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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
TENNESSEE HEALTH FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)1 CAMERON HILL CIRCLE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHATTANOOGA, TN37402
A Employer identification number

20-0298456
B Telephone number (see instructions)

(423) 535-6746
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$273,121,111J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments 3,005 1,285,999  
4 Dividends and interest from securities... 2,255,199 5,010,035  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 18,752,728
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 18,872,536
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)....... Click to see attachment 0 141,691  
12 Total. Add lines 1 through 11........ 21,010,932 25,310,261  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 9,000 1,350   7,650
c Other professional fees (attach schedule).... Click to see attachment 654,580 1,055,718   0
17 Interest...............   182,603    
18 Taxes (attach schedule) (see instructions)... Click to see attachment 375,421 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 10,250,660 700,208   10,250,558
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 11,289,661 1,939,879   10,258,208
25 Contributions, gifts, grants paid....... 5,769,670 5,769,670
26 Total expenses and disbursements. Add lines 24 and 25 17,059,331 1,939,879   16,027,878
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,951,601
b Net investment income (if negative, enter -0-) 23,370,382
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 184,037 696,849 696,849
2 Savings and temporary cash investments......... 2,717,060 6,916,177 6,916,177
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
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..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 236,092,660 Click to see attachment261,877,277 261,877,277
c Investments—corporate bonds (attach schedule)....... 4,008,524 Click to see attachment3,576,852 3,576,852
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment54,072 Click to see attachment53,956 Click to see attachment53,956
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 243,056,353 273,121,111 273,121,111
Liabilities 17 Accounts payable and accrued expenses.......... 321,498 732,461
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) Click to see attachment63,259 Click to see attachment73,033
23 Total liabilities (add lines 17 through 22)......... 384,757 805,494
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........... 242,671,596 272,315,617
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    
29 Total net assets or fund balances (see instructions)..... 242,671,596 272,315,617
30 Total liabilities and net assets/fund balances (see instructions). 243,056,353 273,121,111
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
242,671,596
2
Enter amount from Part I, line 27a .....................
2
3,951,601
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
25,692,420
4
Add lines 1, 2, and 3 ..........................
4
272,315,617
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
272,315,617
Form 990-PF (2021)
Form 990-PF (2021)
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 SILCHESTER ST CAPITAL GAINS P    
b SILCHESTER ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
c SILCHESTER LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
d OTHER MARKETABLE SECURITIES P    
e IRM ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
IRM LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NORTHERN TRUST ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NORTHERN TRUST LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NEWBURY IV ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NEWBURY IV LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NEWBURY V ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
NEWBURY V LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
TA XIII-B ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
TA XIII-B LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE II ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE II LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE IV ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE IV LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE V ST CAPITAL GAINS BOOK - TAX DIFFERENCE P    
WHITEHORSE V LT CAPITAL GAINS BOOK - TAX DIFFERENCE P    
(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       5,298,681
b       -4,992,662
c       1,415,086
d       13,454,047
e       -172,275
      -54,668
      11,333
      96,119
      15,540
      989,406
      281
      59,192
      244,020
      1,570,833
      -102
      346,420
      30,607
      544,444
      -50
      16,284
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       5,298,681
b       -4,992,662
c       1,415,086
d       13,454,047
e       -172,275
      -54,668
      11,333
      96,119
      15,540
      989,406
      281
      59,192
      244,020
      1,570,833
      -102
      346,420
      30,607
      544,444
      -50
      16,284
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 18,872,536
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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........................... 3 324,848
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- ..... 5 324,848
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 290,790
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 73,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 363,790
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 38,942
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet38,942 RefundedBullet 11 0
Part VI-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 changesClick to see attachment....
3
Yes
 
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
Yes
 
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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 XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 addressbulletSEE STATEMENT FOR PART XV
    14
    The books are in care ofbulletDANIEL GREGORY Telephone no.bullet (423) 535-8224

    Located atbullet1 CAMERON HILL CIRCLECHATTANOOGATN ZIP+4bullet37402
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
     
    No
    (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)? ......................
    1a(5)
     
    No
    (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.) ...............
    1a(6)
     
    No
    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
     
     
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    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
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    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?
    7a
     
    No
    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? .........................
    8
     
    No
    Part VII
    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
    SCOTT WILSON VP CORPORATE COMMUNICATIONS
    20.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    CHELSEA JOHNSON DIRECTOR
    20.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    DARRELL S FREEMAN BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    JAMES HOBBS ASSISTANT SECRETARY
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    MARTY G DICKENS CHAIRPERSON
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    MICHAEL D BROOKSHIRE BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    REGINALD W COOPWOOD BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    JD HICKEY PRESIDENT & CEO, BOARD MEM
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    HERBERT H HILLIARD BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    EMILY J REYNOLDS VICE CHAIRPERSON
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    LAMAR J PARTRIDGE BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    MARTHA S WALLEN BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    BRUCE A BOSSE BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    MILES A BURDINE BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    LOTTIE F RYANS BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    JILL LANGSTON SECRETARY
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    MANDY SAVAGE ASSISTANT TREASURER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    JOHN GIBLIN CFO
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    DALYA QUALLS EXECUTIVE DIRECTOR
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    JACK B MCCALLIE BOARD MEMBER
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    DENNIS CULVER TREASURER/CRO
    1.00     		0 0 0
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    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 (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-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 THE BLUECROSS BLUESHIELD OF TENNESSEE HEALTH FOUNDATION INVESTMENT FOCUS IN 2021 IS THE BLUECROSS HEALTHY PLACE SIGNATURE PROGRAM. THE PROGRAM REQUESTS PROPOSALS FROM COMMUNITIES OF ALL SIZES THROUGHOUT TENNESSEE FOR COMMUNITY PROJECTS THAT WILL BRING CONNECTION AND OPPORTUNITIES FOR ACTIVITY TO THEIR TOWN, COMMUNITY, CITY, ETC. THIS PROGRAM IS ALLOCATED APPROXIMATELY $10M RESULTING IN THIS TRULY BEING A SIGNATURE PROGRAM SUPPORT WITH FUNDS AND RESOURCES. 10,000,000
    2 THE BLUECROSS BLUESHIELD OF TENNESSEE HEALTH FOUNDATION DISTRIBUTED FUNDS THROUGHOUT THE STATE FOR COVID-19 RELIEF EFFORTS (APPROXIMATELY $4M). 4,000,000
    3 OTHER FUNDS ARE DISTRIBUTED THROUGHOUT THE YEAR/STATE FOR GRANTS SUPPORTING EVENTS OF COMMUNITY NON-PROFITS FOCUSED ON EDUCATION, DIVERSITY, AND INCLUSION EFFORTS, DISEASE MANAGEMENT AND CHARITABLE CARE/CLINICS (APPROXIMATELY $2M). 2,000,000
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    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
    251,284,677
    b
    Average of monthly cash balances.......................
    1b
    8,157,492
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    259,442,169
    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
    259,442,169
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    3,891,633
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    255,550,536
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    12,777,527
    Part X
    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 IX, line 6..................
    1
    12,777,527
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    324,848
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
    90,560
    c
    Add lines 2a and 2b............................
    2c
    415,408
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    12,362,119
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    12,362,119
    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 XII, line 1 ...
    7
    12,362,119
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 12,362,119
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 2,798,881
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016......  
    b From 2017......  
    c From 2018......  
    d From 2019......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 16,027,878
    a Applied to 2020, but not more than line 2a 2,798,881
    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 2021 distributable amount..... 12,362,119
    e Remaining amount distributed out of corpus 866,878
    5 Excess distributions carryover applied to 2021. 0 0
    (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 5 866,878
    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 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		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 2016 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		866,878
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    e Excess from 2021.... 866,878
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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 e-mail address of the person to whom applications should be addressed:
    SCOTT WILSON VP CORPORATE COMMUNICA
    1 CAMERON HILL CIRCLE
    CHATTANOOGA,TN37402
    (423) 535-7163
    bThe form in which applications should be submitted and information and materials they should include:
    WWW.BCBST.COM/ABOUT/IN-THE-COMMUNITY/HEALTHY-PLACES/FUNDING-CRITERIA
    cAny submission deadlines:
    MAY, NOVEMBER FOR COMMUNITY TRUST FUNDING AND AUGUST FOR HEALTHY PLACE FUNDING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    WWW.BCBST.COM/ABOUT/IN-THE-COMMUNITY/HEALTHY-PLACES/FUNDING-CRITERIA
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    A STEP AHEAD FOUNDATION
    PO BOX 4212
    CHATTANOOGA,TN37405     		NONE PC HERB HILLIARD 2:1 MATCH 2021 4,000
    AMERICAN RED CROSS
    2201 CHARLOTTE AVE
    NASHVILLE,TN37203     		NONE PC HUMANITARIAN SUPPORT FOR DISASTER RESPONSE - TN FLOODS - AUGUST 2021 25,000
    ANDREW JACKSON'S HERMITAGE
    4580 RACHELS LN
    HERMITAGE,TN37076     		NONE PC MATCHING DONATION FROM EMILY K. REYNOLDS 5,000
    BELMONT UNIVERSITY
    1900 BELMONT BLVD
    NASHVILLE,TN37212     		NONE PC MATCHING GIFT REQUEST BY MARTY DICKENS 10,000
    BELMONT UNIVERSITY
    1900 BELMONT BLVD
    NASHVILLE,TN37212     		NONE PC POWER OF WE SCHOLARSHIP - STUDENT NAME/ID NUMBER: VERONICA BERNABA (B00-59-5176) 10,000
    CATHOLIC CHARITIES OF EAST TENNESSEE
    119 DAMERON AVENUE
    KNOXVILLE,TN37917     		NONE PC 2:1 MATCH OF DONATION 3,000
    CHATTANOOGA AREA FOOD BANK
    2009 CURTAIN POLE RD
    CHATTANOOGA,TN37406     		NONE PC COVID-19 RELIEF FUNDING 250,000
    CHATTANOOGA GIRLS LEADERSHIP ACADEMY
    1802 BAILEY AVE
    CHATTANOOGA,TN37404     		NONE PC MATCHING GIFT - JD HICKEY 10,000
    CHATTANOOGA GIRLS LEADERSHIP ACADEMY
    1802 BAILEY AVE
    CHATTANOOGA,TN37404     		NONE PC MATCHING GIFT - LAMAR PARTRIDGE 2,000
    CHATTANOOGA UNITE
    180 HAMM RD
    CHATTANOOGA,TN37405     		NONE PC FOR TEAM BLUE PARTICIPATION IN WREATHS ACROSS AMERICA AT CHATTANOOGA NATIONAL CEMETERY 5,000
    CHURCH OF THE GOOD SHEPHARD
    211 FRANKLIN RD
    LOOKOUT MOUNTAIN,TN37350     		NONE PC 2-TO-1 EMPLOYER MATCH FOR $10,000 GIFT GIVEN BY JD AND MANDY ON NOV. 1, 2021 20,000
    COMMUNITY FOUNDATION GREATER CHATT
    1400 WILLIAMS ST
    CHATTANOOGA,TN37408     		NONE PC SMARTCITY VENTURE FUND FOR STUDENT CONNECTIVITY PROJECT 500,000
    COMMUNITY FOUNDATION GREATER CHATT
    1400 WILLIAMS ST
    CHATTANOOGA,TN37408     		NONE PC COVID-19 VACCINE EDUCATION & MESSAGING FUND 401,664
    COMMUNITY FOUNDATION GREATER CHATT
    1400 WILLIAMS ST
    CHATTANOOGA,TN37408     		NONE PC BLUECROSS HEALTH PLACE AT ST. ELMO MAINTENANCE FUND 100,000
    COMMUNITY FOUNDATION OF GREATER MEMPHIS
    1900 UNION AVENUE
    MEMPHIS,TN38104     		NONE PC COVID-19 RESPONSE (PAY IT FORWARD CAMPAIGN - MEMPHIS) 50,000
    COMMUNITY FOUNDATION OF MIDDLE TN INC
    3833 CLEGHORN AVE 400
    NASHVILLE,TN37215     		NONE PC BCBST FAMILY FUND 2021 150,000
    COMMUNITY FOUNDATION OF MIDDLE TN INC
    3833 CLEGHORN AVE 400
    NASHVILLE,TN37215     		NONE PC BLUECROSS HEALTHY PLACE AT H.V. GRIFFIN PARK - MAINTENANCE FUND 50,000
    COMMUNITY FOUNDATION OF MIDDLE TN INC
    3833 CLEGHORN AVE 400
    NASHVILLE,TN37215     		NONE PC BLUECROSS HEALTHY PLACE AT CROCKETT COUNTY HIGH SCHOOL MAINTENANCE FUND 100,000
    COMMUNITY FOUNDATION OF MIDDLE TN INC
    3833 CLEGHORN AVE 400
    NASHVILLE,TN37215     		NONE PC BLUECROSS HEALTHY PLACE AT FOOTE PARK MAINTENANCE FUND 100,000
    EAST TENNESSEE FOUNDATION
    520 W SUMMIT HILL DR STE 1101
    KNOXVILLE,TN37902     		NONE PC FOR THE BLUE CROSS HEALTHY PLACE AT KIWANIS PARK MAINTENANCE FUND 100,000
    EAST TENNESSEE FOUNDATION
    520 W SUMMIT HILL DR STE 1101
    KNOXVILLE,TN37902     		NONE PC FOR THE BLUE CROSS HEALTHY PLACE AT TOWN HALL PARK MAINTENANCE FUND 100,000
    EAST TN ST UNIV FOUNDATION
    PO BOX 70601
    JOHNSON CITY,TN37614     		NONE PC TO ESTABLISH THE BLUECROSS BLUESHIELD OF TENNESSEE FOUNDATION COMPUTING SCHOLARSHIP FUND 600,000
    EAST TN ST UNIV FOUNDATION
    PO BOX 70601
    JOHNSON CITY,TN37614     		NONE PC 2:1 MATCH FROM LOTTIE RYANS 2,000
    ERLANGER HEALTH SYSTEM FOUNDATIONS
    975 E 3RD ST SUITE B-508
    CHATTANOOGA,TN37403     		NONE PC COVID REFRIGERATION UNITS 30,000
    FIRST TN DEV DISTRICT FOUNDATION
    3211 N ROAN STREET
    JOHNSON CITY,TN37601     		NONE PC COVID-19 VACCINE CAMPAIGN GRANT 541,700
    FOUNDATION FOR THE COLLEGE SYSTEM OF TN
    1 BRIDGESTONE PARK 3RD FLOOR
    NASHVILLE,TN37214     		NONE PC DONATION TO THE MARK LENZ MEMORIAL SCHOLARSHIP 2,000
    GIRL SCOUTS OF THE SOUTH APP
    PO BOX 240246
    MEMPHIS,TN38124     		NONE PC MATCHING FUND DONATION FOR LOTTIE RYANS $1,000 DONATION TO THE GIRL SCOUTS OF THE SOUTHERN APPLACHIANS 2,000
    GOVERNOR'S BOOKS FOR BIRTH FOUNDATION
    312 ROSA L PARKS AVENUE 27TH FLOOR
    NASHVILLE,TN37243     		NONE PC CONTRIBUTION FOR THE SUMMER RURAL READING INITIATIVE 100,000
    HOPE FOR THE INNER CITY
    1800 ROANOKE AVE
    CHATTANOOGA,TN37406     		NONE PC DONATION - 2:1 MATCH FOR DARRELL FREEMAN 10,000
    HUNTER MUSEUM OF AMERICAN ART
    10 BLUFF VIEW ST
    CHATTANOOGA,TN37403     		NONE PC 2:1 MATCH FOR MAY 24, 2021 GIFT IN THE AMOUNT OF $5,000 FROM JD HICKEY 10,000
    KNOXVILLE HABITAT FOR HUMANITY
    PO BOX 27478
    KNOXVILLE,TN37927     		NONE PC BRUCE AND SHARON BOSSE 2:1 DONATION MATCH 10,000
    KNOXVILLE NEWS SENTINEL CHARITIES INC
    232 NEWS SENTINEL DRIVE
    KNOXVILLE,TN37921     		NONE PC 2021 FREE FLU SHOT SATURDAY GRANT 60,000
    LE BONHEUR CHILDRENS MEDICAL CENTER FDN
    850 POPLAR AVE BLD 2
    MEMPHIS,TN38105     		NONE PC MONETARY DONATION TO VOLUNTEER AND FAMILY SUPPORT 5,000
    MEHARRY MEDICAL COLLEGE
    1005 DR D B TODD JR BLVD
    NASHVILLE,TN37208     		NONE PC SOCIAL DETERMINANTS OF HEALTH INFORMED APPROACH TO OPTIMIZE HEALTH EQUITY: ADDRESSING DISPARITIES THROUGH COVID-19 & BEYOND 325,000
    MIDDLE TENNESSEE STATE UNIVERSITY FNDN
    PO BOX 109
    MURFREESBORO,TN37132     		NONE PC MATCHING FUNDS IN SUPPORT OF DARRELL FREEMAN'S DONATION 20,000
    MIDDLE TN STATE UNIVERSITY
    1301 E MAIN ST
    MURFREESBORO,TN37130     		NONE PC FALL 2021/SPRING 2022 ACADEMIC YEAR POWER OF WE SCHOLARSHIP CRUZ, SIERRA STUDENT ID: M01452245 10,000
    MID-SOUTH FOOD BANK
    3865 S PERKINS RD
    MEMPHIS,TN38118     		NONE PC CONTRIBUTION 450,000
    MILLIGAN COLLEGE
    PO BOX 500
    MILLIGAN,TN37682     		NONE PC MATCHING GIFT (2:1 MATCH) TO MILLIGAN UNIVERSITY ON BEHALF OF LOTTIE RYANS 7,500
    NE STATE COMMUNITY COLLEGE FOUNDATION
    2425 TN-75
    BLOUNTVILLE,TN37617     		NONE PC BLUECROSS BLUESHIELD OF TN FOUNDATION PER LOTTIE RYANS 3,000
    NTL ASSC OF HEALTH SERVICES EXECUTIVES
    1050 CONNECTICUT AVE
    WASHINGTON,DC20036     		NONE PC ADMINISTRATIVE FEE FOR THE POWER OF WE SCHOLARSHIP PROGRAM 2021 5,000
    PINE GROVE PRESBYTERIAN CHURCH
    4800 TN-95
    GREENBACK,TN37742     		NONE PC DONATION TO SHOE BOXES 4 SOLDIERS 2,500
    REGIONAL INTER-FAITH ASSOCIATION INC
    133 AIRWAYS BLVD
    JACKSON,TN38301     		NONE PC COVID-19 100,000
    ROCKETOWN OF MIDDLE TENNESSEE
    601 4TH AVE S
    NASHVILLE,TN37210     		NONE PC CORPORATE DONATION MATCH: BOARD OF DIRECTOR MR. MARTY AND MS. BETTY DICKENS 10,000
    SAMARITAN MINISTRIES TEMPLE
    4121 CLARKSVILLE PIKE
    NASHVILLE,TN37218     		NONE PC MATCHING DONATION - DARRELL FREEMAN 10,000
    SECOND HARVEST FOOD BANK OF EAST TN
    136 HARVEST LN
    MARYVILLE,TN37801     		NONE PC COVID RESPONSE ADDITIONAL FUNDING 250,000
    SECOND HARVEST FOOD BANK OF MIDDLE TN
    331 GREAT CIRCLE RD
    NASHVILLE,TN37228     		NONE PC 2020 YEAR END GIFT 450,000
    SECOND HARVEST FOOD BANK OF NE TN
    1020 JERICHO DR
    KINGSPORT,TN37663     		NONE PC COVID RELIEF GRANT 250,000
    TENNESSEE MEDICAL ASSOCIATION
    701 BRADFORD AVENUE
    NASHVILLE,TN37204     		NONE PC COLLABORATIVE VACCINE EDUCATION PROGRAM WITH CME UNDER AGREEMENT BETWEEN TMA/TN DEPARTMENT OF HEALTH 4,130
    THE CAMELLIA FOUNDATION
    6575 BLACK THORNE COVE
    MEMPHIS,TN38119     		NONE PC BLUE CROSS BLUE SHIELD GRANT FOR COVID-19 PANDEMIC RELIEF VACCINATION PROJECT 208,896
    THE HEALING WORD COUNSELING CENTER
    3885 TCHULAHOMA RD
    MEMPHIS,TN38118     		NONE PC PURCHASE REFRIGERATOR, DDL, AND SUPPLIES FOR VACCINE CAMPAIGN 13,800
    THE NEXT DOOR INC
    402 22ND AVE N
    NASHVILLE,TN37203     		NONE PC MATCHING GIFT TO MARTY DICKENS 10,000
    THE TRUST FOR PUBLIC LAND
    101 MONTGOMERY STREET NO 900
    SAN FRANCISCO,CA94104     		NONE PC BOARD OF DIRECTORS MATCHING GIFT: JACK MCCALLIE $5,000 GIFT 10,000
    THE UNIVERSITY OF MEMPHIS
    3720 ALUMNI AVE
    MEMPHIS,TN38152     		NONE PC MYA MORROW - U00631050 10,000
    THE UNIVERSITY OF MEMPHIS
    3720 ALUMNI AVE
    MEMPHIS,TN38152     		NONE PC MIKO MCDOWELL - U00652569 10,000
    THE UNIVERSITY OF TN AT CHATTANOOGA
    615 MCCALLIE AVENUE
    CHATTANOOGA,TN37403     		NONE PC MATCHING GIFT FROM BLUECROSS BLUESHIELD OF TENNESSEE FOUNDATION TO UCF BROOKSHIRE FAMILY SCHOLARSHIP FOR LEADERSHIP IN BUSINESS 40,000
    THE UNIVERSITY OF TN FOUNDATION INC
    DEVELOPMENT HOUSE DEPT 6806 - 605
    OAK STREET
    CHATTANOOGA,TN37403     		NONE PC MATCHING GIFT FROM LAMAR PARTRIDGE 7,000
    TN SCORE
    1207 18TH AVE S NO 326
    NASHVILLE,TN37212     		NONE PC SUPPORT TO SCORES CORE MISSION 25,000
    UNITED WAY OF GREATER CHATTANOOGA
    630 MARKET ST
    CHATTANOOGA,TN37402     		NONE PC GRANT-211 SERVICES 20,000
    UNITED WAY OF GREATER CHATTANOOGA
    630 MARKET ST
    CHATTANOOGA,TN37402     		NONE PC 2021 CORP GIFT 50,000
    UNITED WAY OF GREATER KINGSPORT INC
    301 LOUIS STREET STE 201
    KINGSPORT,TN37660     		NONE PC MILES BURDINE GIFT MATCH 4,480
    UNITED WAY OF GREATER KNOXVILLE
    1301 HANNAH AVENUE
    KNOXVILLE,TN37921     		NONE PC 2:1 CORPORATE MATCH FOR BRUCE AND SHARON BOSSE 5,000
    UNITED WAY OF METROPOLITAN NASHVILLE
    250 VENTURE CIRCLE
    NASHVILLE,TN37228     		NONE PC 2021 CAMPAIGN - CORPORATE CONTRIBUTION 5,000
    UNITED WAY OF THE MID-SOUTH
    1005 TILLMAN STREET
    MEMPHIS,TN38112     		NONE PC BCBST - EMPLOYEE CAMPAIGN 5,000
    UNIVERSITY OF TENNESSEE
    1525 UNIVERSITY AVE
    KNOXVILLE,TN37921     		NONE PC JIM BAKER BCBST BOARD RETIREMENT GIFT 2021 10,000
    UNIVERSITY OF TENNESSEE
    1525 UNIVERSITY AVE
    KNOXVILLE,TN37921     		NONE PC WILLIAM T. BAKER FAMILY ENDOWED BUSINESS SCHOLARSHIP - BOARD MATCHING GIFT: JAMES BAKER 40,000
    UNIVERSITY OF TENNESSEE
    1525 UNIVERSITY AVE
    KNOXVILLE,TN37921     		NONE PC 2021 POWER OF WE SCHOLARSHIP - SORIYA COOPER - ID# 000537646 10,000
    UNIVERSITY OF TENNESSEE
    1525 UNIVERSITY AVE
    KNOXVILLE,TN37921     		NONE PC 2021 POWER OF WE SCHOLARSHIP - NESMA ABDELNABI - ID# 000490458 10,000
    YMCA OF MIDDLE TENNESSEE
    5101 MARYLAND WAY
    BRENTWOOD,TN37027     		NONE PC MATCHING GIFT BETTY & MARTY DICKENS 10,000
    Total .................................bullet 3a 5,769,670
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 3,005  
    4 Dividends and interest from securities ....          
    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 ............     		    14 18,752,728  
    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 21,010,932 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    21,010,932
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 AccountingFeesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUDIT & TAX SERVICE EXP 9,000 1,350   7,650

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Name of Bond End of Year Book Value End of Year Fair Market Value
    AEGON FUNDING COMPANY LLC 36,435 36,435
    AFFILIATED MANAGERS GROUP INC 101,860 101,860
    AMERICAN ELECTRIC POWER COMPANY INC. 38,541 38,541
    AMERICAN FINANCE TRUST INC 20,075 20,075
    AMERICAN INTERNATIONAL GROUP INC 45,000 45,000
    APOLLO MANAGEMENT HOLDINGS LP 64,747 64,747
    ARES FINANCE CO III LLC 55,365 55,365
    ASSURANT INC 51,651 51,651
    BANK OF AMERICA CORP 59,263 59,263
    BANK OF MONTREAL 36,094 36,094
    BANK OF NOVA SCOTIA 73,032 73,032
    BP CAPITAL MARKETS PLC 17,670 17,670
    BROOKFIELD BRP HOLDINGS (CANADA) INC. 63,364 63,364
    BROOKFIELD FINANCE INC 37,710 37,710
    BROOKFIELD INFRASTRUCTURE FINANCE ULC 47,612 47,612
    CARLYLE FINANCE LLC 31,457 31,457
    CMS ENERGY CORP 77,627 77,627
    DOMINION ENERGY INC. 46,485 46,485
    DTE ENERGY CO 63,458 63,458
    DUKE ENERGY CORP 1,955 1,955
    EMERA INC 55,320 55,320
    ENBRIDGE INC 173,646 173,646
    ENSTAR FINANCE LLC 17,510 17,510
    FARM CREDIT BANK OF TEXAS 144A 107,000 107,000
    GLOBAL ATLANTIC (FIN) CO 45,675 45,675
    GOLDMAN SACHS CAPITAL I 62,100 62,100
    HARTFORD FINANCIAL SERVICES GROUP INC 22,775 22,775
    HSBC HOLDINGS PLC 221,250 221,250
    JPMORGAN CHASE & CO 178,708 178,708
    KITE REALTY GROUP LP 55,278 55,278
    KKR GROUP FINANCE CO IX LLC 45,056 45,056
    LIBERTY MUTUAL GROUP INC 18,131 18,131
    METLIFE INC 282,915 282,915
    NATIONAL RURAL UTILITIES COOPERATIVE FINANCE CORP 29,632 29,632
    NEXTERA ENERGY CAPITAL HOLDINGS INC 98,294 98,294
    PRUDENTIAL FINANCIAL INC 356,884 356,884
    SEMPRA ENERGY 111,769 111,769
    SOUTH JERSEY INDUSTRIES INC 21,088 21,088
    SOUTHERN CO 294,619 294,619
    TRANSCANADA TRUST 187,480 187,480
    UNITED STATES CELLULAR CORP 53,025 53,025
    VOYA FINANCIAL INC 31,050 31,050
    WELLS FARGO & CO 138,246 138,246

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACUSHNET HOLDINGS ORD 543,592 543,592
    AGRIBANK FCB 26,625 26,625
    ALLSTATE CORP 34,196 34,196
    AMERICAN EXPRESS CO. 38,048 38,048
    AMERICAN INTERNATIONAL GROUP INC 6,704 6,704
    APOLLO ASSET MANAGEMENT INC. 13,020 13,020
    ARBOR REALTY TRUST INC. 50,600 50,600
    ARCH CAPITAL GROUP LTD 32,895 32,895
    AT&T INC 18,428 18,428
    ATHENE HOLDING LTD 59,480 59,480
    BANK OF AMERICA CORP 304,798 304,798
    BANK OF HAWAII CORP 38,228 38,228
    BANK OF NEW YORK MELLON CORP 155,374 155,374
    BANK OZK ORD 813,670 813,670
    BLACKBAUD ORD 670,777 670,777
    BLUCORA ORD 608,348 608,348
    BRADY NONVOTING CL A ORD 626,965 626,965
    BRIGHTHOUSE FINANCIAL INC 38,314 38,314
    BRUNSWICK ORD 662,602 662,602
    CERENCE ORD 455,165 455,165
    CHARLES SCHWAB CORP 347,961 347,961
    CHEMED ORD 561,311 561,311
    CHRLS RIVER LABS ORD 731,330 731,330
    CHS INC 35,714 35,714
    CITIGROUP INC 176,482 176,482
    COBANK ACB 183,600 183,600
    DAIRY FARMERS OF AMERICA INC 31,036 31,036
    DIME COMMUNITY BANCSHARES INC 18,675 18,675
    DOMINION ENERGY INC. 41,300 41,300
    DOUBLEVERIFY HOLDINGS ORD 373,934 373,934
    DUKE ENERGY CORP 36,400 36,400
    EAGLE POINT DEFENSIVE INC US 6,202,912 6,202,912
    EDISON INTERNATIONAL 68,190 68,190
    ENSIGN GROUP ORD 829,777 829,777
    ENVESTNET ORD 777,611 777,611
    EQUITABLE HOLDINGS INC 56,001 56,001
    EURONET WORLDWIDE ORD 589,415 589,415
    FARM CREDIT BANK OF TEXAS 104,814 104,814
    FEDERAL SIGNAL ORD 929,816 929,816
    FIRST CITIZENS BANCSHARES INC (DELAWARE) 18,477 18,477
    FIRST HORIZON CORP (TENNESSEE) 41,084 41,084
    FIRST REPUBLIC BANK 95,550 95,550
    FOX FACTORY HOLDING ORD 570,856 570,856
    FRONTDOOR ORD 653,763 653,763
    FTI CONSULTING ORD 686,094 686,094
    FULTON FINANCIAL CORP 58,792 58,792
    GENTHERM ORD 707,887 707,887
    GLADSTONE COMMERCIAL CORP 26,500 26,500
    GLOBUS MEDICAL CL A ORD 586,625 586,625
    GOLDMAN SACHS GROUP INC 18,763 18,763
    GRAND CANYON EDUCATION ORD 1,065,804 1,065,804
    HARTFORD FINANCIAL SERVICES GROUP INC 25,709 25,709
    HIG MIDDLE MARKET LBO FUND III, LP 992,910 992,910
    HOULIHAN LOK CL A ORD 992,860 992,860
    HURON CONSULTING GROUP ORD 678,989 678,989
    INSTALLED BUILDING PRODUCTS ORD 689,099 689,099
    INVICTUS OPPORTUNITY FUND II, LP 4,638,007 4,638,007
    IR&M CORE BOND FD II 45,387,923 45,387,923
    IRIDIUM COMMUNICATIONS ORD 772,618 772,618
    ISHARES:CORE S&P 500 82,834,559 82,834,559
    JPMORGAN CHASE & CO 190,892 190,892
    KIMCO REALTY CORP 18,761 18,761
    LAUREATE EDUCATION CL A ORD 663,359 663,359
    M&T BANK CORP 36,879 36,879
    MARKETAXESS HOLDINGS ORD 609,091 609,091
    MARRIOTT VACATIONS WORLDWIDE ORD 741,315 741,315
    MAXIMUS ORD 726,431 726,431
    METLIFE INC 26,780 26,780
    MORGAN STANLEY 243,726 243,726
    NATIONAL STORAGE AFFILIATES TRUST 13,136 13,136
    NEWBURY EQUITY PARTNERS IV, LP 12,443,702 12,443,702
    NEWBURY EQUITY PARTNERS V, LP 3,646,057 3,646,057
    NMI HOLDINGS CL A ORD 678,967 678,967
    ORMAT TECH ORD 648,119 648,119
    PARTNERRE LTD 19,333 19,333
    PNC FINANCIAL SERVICES GROUP INC 62,491 62,491
    PRIMORIS SERVICES ORD 648,155 648,155
    PS BUSINESS PARKS INC 18,249 18,249
    PUBLIC STORAGE 52,549 52,549
    PURPLE INNOVATION ORD 562,900 562,900
    QUALYS ORD 775,019 775,019
    RE MAX HOLDINGS CL A ORD 389,906 389,906
    RENAISSANCERE HOLDINGS LTD 11,410 11,410
    REXFORD INDUSTRIAL REALTY INC 30,212 30,212
    RLI ORD 734,031 734,031
    SBL HOLDINGS INC 29,400 29,400
    SCE TRUST V 42,964 42,964
    SCE TRUST VI 12,555 12,555
    SEMPRA ENERGY 107,125 107,125
    SHAKE SHACK CL A ORD 436,135 436,135
    SILCHESTER INTL EQUITY TRUST 44,312,069 44,312,069
    SILICON LABORATORIES ORD 779,029 779,029
    STONEX GROUP ORD 873,793 873,793
    SVB FINANCIAL GROUP 109,190 109,190
    TA XIII-B, LP 10,774,344 10,774,344
    TA XIV-B LP 2,011,426 2,011,426
    TELEPHONE AND DATA SYSTEMS INC 42,665 42,665
    TEMPUR SEALY INTERNATIONAL ORD 528,523 528,523
    THERMON GROUP HOLDINGS ORD 406,642 406,642
    TRUIST FINANCIAL CORP 190,086 190,086
    U.S. BANCORP 72,262 72,262
    UNIVERSAL HEALTH SERVICES CL B ORD 316,630 316,630
    VICTORY CAPITAL HOLDINGS CL A ORD 469,995 469,995
    VIRTU FINANCIAL CL A ORD 897,190 897,190
    WASHINGTON FEDERAL INC 23,508 23,508
    WELLS FARGO & CO 221,806 221,806
    WHITEHORSE LIQUIDITY PARTNERS II, LP 7,176,435 7,176,435
    WHITEHORSE LIQUIDITY PARTNERS IV, LP 6,634,863 6,634,863
    WHITEHORSE LIQUIDITY PARTNERS V, LP 2,580,195 2,580,195

    TY 2021 OtherAssetsSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    BOND INTEREST RECEIVABLE 50,065 47,322 47,322
    INTEREST SALES RECEIVABLE 4,007 6,634 6,634


    TY 2021 OtherExpensesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROGRAM SUPPORT 10,250,558 0   10,250,558
    DUES 500 0   0
    OTHER DEDUCTIONS 683 700,208   0
    REFUND OF INTEREST -1,081 0   0


    TY 2021 OtherIncomeSchedule2
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME FROM PASS THROUGH   141,691  


    TY 2021 OtherIncreasesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Description Amount
    UNREALIZED GAIN 25,692,420


    TY 2021 OtherLiabilitiesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Description Beginning of Year - Book Value End of Year - Book Value
    INVESTMENT PURCHASES PAYABLE 16,072 0
    TAXES PAYABLE 47,187 73,033


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 654,580 877,609   0
    FOREIGN TAXES FROM PASS THROUGH 0 178,109   0


    TY 2021 TaxesSchedule
    Name:
    TENNESSEE HEALTH FOUNDATION INC
    EIN:
    20-0298456
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 375,421 0   0