,006,949  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   6,631,069  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    6,631,069
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    Independence Blue Cross Foundation
     
    Employer identification number

    36-4685801
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number
    36-4685801
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    IBEW Local Union 98
    1701 SPRING GARDEN STREET
     
    PHILADELPHIA, PA19130

    		$ 7,500


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    Inovalon
    4321 COLLINGTON ROAD
     
    BOWIE, MD20716

    		$ 7,500


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    Northmarq Advisors
    4 NESHAMINY INTERPLEX SUITE 106
     
    TREVOSE, PA19053

    		$ 6,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    OptumInsight Inc
    13625 TECHNOLOGY DRIVE
     
    EDEN PRAIRIE, MN55344

    		$ 6,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    Chartwell Investment
    1205 WESTLAKES DRIVE SUITE 100
     
    BERWYN, PA19312

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    Elliott-Lewis Corporation
    2900 BLACK LAKE PLACE
     
    PHILADELPHIA, PA19154

    		$ 5,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number
    36-4685801
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
    Kistler-Tiffany Benefits
    899 CASSATT ROAD SUITE 200
     
    BERWYN, PA19312

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    Marsh
    1717 ARCH STREET SUITE 1100
     
    PHILADELPHIA, PA19103

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    Multiplan
    2273 RESEARCH BLVD SUITE 300
     
    ROCKVILLE, MD20850

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    Obermeyer Rebmann Maxwell Hippel
    1500 MARKET ST SUITE 3400 CENTRE
     
    PHILADELPHIA, PA19102

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    Trion
    2300 RENAISSANCE BLVD
     
    KING OF PRUSSIA, PA19406

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
    Accenture1
    2005 MARKET STREET SUITE 1500
     
    PHILADELPHIA, PA19103

    		$ 7,500


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number
    36-4685801
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    13
    Prime Therapeutics
    5600 West 84th Street
     
    Bloomington, MN55437

    		$ 7,500


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
    Flexible Benefits
    PO BOX 873
     
    VALLEY FORGE, PA19482

    		$ 6,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    15
    Accenture2
    2005 MARKET STREET SUITE 1500
     
    PHILADELPHIA, PA19103

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    16
    Canon Solutions America
    1650 MARKET STREET SUITE 300
     
    PHILADELPHIA, PA19103

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    17
    Glenmede Trust Company
    3001 Timothys Trail
     
    Audubon, OR19403

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    18
    HM insurance Group
    3031 WALTON RD BUILDING C / SUITE 2
     
    PLYMOUTH MEETING, PA19422

    		$ 5,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number
    36-4685801
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    19
    Steamfitters Local Union 420
    14420 TOWNSEND RD SUITE A
     
    PHILADELPHIA, PA19154

    		$ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    20
    Deloitte and Touche LLP
    1700 MARKET STREET
     
    PHILADELPHIA, PA19103

    		$ 6,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    21
    Independence Health Group Inc
    1901 MARKET STREET
     
    PHILADELPHIA, PA19103

    		$ 30,000,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number

    36-4685801
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    Independence Blue Cross Foundation
          		Employer identification number

    36-4685801
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUDIT EXPENSE 15,600     15,600

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2020 DepreciationSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Name of Bond End of Year Book Value End of Year Fair Market Value
    SEE ATTACHMENT 15,529,531 15,529,531

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SEE ATTACHMENT 45,997,677 45,997,677

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    US Government Securities - End of Year Book Value:

    6,093,821
    US Government Securities - End of Year Fair Market Value:

    6,093,821
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2020 InvestmentsOtherSchedule2
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SEE ATTACHMENT   27,066,653 27,066,653

    TY 2020 LegalFeesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 7,132     7,132


    TY 2020 OtherExpensesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL AND TRADE ASSOCIA 500     500
    PUBLIC COMMUNICATIONS 55,849     55,849
    LICENSES AND FEES 300     300
    BUILDING SERVICES 950     950
    GOLF OUTING EXPENSE 2,400     2,400
    BANK/INVESTMENT EXPENSE 423,057 423,057    


    TY 2020 OtherIncreasesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Description Amount
    UNREALIZED GAINS ON INVESTMENT 4,483,199


    TY 2020 OtherLiabilitiesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Description Beginning of Year - Book Value End of Year - Book Value
    DEFERRED TAX 165,298 177,199


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    RESEARCH AND PROGRAM EVALUATIO 351,571     351,571


    TY 2020 OtherReceivablesOfficersSch
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Travel Advance to Officers:  


    Item No. 1
    Borrower's Name DUE FROM KHPE
    Borrower's Title  
    Original Amount of Loan  
    Balance Due 30000000
    Date of Note  
    Maturity Date  
    Repayment Terms  
    Interest Rate  
    Security Provided by Borrower  
    Purpose of Loan  
    Description of Lender Consideration  
    Consideration FMV  


    TY 2020 TaxesSchedule
    Name:
    Independence Blue Cross Foundation
    EIN:
    36-4685801
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX EXPENSE 86,292      
    DEFERRED INCOME TAX 11,900