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
Blue Cross of Idaho Foundation For
Health Inc
Number and street (or P.O. box number if mail is not delivered to street address)3000 E Pine Ave
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Meridian, ID83642
A Employer identification number

26-0024334
B Telephone number (see instructions)

(986) 224-3992
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$80,495,304J 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) 25,033,184
2 Check bullet.............
3 Interest on savings and temporary cash investments 4 4  
4 Dividends and interest from securities... 960,518 960,518  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 559,920
b Gross sales price for all assets on line 6a 3,088,273
7 Capital gain net income (from Part IV, line 2)... 992,968
8 Net short-term capital gain.........  
9 Income modifications........... 647
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........ 26,553,626 1,953,490 647
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 153,986 0   153,986
14 Other employee salaries and wages...... 522,603 0   514,263
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,577 0   1,577
b Accounting fees (attach schedule)....... Click to see attachment 8,300 830   7,470
c Other professional fees (attach schedule).... Click to see attachment 602,933 37,859   588,257
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 26,871 0   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 24,517 0  
20 Occupancy.............. 38,565 0   38,699
21 Travel, conferences, and meetings....... 10,389 0   11,136
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 14,750 0   18,189
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,404,491 38,689   1,333,577
25 Contributions, gifts, grants paid....... 1,019,471 1,019,471
26 Total expenses and disbursements. Add lines 24 and 25 2,423,962 38,689   2,353,048
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 24,129,664
b Net investment income (if negative, enter -0-) 1,914,801
c Adjusted net income (if negative, enter -0-)... 647
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............. 345,333 70,739 70,739
2 Savings and temporary cash investments......... 447,902 13,627,962 13,627,962
3 Accounts receivable bullet2,846
Less: allowance for doubtful accounts bullet     2,846 2,846
4 Pledges receivable bullet13,020,927
Less: allowance for doubtful accounts bullet   468,692 13,020,927 13,020,927
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
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.......... 2,997 3,131 3,131
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 49,904,620 Click to see attachment53,679,045 53,679,045
14 Land, buildings, and equipment: basis bullet151,228
Less: accumulated depreciation (attach schedule) bullet60,574 115,170 Click to see attachment90,654 90,654
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 51,284,714 80,495,304 80,495,304
Liabilities 17 Accounts payable and accrued expenses.......... 111,444 85,004
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 111,444 85,004
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........... 50,983,980 80,388,809
25 Net assets with donor restrictions............ 189,290 21,491
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    
29 Total net assets or fund balances (see instructions)..... 51,173,270 80,410,300
30 Total liabilities and net assets/fund balances (see instructions). 51,284,714 80,495,304
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
51,173,270
2
Enter amount from Part I, line 27a .....................
2
24,129,664
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
5,107,366
4
Add lines 1, 2, and 3 ..........................
4
80,410,300
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
80,410,300
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 VINIX   2008-11-04 2020-07-01
b VBTLX   2008-11-04 2020-03-17
c VBTLX   2008-11-04 2020-07-01
d Capital Gains Dividends P    
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 850,000   288,193 561,807
b 500,000   465,192 34,808
c 1,500,000   1,341,920 158,080
d 238,273     238,273
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       561,807
b       34,808
c       158,080
d       238,273
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 2 992,968
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 26,616
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 0
3 Add lines 1 and 2........................... 3 26,616
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 26,616
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 30,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 30,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 60,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
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 33,384
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet33,384 RefundedBullet 11 0
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? ....................
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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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 changes....
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.
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)
    bulletID
    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.bcidahofoundation.org
    14
    The books are in care ofbulletBlue Cross of Idaho Health Service Telephone no.bullet (986) 224-3991

    Located atbullet3000 E Pine AveMeridianID ZIP+4bullet83642
    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
    Yes
     
    .........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). Click to see attachment
    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
     
    No
    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
    Kendra E Witt-Doyle Executive Director
    40.00     		125,898 28,088 0
    3000 E Pine Ave
    Meridian,ID83642
    Ralph Woodard President - Chairman
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Mike Reynoldson Vice Chair
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Steven Driggers Secretary
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Mark Kohler Secretary
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    David Ward Treasurer
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Roger Quarles Director
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Jim Hickey Director
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Pam McNamara Director
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    Luke Malek Director
    1.00     		0 0 0
    3000 E Pine Ave
    Meridian,ID83642
    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
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    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
    FSG Inc Consulting Services 362,853
    500 Boylston St Ste 600
    Boston,MA02116
    Reynolds Meyers LLC Consulting Services 65,749
    PO Box 383
    Boise,ID83701
    Total number of others receiving over $50,000 for professional services.............bullet0
    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 Healthcare Innovation - working to bridge the gap between clinical and community services to create business solution to address social determinants of health. 632,390
    2 High Five - Working to address childhood obesity by providing access to healthy foods and physical activity. 510,111
    3 COVID-19 Response - Statewide funding to address emergency needs and recovery efforts from COVID-19 316,926
    4 Youth Behavioral Health - Working to meet youth where they are by building innovative partnerships with schools and communities to address trauma and support well-being. 207,918
    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  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    47,064,028
    b
    Average of monthly cash balances.......................
    1b
    1,823,866
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    48,887,894
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    48,887,894
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    733,318
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    48,154,576
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    2,407,729
    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
    2,407,729
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    26,616
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    26,616
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    2,381,113
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    647
    5
    Add lines 3 and 4............................
    5
    2,381,760
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    2,381,760
    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
    2,353,048
    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
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    2,353,048
    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
    2,353,048
    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 2,381,760
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016...... 106,876
    c From 2017...... 64,615
    d From 2018...... 518,011
    e From 2019...... 734,334
    fTotal of lines 3a through e........ 1,423,836
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 2,353,048
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 2,353,048
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 28,712 28,712
    (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 1,395,124
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    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......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    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) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		1,395,124
    10 Analysis of line 9:
    a Excess from 2016.... 78,164
    b Excess from 2017.... 64,615
    c Excess from 2018.... 518,011
    d Excess from 2019.... 734,334
    e Excess from 2020....  
    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).)
    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.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    Central District Health Department
    PO Box 23492
    Belfast,ME04915     		None GOV WICHC support. 5,000
    Idaho Association For The Education Of Young Children
    4355 W Emerald St Ste 250
    Boise,ID83706     		None PC 2020 Idaho AEYC Professional Development Institute 2,000
    Heritage Academy
    500 S Lincoln Ave
    Jerome,ID83338     		None GOV promote physical activity for students 1,000
    Marsh Valley School District
    40 School Street PO Box 180
    Arimo,ID83214     		None GOV promote physical activity for students 750
    Valley View Elementary
    3555 N Milwaukee St
    Boise,ID83704     		None GOV promote physical activity for students 750
    Prospect Elementary School
    4300 North Red Horse Way
    Meridian,ID83646     		None GOV promote physical activity for students 1,000
    Upriver Elementary
    75 Fern St PO Box 249
    Fernwood,ID83830     		None GOV promote physical activity for students 750
    Eagle Rock Middle School
    2020 Pancheri Drive
    Idaho Falls,ID83402     		None GOV promote physical activity for students 1,000
    Idaho Falls School District 91
    690 John Adams
    Idaho FallS,ID83401     		None GOV promote physical activity for students 500
    Marsing Elementary
    207 8th Ave W
    Marsing,ID83639     		None GOV promote physical activity for students 500
    Nampa School District
    619 S Canyon St
    Nampa,ID83686     		None GOV promote physical activity for students 750
    Coeur d'Alene Charter Academy
    4904 N Duncan Drive
    Coeur dAlene,ID83815     		None GOV promote physical activity for students 750
    Sugar - Salem High School
    102 N Park Ave
    Sugar City,ID83448     		None GOV promote physical activity for students 750
    North Star Charter School
    839 N Linder Rd
    Eagle,ID83616     		None GOV promote physical activity for students 500
    Gem Prep Meridian
    2750 E Gala St
    Meridian,ID83642     		None GOV promote physical activity for students 1,000
    Koelsch Elementary School
    2015 N Curtis Rd
    Boise,ID83706     		None GOV promote physical activity for students 500
    Council Elementary
    202 Michigan Ave PO Box 68
    Council,ID83612     		None GOV promote physical activity for students 500
    Oakwood Elementary
    525 S 4th E
    Preston,ID83263     		None GOV promote physical activity for students 500
    Hawthorne Elementary
    2401 W Targee St
    Boise,ID83705     		None GOV promote physical activity for students 1,000
    Richfield School District
    555 North Tiger Drive
    Richfield,ID83349     		None GOV promote physical activity for students 750
    Webster Elementary
    1409 8th St
    Lewiston,ID83501     		None GOV promote physical activity for students 1,000
    Clark County JrSr High School
    23 West 2nd South
    Dubois,ID83423     		None GOV promote physical activity for students 750
    Christian Center School
    3639 W Prairie Avenue
    Hayden,ID83835     		None GOV promote physical activity for students 500
    Jefferson Elementary
    200 S Latah St
    Boise,ID83705     		None GOV promote physical activity for students 750
    Swan Valley Elementary
    3389 Highway 26
    Irwin,ID83428     		None GOV promote physical activity for students 500
    AB McDonald Elementary School
    2323 East D St
    Moscow,ID83843     		None GOV promote physical activity for students 1,000
    Ponderosa Elementary
    2950 N Naomi Ave
    Meridian,ID83646     		None GOV promote physical activity for students 500
    St Dominic School
    20274 W Riverview Drive
    Post Falls,ID83654     		None GOV promote physical activity for students 750
    Parma School District
    805 E McConnell Ave
    Parma,ID83660     		None GOV promote physical activity for students 500
    Monroe Elementary
    3615 W Cassia St
    Boise,ID83705     		None GOV promote physical activity for students 1,000
    Upper Carmen Charter School
    PO Box 33
    Carmen,ID83462     		None GOV promote physical activity for students 750
    Mary Macpherson Elementary
    1050 East Amity Rd
    Meridian,ID83642     		None GOV promote physical activity for students 500
    West Canyon Elementary
    19548 Ustick Road
    Caldwell,ID83607     		None GOV promote physical activity for students 1,000
    Hagerman School District #233
    324 North 2nd Ave
    Hagerman,ID83332     		None GOV promote physical activity for students 1,000
    Farmin Stidwell Elementary
    1326 Spruce St
    Sandpoint,ID83864     		None GOV promote physical activity for students 750
    Winton Elementary School
    920 W Lacrosse Ave
    Coeur dAlene,ID83814     		None GOV promote physical activity for students 500
    Wendell School District
    150 E Main St
    Wendell,ID83355     		None GOV promote physical activity for students 1,000
    Teton Elementary
    126 W Main
    Teton,ID83451     		None GOV promote physical activity for students 750
    Twin Falls District 411
    201 Main Avenue West
    Twin Falls,ID83301     		None GOV promote physical activity for students 1,000
    Xavier Charter School
    1218 N College Rd W
    Twin Falls,ID83301     		None GOV promote physical activity for students 500
    Blackfoot School District
    270 E Bridge St
    Blackfood,ID83221     		None GOV promote physical activity for students 1,000
    Falcon Ridge Public Charter School
    278 S Ten Mile Rd
    Kuna,ID83634     		None GOV promote physical activity for students 750
    Winton Elementary School
    920 W Lacrosse Ave
    Coeur dAlene,ID83814     		None GOV promote physical activity for students 500
    Sacajawea Elementary School
    1710 N Illinois Ave
    Caldwell,ID83605     		None GOV promote physical activity for students 1,000
    House of the Lord Christian Academy
    754 Silver Birch
    Oldtown,ID83822     		None GOV promote physical activity for students 750
    Ola Elementary School
    22001 Sweet Ola Hwy
    Ola,ID83657     		None GOV promote physical activity for students 750
    Popplewell Elementary School
    200 6th Avenue N
    Buhl,ID83316     		None GOV promote physical activity for students 1,000
    Harold B Lee Elementary
    4726 W Hwy 36
    Weston,ID83286     		None GOV promote physical activity for students 750
    Cornerstone Christian School (EIN #XXX-XX-XXXX)
    515 WEST NORTH 2ND STREET
    GRANGEVILLE,ID83530     		None GOV promote physical activity for students 750
    Groveland Elementary
    375 W 170 N
    Blackfoot,ID83221     		None GOV promote physical activity for students 500
    Ponderosa Elementary School
    2850 N Naomi
    Meridian,ID83642     		None GOV Grant to support walking program 250
    Whitman Elementary School
    1840 9th Avenue
    Lewiston,ID83501     		None GOV promote physical activity for students 1,000
    AH Bush Elementary School
    380 West Anderson
    Idaho FallS,ID83402     		None GOV promote physical activity for students 500
    White Pine Elementary
    401 E Linden St
    Boise,ID83706     		None GOV promote physical activity for students 500
    Madison Middle School
    575 W 7th S
    Rexburg,ID83440     		None GOV promote physical activity for students 1,000
    Butte County School District #111
    PO Box 89
    Arco,ID83213     		None GOV promote physical activity for students 500
    Taft Elementary
    3722 N Anderson St
    Boise,ID83703     		None GOV promote physical activity for students 750
    Idaho Community Foundation Inc
    210 W State Street
    Boise,ID83702     		None PC COVID19 Response fund grant 100,000
    Idaho Foodbank
    PO Box 5601
    Boise,ID83705     		None PC Food and supplies in response to COVID-19 pandemic 20,000
    Boys & Girls Club of Ada County
    610 East 42nd Street
    Garden City,ID83714     		None PC Support summer program at Koelsch Elementary an impoverished school 30,000
    Ronald McDonald House
    101 Warm Springs Avenue
    Boise,ID83712     		None PC English and spanish orientation video for families staying in facility while their child is hospitalized 22,000
    Idaho Community Foundation Inc
    210 W State Street
    Boise,ID83702     		None PC COVID-19 response for Internet for Students Emergency Fund 25,000
    Camp Rainbow Gold Inc
    216 W Jefferson St
    Boise,ID83702     		None PC 20 camp scholarships for Idaho children diagnosed with cancer 20,000
    Coeur d'Alene Tribe
    PO Box 408
    Coeur dAlene,ID83851     		None GOV PPE equipment for CDA Community 5,000
    City of Good Inc
    246 8th Street
    Boise,ID83702     		None PC Food and supplies for providing meals to those in need during COVID-19 pandemic 15,000
    The Young Men's Christian Association of Boise City Idaho
    1177 W State Street
    Boise,ID83702     		None PC Support for the neuro-incusive programs at theBCI Thrive center 20,000
    Innovia Foundation
    421 West Riverside Suite 606
    Spokane,WA99201     		None PC COVID-19 community reponse and recovery fund in North Idaho 10,000
    Idaho Hunger Relief Task Force Inc
    963 S Orchard St Ste 206
    Boise,ID83705     		None PC fresh fruit and veggie access to diabetics during COVID 19 pandemic 3,200
    Rolling Tomato Inc
    PO Box 2144
    Boise,ID83701     		None PC Support for food recovery efforts during COVID-19 5,000
    Museum of Idaho
    200 N Eastern Ave
    Idaho Falls,ID83402     		None PC Eastern Idaho Community Commitment Fund - Covid 19 relief 5,000
    Northwest Credit Union Foundaton
    18000 International Blvd Ste 350
    SeaTac,WA98188     		None PC COVID-19 worker emergency relief fund to proivde access to affordable credit for Idahoans in need 10,000
    University of Idaho Foundation
    875 Perimeter DrMS 3143
    Moscow,ID83844     		None GOV Vandal Promise and WWAMI scholarships 200,000
    City Of Bonners Ferry
    PO Box 149
    Bonners Ferry,ID83805     		None GOV Update city splash pad 4,000
    Garfield Elementary School
    1914 S Broadway
    Boise,ID83706     		None GOV Garfield Walking Path 5,000
    Mosaics Public School Inc
    1010 West Jefferson Suite 201
    Boise,ID83702     		None GOV upgrade school's rubberized playground surface 1,000
    Education Northwest
    101 SW Main Street Suite 500
    Portland,OR97204     		None PC support statewide landscape analysis of youth behavioral health services and programming in Idaho 5,000
    Jannus Inc
    1607 W Jefferson St
    Boise,ID83702     		None PC Idaho Out of School Network Behavioral Management Institute 5,000
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV Orofino Elementary School garden project. Outdoor classroom/education hub for the community. 2,753
    Nampa School District
    619 S Canyon St
    Nampa,ID83686     		None GOV Youth behavioral health curriculum and supplies 49,600
    Idaho Medical Association Foundation Inc
    PO Box 2668
    Boise,ID83701     		None PC Support IMA Foundation's future physician of Idaho award program. 20,000
    Idaho Association For The Education Of Young Children
    4355 W Emerald St Ste 250
    Boise,ID83706     		None PC Support for federal grant funding, Preschool development birth through five 5,000
    Idaho Children's Trust Fund
    Alexander House304 W State Street
    Boise,ID83702     		None PC Support Parents during COVID-19 5,000
    Boys & Girls Club of Ada County
    610 East 42nd Street
    Garden City,ID83714     		None PC Operational expenses for all day program K-12 when in -person school is cancelled or modified due to health and safety concerns. 10,000
    Boys & Girls Club of Nampa
    316 Stampede Drive
    Nampa,ID83687     		None PC operational and program support for day long stand-up site programing for children when school is cancelled or modified due to health and safety concerns 10,000
    Coeur d'Alene School District #271
    1400 N Northwood Center Court
    Coeur dAlene,ID83815     		None GOV support youth behavioral health programming 500
    Boise Parks & Recreation
    110 Scout Lane
    Boise,ID83702     		None GOV Programming for grades 1-6 when in-person school is cancelled due to health and safety concerns. 10,000
    Nampa School District
    619 S Canyon St
    Nampa,ID83686     		None GOV Behavioral Health support services for teachers due to COVID19 10,000
    Wassmuth Center For Human Rights
    777 S 8th St
    Boise,ID83702     		None PC Grant for SDOH, Health Inequity 100,000
    The Young Men's Christian Association of Boise City Idaho
    1177 W State Street
    Boise,ID83702     		None PC School day plus program and new program in Canyon County to support learning when in person school is cancelled due to health and safety concerns. 20,000
    The Home Partnership Foundation Inc
    PO Box 7899
    Boise,ID83707     		None PC Avenues of Hope Campaign support 5,000
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV Benches, tables, landscaping and fencing for completion of skate park. 13,369
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV Safe Routes to Schools program. 4,135
    Treasure Valley Education Partnership Inc
    322 East Front Street Suite
    200University of Idaho Water Center
    Boise,ID83702     		None PC Support "more than school" statewide education symposium 2,000
    Idaho Community Foundation Inc
    210 W State Street
    Boise,ID83702     		None PC 7Cares Idaho Shares Campaign 10,000
    City Of Homedale
    31 W Wyoming Ave
    Homedale,ID83628     		None GOV to promote physical activity in city 1,000
    City Of Shoshone
    207 S Rail St W
    Shoshone,ID83352     		None GOV to promote physical activity in city 1,000
    City of Cascade
    105 S Main Street
    Cascade,ID83611     		None GOV to promote physical activity in city 1,000
    City Of Lapwai
    315 S Main St
    Lapwai,ID83540     		None GOV to promote physical activity in city 1,000
    City Of Emmett
    501 E Main
    Emmett,ID83617     		None GOV to promote physical activity in city 1,000
    City Of Jerome
    152 E Ave A
    Jerome,ID83338     		None GOV to promote physical activity in city 1,000
    City of Moscow
    206 E 3rd St
    Moscow,ID83843     		None GOV to promote physical activity in city 1,000
    City of Coeur D'Alene
    710 E Mullian Ave
    Coeur D Alene,ID83814     		None GOV to promote physical activity in city 1,000
    City Of Twin Falls
    321 2Nd Ave E
    Twin Falls,ID83301     		None GOV to promote physical activity in city 1,000
    City of Caldwell
    PO Box 1179
    Caldwell,ID83606     		None GOV to promote physical activity in city 1,000
    City of Eagle
    660 E Civic Lane
    Eagle,ID83616     		None GOV to promote physical activity in city 1,000
    City Of Nampa
    311 3rd St S
    Nampa,ID83651     		None GOV to promote physical activity in city 1,000
    City of Pocatello
    911 North 7th Ave
    Pocatello,ID83205     		None GOV to promote physical activity in city 1,000
    City Of Meridian
    PO Box 670
    Caldwell,ID83606     		None GOV to promote physical activity in city 1,000
    City Of Lewiston
    PO Box 617
    Lewiston,ID83501     		None GOV to promote physical activity in city 1,000
    City Of Idaho Falls
    PO Box 50220
    Idaho Falls,ID83405     		None GOV to promote physical activity in city 1,000
    City Of Crouch
    342 Village Circle
    Crouch,ID83622     		None GOV to promote physical activity in city 1,000
    City Of Winchester
    501 Nezperce Ave
    Winchester,ID83555     		None GOV to promote physical activity in city 1,000
    City Of Arimo
    115 Henderson Ave
    Arimo,ID83214     		None GOV to promote physical activity in city 1,000
    City Of Cottonwood
    PO Box 571
    Cottonwood,ID83522     		None GOV to promote physical activity in city 1,000
    City Of Dayton
    PO Box 12
    Dayton,ID83232     		None GOV to promote physical activity in city 1,000
    City of McCall
    216 Park St
    McCall,ID83638     		None GOV to promote physical activity in city 1,000
    City Of Bancroft
    PO Box 39
    Bancroft,ID83217     		None GOV to promote physical activity in city 1,000
    City Of American Falls
    550 North Oregon Trail
    American Falls,ID83211     		None GOV to promote physical activity in city 1,000
    City Of Ponderay
    PO Box 500
    Ponderay,ID83852     		None GOV to promote physical activity in city 1,000
    City Of Grace
    103 E Center St
    Grace,ID83241     		None GOV to promote physical activity in city 1,000
    City Of Bonners Ferry
    PO Box 149
    Bonners Ferry,ID83805     		None GOV to promote physical activity in city 1,000
    City Of Ferdinand
    PO Box 101
    Ferdinand,ID83526     		None GOV to promote physical activity in city 1,000
    City of Worley
    PO Box 219 9936 WE Street
    Worley,ID83876     		None GOV to promote physical activity in city 1,000
    City of Wendell
    375 1st Ave E
    Wendell,ID83355     		None GOV to promote physical activity in city 1,000
    City of Weiser
    55 W Idaho St
    Weiser,ID83672     		None GOV to promote physical activity in city 1,000
    City of Star
    10769 W State Street
    Star,ID83669     		None GOV to promote physical activity in city 1,000
    City of St Anthony
    420 N Bridge St
    Anthony,ID83445     		None GOV to promote physical activity in city 1,000
    City of Spirit Lake
    6042 W Maine St
    Spirit Lake,ID83869     		None GOV to promote physical activity in city 1,000
    City of Roberts
    PO Box 242647 N 2872 E
    Roberts,ID83444     		None GOV to promote physical activity in city 1,000
    City of Priest River
    552 High StreetPO Box 415
    Priest River,ID83856     		None GOV to promote physical activity in city 1,000
    City of Parma
    PO Box 608305 N 3rd St
    Parma,ID83660     		None GOV to promote physical activity in city 1,000
    City of Nez Perce
    606 Maple Street
    Nez Perce,ID83453     		None GOV to promote physical activity in city 1,000
    City of Moyie Springs
    PO Box 5733331 Roosevelt Road
    Moyie Springs,ID83845     		None GOV to promote physical activity in city 1,000
    City of Hope
    105 Highland Ave
    Hope,ID83836     		None GOV to promote physical activity in city 1,000
    City of Hazelton
    PO Box 145246 Main St
    Hazelton,ID83335     		None GOV to promote physical activity in city 1,000
    City of Hayden Lake
    9393 N Strahorn Rd
    Hayden Lake,ID83835     		None GOV to promote physical activity in city 1,000
    City of Genesee
    PO Box 38140 East Walnut Street
    Genesee,ID83832     		None GOV to promote physical activity in city 1,000
    City of Dietrich
    35 W 1st Street
    Dietrich,ID83324     		None GOV to promote physical activity in city 1,000
    City of Burley
    1401 Overland Ave
    Burley,ID83318     		None GOV to promote physical activity in city 1,000
    City Of Post Falls
    408 N Spokane St
    Post Falls,ID83852     		None GOV to promote physical activity in city 1,000
    City Of Downey
    PO Box 204
    Downey,ID83234     		None GOV to promote physical activity in city 1,000
    City Of Boise
    PO Box 500
    Boise,ID83701     		None GOV to promote physical activity in city 1,000
    City Of Ammon
    2135 S Ammon Rd
    Ammon,ID83406     		None GOV to promote physical activity in city 1,000
    City Of Stanley
    PO Box 53
    Stanley,ID83278     		None GOV to promote physical activity in city 1,000
    City Of Athol
    PO Box 249
    Athol,ID83801     		None GOV to promote physical activity in city 1,000
    City Of Osburn
    PO Box 865
    Osburn,ID83849     		None GOV to promote physical activity in city 1,000
    City Of Albion
    225 S Main St
    Albion,ID83311     		None GOV to promote physical activity in city 1,000
    City Of Victor
    10 South Main StreetUnit 101
    Victor,ID83455     		None GOV to promote physical activity in city 1,000
    City Of Firth
    106 E Center Street
    Firth,ID83236     		None GOV to promote physical activity in city 1,000
    City Of Hollister
    2392 Main St
    Hollister,ID83301     		None GOV to promote physical activity in city 1,000
    City Of Preston
    70 W Oneida
    Preston,ID83262     		None GOV to promote physical activity in city 1,000
    City Of Mud Lake
    1124 E 1500 N
    Terreton,ID83450     		None GOV to promote physical activity in city 1,000
    City Of Kamiah
    PO Box 338
    Kamiah,ID83536     		None GOV to promote physical activity in city 1,000
    City Of Smelterville
    PO Box 200
    Smelterville,ID83868     		None GOV to promote physical activity in city 1,000
    City Of Wallace
    703 Cedar St
    Wallace,ID83873     		None GOV to promote physical activity in city 1,000
    City Of Juliaetta
    PO Box 229
    Juliaetta,ID83535     		None GOV to promote physical activity in city 1,000
    City Of East Hope
    PO Box 186
    Hope,ID83836     		None GOV to promote physical activity in city 1,000
    City Of Peck
    PO Box 105
    Peck,ID83545     		None GOV to promote physical activity in city 1,000
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV to promote physical activity in city 1,000
    City Of Shelley
    101 South Emmerson
    Shelley,ID83274     		None GOV to promote physical activity in city 1,000
    City Of Clifton
    175 West Center
    Clifton,ID83328     		None GOV to promote physical activity in city 1,000
    City Of Malad
    PO Box 6568
    Carol Stream,IL60197     		None GOV to promote physical activity in city 1,000
    City Of Weston
    Po Box 68
    Weston,ID83286     		None GOV to promote physical activity in city 1,000
    City Of Garden City
    6015 Glennwood St
    Garden City,ID83714     		None GOV to promote physical activity in city 1,000
    City Of Blackfoot
    157 N Broadway
    Blackfoot,ID83221     		None GOV to promote physical activity in city 1,000
    City Of Driggs
    PO Box 48
    Driggs,ID83422     		None GOV to promote physical activity in city 1,000
    City Of Chubbuck
    5160 Yellowstone Ave
    Chubbuck,ID83202     		None GOV to promote physical activity in city 1,000
    City Of Rexburg
    35 N 1St St
    Rexburg,ID83440     		None GOV to promote physical activity in city 1,000
    City of Fairfield
    407 Soldier Rd
    Fairfeild,ID83327     		None GOV to promote physical activity in city 1,000
    City of Heyburn
    941 18th St
    Heyburn,ID83336     		None GOV to promote physical activity in city 1,000
    Idaho Association For The Education Of Young Children
    4355 W Emerald St Ste 250
    Boise,ID83706     		None PC support early childhood mental health and work associated with Preschool development grant birth -5 15,000
    City Of Twin Falls
    321 2Nd Ave E
    Twin Falls,ID83301     		None GOV Girls on the Run Program in Twin 10,000
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV Meal sealer 1,126
    City Of Orofino
    217 1St St
    Orofino,ID83544     		None GOV Aluminum Activity Maps 7,288
    Idaho Hunger Relief Task Force Inc
    963 S Orchard St Ste 206
    Boise,ID83705     		None PC support expansion and training for the RxFFV programming in Idaho 25,000
    Community Health Clinics Inc
    211 16th Ave N
    Nampa,ID83653     		None PC Cleveland Clinic Project in Caldwell for senior residents. 50,000
    Total .................................bullet 3a 1,019,471
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ...........     		    14 4  
    4 Dividends and interest from securities....     14 960,518  
    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 ............     		    18 559,920  
    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).. 0 1,520,442 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,520,442
    (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
    Blue Cross of Idaho Foundation For
    Health Inc
    Employer identification number

    26-0024334
    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
    Blue Cross of Idaho Foundation For
    Health Inc         		Employer identification number
    26-0024334
    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
    Blue Cross Of Idaho Health Service Inc
     
    3000 E Pine Ave
     
    Meridian, ID83642

    		$ 25,000,000


    (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.)
    (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
    Blue Cross of Idaho Foundation For
    Health Inc         		Employer identification number

    26-0024334
    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
    1
    		 34,400 Shares of Vanguard Institutional Index Fund $ 12,408,424 2021-04-13
    (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
    Blue Cross of Idaho Foundation For
    Health Inc         		Employer identification number

    26-0024334
    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:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting Fees 8,300 830   7,470

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

    TY 2020 DepreciationSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    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
    Furniture 2018-07-15 64,282 9,642 SL 10.000000000000 6,428 0    
    AV Equipment 2018-07-15 9,570 2,871 SL 5.000000000000 1,914 0    
    Construction/Architect (Leasehold Improvement) 2018-07-01 65,487 21,162 SL 5.050000000000 14,146 0    
    Sign 2018-08-01 3,861 1,094 SL 5.000000000000 772 0    
    Wall Mural (Leasehold Improvement) 2018-09-01 4,632 1,260 SL 5.050000000000 917 0    
    Equipment 2019-12-01 3,396 28 SL 10.000000000000 340 0    

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

    TY 2020 ExpenditureResponsibilityStmt
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Grantee's Name Grantee's Address Grant Date Grant Amount Grant Purpose Amount Expended By Grantee Any Diversion By Grantee? Dates of Reports By Grantee Date of Verification Results of Verification
    City of Good
          		246 8th Street
    Boise,ID83702     		2020-04-22 15,000 Food and supplies for providing meals to those in need during COVID-19 pandemic. 15,000     2021-08-23  

    TY 2020 InvestmentsOtherSchedule2
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Vanguard Total Bond Fund FMV 11,696,205 11,696,205
    Vanguard Institutional Index Fund FMV 13,568,142 13,568,142
    Dodge & Cox Int'l Stock Fund FMV 7,291,409 7,291,409
    Vanguard International Stock Fund FMV 9,160,563 9,160,563
    Vanguard Extended Market ETF FMV 10,646,194 10,646,194
    RREEF FMV 1,316,532 1,316,532

    TY 2020 LandEtcSchedule2
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Furniture 64,282 16,070 48,212 48,212
    AV Equipment 9,570 4,785 4,785 4,785
    Construction/Architect (Leasehold Improvement) 65,487 35,308 30,179 30,179
    Sign 3,861 1,866 1,995 1,995
    Wall Mural (Leasehold Improvement) 4,632 2,177 2,455 2,455
    Equipment 3,396 368 3,028 3,028


    TY 2020 LegalFeesSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Legal Fees 1,577 0   1,577


    TY 2020 OtherExpensesSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Miscellaneous Expenses 14,750 0   18,189


    TY 2020 OtherIncreasesSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Description Amount
    Unrealized Gain/Loss 5,106,719
    Return of Grant from Prior Year 647


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Other Professional Fees 602,933 37,859   588,257


    TY 2020 TaxesSchedule
    Name:
    Blue Cross of Idaho Foundation For
     
    Health Inc
    EIN:
    26-0024334
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Federal Excise Taxes 26,871 0   0