Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
BLUE CROSS & BLUE SHIELD OF
LOUISIANA FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 98022
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BATON ROUGE, LA708989022
A Employer identification number

72-1232379
B Telephone number (see instructions)

(225) 295-3307
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$26,472,093J 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) 202,556
2 Check right arrow.............
3 Interest on savings and temporary cash investments 9,121 9,121  
4 Dividends and interest from securities... 793,368 793,368  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 551,153
b Gross sales price for all assets on line 6a 5,843,770
7 Capital gain net income (from Part IV, line 2)... 551,153
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,556,198 1,353,642 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 170,849 0 0 170,849
14 Other employee salaries and wages...... 366,272 0 0 366,272
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
91,959 18,392 0 73,567
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
251,212 140,001 0 111,211
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 22,293 0 0 22,293
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
237,963 0 0 181,906
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,140,548 158,393 0 926,098
25 Contributions, gifts, grants paid....... 3,465,163 3,471,421
26 Total expenses and disbursements. Add lines 24 and 25 4,605,711 158,393 0 4,397,519
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -3,049,513
b Net investment income (if negative, enter -0-) 1,195,249
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 716,483 450,662 450,662
2 Savings and temporary cash investments.........      
3 Accounts receivable right arrow  
Less: allowance for doubtful accounts right arrow        
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 4,500 7,653 7,653
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 26,751,292 Click to see attachment
List of Attached Documents:
// Content
25,996,373 		25,996,373
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
386 		Click to see attachment
List of Attached Documents:
// Content
17,405 		Click to see attachment
List of Attached Documents:
// Content
17,405
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 27,472,661 26,472,093 26,472,093
Liabilities 17 Accounts payable and accrued expenses.......... 534,081 288,878
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 500,000  
22 Other liabilities (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
26,023 		Click to see attachment
List of Attached Documents:
// Content
29,592
23 Total liabilities (add lines 17 through 22)......... 1,060,104 318,470
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 21,328,825 21,578,265
25 Net assets with donor restrictions............ 5,083,732 4,575,358
Foundations that do not follow FASB ASC 958, check here right arrow
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)..... 26,412,557 26,153,623
30 Total liabilities and net assets/fund balances (see instructions). 27,472,661 26,472,093
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
26,412,557
2
Enter amount from Part I, line 27a .....................
2
-3,049,513
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
2,790,579
4
Add lines 1, 2, and 3 ..........................
4
26,153,623
5
Decreases not included in line 2 (itemize) right arrow
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
26,153,623
Form 990-PF (2023)
Form 990-PF (2023)
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 PUBLICLY TRADED SECURITIES P    
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,843,770   5,292,617 551,153
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       551,153
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 551,153
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 0
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 right arrow 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) 1 16,614
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 16,614
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 16,614
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 29,092
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld .......... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 29,092
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.......right arrow 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10 12,478
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow12,478 Refundedright arrow 11 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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:
round bullet By language in the governing instrument, or
round bullet 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)
right arrow
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 2023 or the taxable year beginning in 2023? 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
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 addressright arrowWWW.BCBSLAFOUNDATION.ORG
14
The books are in care ofright arrowADAM SHORT VP FINANCE CONTROLLER Telephone no.right arrow (225) 295-3307

Located atright arrow5525 REITZ AVENUEBATON ROUGELA ZIP+4right arrow70809
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
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)
Yes
 
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
Yes
 
(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
 
No
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
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 2023? .............
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
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
Organizations relying on a current notice regarding disaster assistance check .........right arrow
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
C RICHARD ATKINS VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
PEGGY SCOTT VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
DAN S BORNE VICE PRESIDENT & CHAIRMAN
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
JEROME K GREIG VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
J KEVIN MCCOTTER VICE PRESIDENT & SECRETARY/TREASURER
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
CARL LUIKART MD VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
B VINDELL WASHINGTON MD VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
JUDY MILLER VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
MICHAEL BRUNO VICE PRESIDENT
1.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
MICHAEL TIPTON PRESIDENT
28.00 		0 0 0
PO BOX 98022
BATON ROUGE,LA70898
LOUISIANA HEALTH SERVICE INDEMNITY NA
1.00 		170,849 0 14,508
PO BOX 98022
BATON ROUGE,LA70898
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
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.............right arrow0
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  
2  
3  
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.........................right arrow0
Form 990-PF (2023)
Form 990-PF (2023)
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
26,756,869
b
Average of monthly cash balances.......................
1b
530,358
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
27,287,227
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
27,287,227
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
409,308
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
26,877,919
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
1,343,896
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
1,343,896
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
16,614
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
16,614
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
1,327,282
4
Recoveries of amounts treated as qualifying distributions................
4
0
5
Add lines 3 and 4............................
5
1,327,282
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
1,327,282
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
4,397,519
b
Program-related investments—total from Part VIII-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 XII, line 4. .......
4
4,397,519
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7 1,327,282
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only....... 0
b Total for prior years:20 , 20, 20 0
3 Excess distributions carryover, if any, to 2022:
a From 2018...... 479,469
b From 2019...... 1,387,934
c From 2020...... 10,363,086
d From 2021...... 6,907,241
e From 2022...... 4,319,817
f Total of lines 3a through e ........ 23,457,547
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$ 4,397,519
a Applied to 2022, 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 2023 distributable amount..... 1,327,282
e Remaining amount distributed out of corpus 3,070,237
5 Excess distributions carryover applied to 2023. 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 26,527,784
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 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		0
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		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 2018 not
applied on line 5 or line 7 (see instructions) ... 		479,469
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		26,048,315
10 Analysis of line 9:
a Excess from 2019.... 1,387,934
b Excess from 2020.... 10,363,086
c Excess from 2021.... 6,907,241
d Excess from 2022.... 4,319,817
e Excess from 2023.... 3,070,237
Form 990-PF (2023)
Form 990-PF (2023)
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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
         
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
MICHAEL TIPTON
5525 REITZ AVENUE
BATON ROUGE,LA70809
(225) 297-2849
WWW.BCBSLAFOUNDATION.ORG
bThe form in which applications should be submitted and information and materials they should include:
SEE STATEMENT 9
cAny submission deadlines:
SEE STATEMENT 9
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SEE STATEMENT 9
Form 990-PF (2023)
Form 990-PF (2023)
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

18TH WARD

3329 BELL ST
NEW ORLEANS,LA70119 		NONE PC INCREASING NOLA YOUTH'S PHYSICAL AND MENTAL HEALTH THROUGH SPORTS WHILE PROMOTING ECONOMIC EQUITY: THE 18TH WARD'S CITY-WIDE COLLABORATIVE APPROACH 100,000

AHECS FOR A HEALTHY LOUISIANA INC

1302 JW DAVIS DRIVE
HAMMOND,LA70403 		NONE PC AHEC OF A SMILE 50,000

ALZHEIMER'S SERVICES OF THE CAPITAL AREA

3772 NORTH BLVD
BATON ROUGE,LA708063822 		NONE PC AA MEMORIAL HONORARIUM-PINKIE WINDSOR 5,000

AMERICAN RED CROSS OF LOUISIANA - MAIN

4655 SHERWOOD COMMON BLVD
BATON ROUGE,LA70816 		NONE PC RED CROSS RESPONSE - WINTER 2022 TORNADOES 50,000

ANGELS' PLACE

4323 DIVISION STREET SUITE 206
METAIRIE,LA700023183 		NONE PC AA MEMORIAL HONORARIUM-ANITA GILFORD 5,000

BATON ROUGE AREA FOUNDATION

100 NORTH ST SUITE 900
BATON ROUGE,LA708025264 		NONE PC MID CITY MEDICAL CORRIDOR (MCMC) PARTNERSHIP 25,000

BAYOU COMMUNITY FOUNDATION

PO BOX 582
HOUMA,LA70361 		NONE PC BAYOU REGION COMMUNITY NEEDS ASSESSMENT 25,000

BAYOU DISTRICT FOUNDATION

320 JULIA STREET
NEW ORLEANS,LA701303604 		NONE PC SPROUTS OF MUSIC 30,000

BIG BROTHERS BIG SISTERS OF SOUTHWEST LOUISIANA INC

4135 COMMON STREET
LAKE CHARLES,LA706074501 		NONE PC MENTORING FOR YOUTH FACING MENTAL HEALTH CHALLENGES IN RURAL AND UNDERSERVED COMMUNITIES 40,000

BREC FOUNDATION

6201 FLORIDA BOULEVARD
BATON ROUGE,LA708064467 		NONE PC "PLAY 4 ALL" UNIVERSAL PLAYGROUND AT INDEPENDENCE COMMUNITY PARK 100,000

CAL RIPKEN SR FOUNDATION INC

1427 CLARKVIEW RD SUITE 100
BALTIMORE,MD21209 		NONE PC TEAM OF DREAMS ADAPTIVE FIELD 38,333

CAL RIPKEN SR FOUNDATION INC

1427 CLARKVIEW RD SUITE 100
BALTIMORE,MD21209 		NONE PC TEAM OF DREAMS ADAPTIVE FIELD 38,333

CATHOLIC CHARITIES OF ACADIANA

PO BOX 3177
LAFAYETTE,LA70502 		NONE PC DISASTER RESPONSE-TORNADO 12/14/2022 50,000

CATHOLIC CHARITIES OF THE DIOCESE OF BATON ROUGE

1900 S ACADIAN THRUWAY
BATON ROUGE,LA70808 		NONE PC HIPPY EXPANSION IN RURAL, SOUTHERN LOUISIANA POINTE COUPEE AND ST. HELENA PARISHES 10,000

CENTER FOR THE INNOVATIVE TRAINING OF YOUTH INC (STEM NOLA)

4910 DREXEL DR BOX 61
NEW ORLEANS,LA701251126 		NONE PC BUILDING BRIDGES FROM HIGH SCHOOL TO STEM CAREERS 15,000

CENTRAL LOUISIANA ECONOMIC DEVELOPMENT ALLIANCE

1302 MURRAY STREET
ALEXANDRIA,LA713018350 		NONE PC HEALTHCARE CAREER CENTRAL 38,750

CITY OF THIBODAUX

310 WEST 2ND STREET PO BOX 5418
THIBODAUX,LA70302 		NONE PC MENARD PED BIKE TRAIL 25,000

CLOVER FOUNDATION FORMERLY KINGSLEY HOUSE INC

1600 CONSTANCE STREET
NEW ORLEANS,LA70130 		NONE PC KINGSLEY HOUSE'S HEALTHCARE WORKFORCE DEVELOPMENT 100,000

COMMON GROUND COMMUNITY INC

4830 LINE AVENUE 117
SHREVEPORT,LA71106 		NONE PC 2023 AA HONOREE-LISA CRONIN 25,000

DONALDSONVILLE AREA FOUNDATION

17048 SAVANNAH DR
PRAIRIEVILLE,LA70769 		NONE PC 2023 BLUE ANGEL AWARD HONOREE-TAMIKO GARRISON 10,000

FAMILY JUSTICE CENTER OF CENTRAL LOUISIANA

220 HOSPITAL BOULEVARD
PINEVILLE,LA71360 		NONE PC FAMILY JUSTICE CENTER OF CENTRAL LOUISIANA SURVIVOR SERVICES PROJECT. THE FAMILY JUSTICE CENTER OF CENTRAL LOUISIANA IS AN INNOVATIVE ORGANIZATION WORKING TOGETHER TO PROVIDE SERVICES TO SURVIVORS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT ALL UNDER ONE ROOF. OUR GOAL IN DEVELOPING THIS PROGRAM IS TO PROVIDE THE MOST EFFECTIVE SERVICES POSSIBLE TO BATTERED WOMEN AND THEIR CHILDREN BY RESHAPING THEIR ENVIRONMENTS TO IMPROVE THE WELLBEING FOR ALL. THE FAMILY JUSTICE CENTER OF CENTRAL LOUISIANA IS SEEKING CONSIDERATION FOR THE BCBS LOUISIANA FOUNDATION COLLECTIVE IMPACT GRANT AWARD PROGRAM IN THE AMOUNT OF $750,000 OVER THREE YEARS. 100,000

FLETCHER TECHNICAL COMMUNITY COLLEGE FOUNDATION INC

1407 HWY 311
SCHRIEVER,LA70395 		NONE PC THE BAYOU REGION NURSING FACULTY PROJECT 80,000

FOOD BANK OF CENTRAL LOUISIANA

3223 BALDWIN AVENUE
ALEXANDRIA,LA713013506 		NONE PC MEALS FOR KIDS 67,500

FRANCISCAN MISSIONARIES OF OUR LADY UNIVERSITY

5414 BRITTANY DRIVE
BATON ROUGE,LA70808 		NONE PC PLANNING GRANT TO DEVELOP AN INTEGRATIVE HEALTHCARE CAREER DEVELOPMENT PROGRAM AT FRANU 50,000

FRIENDS OF THE RAPIDES LIBRARY INC

411 WASHINGTON ST
ALEXANDRIA,LA713018338 		NONE PC TELEHEALTH LIBRARY CONNECTION (TLC) RAPIDES 25,000

GARDERE INITIATIVE INC

8435 NED AVENUE
BATON ROUGE,LA708208115 		NONE PC 2023 ANGEL AWARD HONORARIUM-MURELLE HARRISON 25,000

GIRLS ON THE RUN BAYOU REGION

418 CORPORATE DRIVE
HOUMA,LA703602461 		NONE PC 2023 AA HONORARIUM-ELLEN DOSKEY 25,000

GREATER BATON ROUGE FOOD BANK

10600 S CHOCTAW DR
BATON ROUGE,LA708151826 		NONE PC AA MEMORIAL HONORARIUM-FRANCES BENNETT 5,000

HENRY NUSS

1917 DELACHAISE STREET
NEW ORLEANS,LA701155327 		NONE PC EE-AHEC OF A SMILE 10,101

HENRY NUSS

1917 DELACHAISE STREET
NEW ORLEANS,LA701155327 		NONE PC EE-AHEC OF A SMILE 10,101

HERITAGE RANCH

20090 TUCKER ROAD
ZACHARY,LA707917537 		NONE PC LAUNCHING COMMUNITY BASED CRISIS PREVENTION SERVICES FOR FAMILIES 40,000

JEFFERSON COMMUNITY FOUNDATION

3908 VETERANS BLVD SUITE A
METAIRIE,LA70002 		NONE PC ADDRESSING DISPARITIES IN ACCESS TO ECE FOR BLACK AND BROWN CHILDREN 100,000

LAUNCH

1310 S RANGE AVE
DENHAM SPRINGS,LA707264819 		NONE PC 2023 AA HONOREE-CHANTELLE VARNADO 25,000

LOUISIANA CASA ASSOCIATION

2051 SILVERSIDE DRIVE SUITE 240
BATON ROUGE,LA708089005 		NONE PC LOUISIANA CASA DATA AND CONTINUOUS QUALITY IMPROVEMENT INITIATIVE 30,350

LOUISIANA DEPT OF CULTURE RECREATION AND TOURISM - OFFICE OF STATE LIBRARY

701 N 4TH STREET
BATON ROUGE,LA70802 		NONE PC LOUISIANA LIBRARIES AND TELEHEALTH 50,000

LOUISIANA PUBLIC HEALTH INSTITUTE

400 POYDRAS STREET SUITE 1250
NEW ORLEANS,LA70130 		NONE PC EXTERNAL EVALUATOR-MS KICK 22,500

LOUISIANA STATE UNIVERSITY AND AGRICULTURAL & MECHANICAL COLLEGE

202 HIMES HALL
BATON ROUGE,LA708030001 		NONE PC DOING LIFE TOGETHER: LEARNING INDEPENDENCE FROM EXPERIENCE 175,000

LOUISIANA-MISSISSIPPI HOSPICE AND PALLIATIVE CARE ORGANIZATION INC

717 KERLEREC ST
NEW ORLEANS,LA701162005 		NONE PC A NOVEL PALLIATIVE CARE ASSESSMENT, EDUCATION AND REFERRAL PROGRAM IN THE EMERGENCY DEPARTMENT 22,000

LOYOLA UNIVERSITY NEW ORLEANS

6363 ST CHARLES AVENUE CAMPUS BOX
909
NEW ORLEANS,LA701186143 		NONE PC INCREASING PRECEPTOR CAPACITY IN LOUISIANA 11,213

LSU AGCENTER

103 EFFERSON HALL CORNER OF
HIGHLAND AND PARKER
BATON ROUGE,LA70803 		NONE PC HEALTHY COMMUNITIES PLAYGROUND EQUIPMENT 22,500

LSU EUNICE FOUNDATION

PO BOX 1551
EUNICE,LA705351551 		NONE PC ASSOCIATE OF NURSING RN WEEKEND AND EVENING COHORT 93,750

LSUA

8100 HWY 71 SOUTH
ALEXANDRIA,LA71302 		NONE PC 2023 ANGEL AWARD HONOREE-PENNY SMITH AND MELVA VILLARD 25,000

LSUA

8100 HWY 71 SOUTH
ALEXANDRIA,LA71302 		NONE PC SPECIAL PROGRAM FOR YOUNG PEOPLE WITH DEVELOPMENTAL DISABILITIES 21,000

LSUA

8100 HWY 71 SOUTH
ALEXANDRIA,LA71302 		NONE PC BUILDING A PIPELINE TO INCREASE NURSING WORKFORCE IN CENTRAL LOUISIANA (CENLA) 145,000

MARY BIRD PERKINS CANCER CENTER

4950 ESSEN LANE
BATON ROUGE,LA70809 		NONE PC LOUISIANA DELTA CANCER SCREENING (THE DELTA PROJECT) 10,115

MARYS HANDS NETWORK

2947 MYRTLE AVENUE
BATON ROUGE,LA70806 		NONE PC LOUISIANA BIRTH EQUITY SUPPORT AND TRAINING - VOLUNTEER DOULA TRAINING PROGRAM 23,750

MCNEESE STATE UNIVERSITY FOUNDATION

BOX 91989
LAKE CHARLES,LA706090001 		NONE PC SOUTHWEST LOUISIANA BEHAVIORAL HEALTH PIPELINE (BHP) 78,750

MED-CAMPS OF LOUISIANA INC

102 THOMAS ROAD SUITE 615
WEST MONROE,LA712915550 		NONE PC MEDCAMPS ON THE MOVE! 5,000

NEW ORLEANS CAREER CENTER

1020 N PRIEUR ST
NEW ORLEANS,LA70116 		NONE PC LICENSED PRACTICAL NURSE (LPN) APPRENTICESHIP PROGRAM 60,250

NORTHWESTERN STATE UNIVERSITY

BUSINESS AFFAIRS
NATCHITOCHES,LA71497 		NONE PC EXPANDING HYBRID EDUCATION MODELS FOR NON-TRADITIONAL NURSING STUDENTS TO IMPACT LOUISIANA WORKFORCE 360,000

PEER INITIATIVE - LEADERS OF TOMORROW

4017 LONGPINE LANE
LAKE CHARLES,LA706113215 		NONE PC LET'S SAVE LOUISIANA TEENS FROM SUICIDE 75,000

SAVETHEYOUTH

2612 OREGON DR
MARRERO,LA70072 		NONE PC SUSTAINING READING SUPPORT (PROFESSIONAL DEVELOPMENT) 25,000

SON OF A SAINT

2803 ST PHILIP STREET
NEW ORLEANS,LA70119 		NONE PC EXPANDING AND IMPROVING EFFECTIVE MENTORSHIP FOR NEW ORLEANS' YOUNG MEN 75,000

SOUTHERN UNIVERSITY AT SHREVEPORT COMMUNITY DEVELOPMENT CORPORATION

4646 HILRY HUCKABY AVE
SHREVEPORT,LA71107 		NONE PC MILAM STREET KITCHEN INCUBATOR AND COMMUNITY KITCHEN (MS KICK) 25,000

SOUTHERN UNIVERSITY SYSTEM FOUNDATION

598 HARDING BLVD
BATON ROUGE,LA70807 		NONE PC SOUTHERN UNIVERSITY AT NEW ORLEANS-BACHELOR OF SCIENCE IN NURSING PROGRAM 86,400

STOP THE VIOLENCE ALEXANDRIA LOUISIANA CHAPTER

2586 LOBLOLLY LN
ALEXANDRIA,LA71303 		NONE PC 2023 AA HONOREE-FREDERICK BURGESS 25,000

SULPHUR CHRISTIAN COMMUNITY COALITION

501 E BURTON
SULPHUR,LA706636357 		NONE PC RISE UP AND SHINE NEIGHBORHOOD FAMILY LEARNING CENTER 25,000

THE CHILDREN'S BUREAU OF NEW ORLEANS

935 CALHOUN STREET STE 101
NEW ORLEANS,LA70118 		NONE PC CENTER FOR TRAUMA HEALING IN SCHOOLS 100,000

THE GREATER NEW ORLEANS FOUNDATION

919 ST CHARLES AVENUE
NEW ORLEANS,LA70130 		NONE PC BABY'S FIRST YEARS 90,000

THE LIFE OF A SINGLE MOM MINISTRIES

12015 JUSTICE AVENUE
BATON ROUGE,LA708165327 		NONE PC TLSM LEADERSHIP & CAPACITY BUILDING PROJECT 25,000

THREE O'CLOCK PROJECT

804 MAIN STREET SUITE C-322
BATON ROUGE,LA708025528 		NONE PC PROGRAM PILOT: EAST BATON ROUGE PARISH PUBLIC SCHOOLS PARTNERSHIP 100,000

UNITED WAY OF ACADIANA INC

215 E PINHOOK RD
LAFAYETTE,LA705012033 		NONE PC UNITED WAY OF ACADIANA LAFAYETTE FRESH FOOD CAPITAL INVESTMENT PLAN 200,000

UNIVERSITY OF LOUISIANA AT LAFAYETTE

PO BOX 43551
LAFAYETTE,LA70504 		NONE PC EE FOR NELA NURSES CIG GRANT 11,303

UNIVERSITY OF LOUISIANA MONROE FOUNDATION

700 UNIVERSITY AVENUE
MONROE,LA712034352 		NONE PC SCREENING FOR LIFE 32,226

UNIVERSITY OF NEW ORLEANS

2000 LAKESHORE DR ADMIN BLD ROOM
1005
NEW ORLEANS,LA70148 		NONE PC EXTERNAL EVALUATOR FOR CITY OF RUSTON 17,196

UNIVERSITY OF NEW ORLEANS FOUNDATION

2021 LAKESHORE DRIVE SUITE 420
NEW ORLEANS,LA70122 		NONE PC FIRST-GENERATION PATHWAYS TO HEALTHCARE PROGRAM 60,000
Total .................................right arrow 3a 3,471,421
bApproved for future payment

CLOVER FORMERLY KINGSLEY HOUSE INC
1600 CONSTANCE STREET
NEW ORLEANS,LA70130 		NONE PC KINGSLEY HOUSE'S HEALTHCARE WORKFORCE DEVELOPMENT 300,000

HEALTHY NETWORKS DESIGN AND RESEARCH
19 HACKBERRY CIRCLE
SHEPHERDSTOWN,WV25443 		NONE PC EE-COORDINATED CARE FOR THE WHOLE CHILD-BUILDING A SUSTAINABLE BUSINESS MODEL 48,200
Total ................................. right arrow 3b 348,200
Form 990-PF (2023)
Form 990-PF (2023)
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 9,121  
4 Dividends and interest from securities ....     14 793,368  
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 ............ 		    18 551,153  
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 1,353,642 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
1,353,642
(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 (2023)
Form 990-PF (2023)
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
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
2023
Name of the organization
BLUE CROSS & BLUE SHIELD OF
LOUISIANA FOUNDATION
Employer identification number

72-1232379
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) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
BLUE CROSS & BLUE SHIELD OF
LOUISIANA FOUNDATION 		Employer identification number
72-1232379
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
LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY DBA BCBS OF
 
5525 REITZ AVENUE
 
BATON ROUGE, LA70809

$ 202,556


(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) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
BLUE CROSS & BLUE SHIELD OF
LOUISIANA FOUNDATION 		Employer identification number

72-1232379
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
 IN-KIND CONTRIBUTIONS OF SERVICE $ 202,556  
(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) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
BLUE CROSS & BLUE SHIELD OF
LOUISIANA FOUNDATION 		Employer identification number

72-1232379
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) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
AUDITING SERVICES 28,900 5,780 0 23,120
CONSULTING SERVICES 63,059 12,612 0 50,447

TY 2023 GeneralExplanationAttachment
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Identifier Return Reference Explanation
SEE STATEMENT 7 FORM 990-PF, PART VIII, LINE 1 THE AMOUNT ABOVE PAID IN 2023 BY THE FOUNDATION TO LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY, DBA BLUE CROSS BLUE SHIELD OF LOUISIANA (BCBS), IS IN ACCORDANCE WITH THE MANAGEMENT CONTRACT THE FOUNDATION HAS WITH BCBS FOR SERVICES BCBS EMPLOYEES PROVIDE TO THE FOUNDATION. ALL PAYMENTS ARE PROPORTIONATE TO THE DIRECT COMPENSATION OF BCBS EMPLOYEES 53.4941(D)-3; NO AMOUNTS ARE CHARGED TO THE FOUNDATION TO REIMBURSE BCBS FOR BCBS'S OVERHEAD. THE AMOUNT REPORTED IS FOR SERVICES PERFORMED DURING 2023.
INFORMATION REGARDING CONTRIBUTION, GRANT, GIFT, LOAN, SCHOLARSHIP, ETC., FORM 990-PF, PART XV, LINE 2B-2D THE MISSION OF THE BLUE CROSS AND BLUE SHIELD OF LOUISIANA FOUNDATION IS TO PROMOTE THE WELLNESS AND WELL-BEING OF LOUISIANANS BY SUPPORTING PROJECTS AND PROGRAMS FOR HEALTH, EDUCATION OR COMMUNITY WELL-BEING RELATED CAUSES. POTENTIAL AREAS OF INTEREST FOR THE FOUNDATION'S GRANT MAKING PROGRAMS ARE LISTED BELOW.HEALTHY EATING -PROGRAMS THAT INCREASE ACCESS TO, KNOWLEDGE ABOUT AND USE OF HEALTHY FOOD AND HEALTHY EATINGPHYSICAL ACTIVITY -PROGRAMS THAT INCREASE ACCESS TO, KNOWLEDGE ABOUT AND ENGAGEMENT WITH DAILY NATURAL PHYSICAL ACTIVITY-INCENTIVE AND REWARD-BASED PROGRAMS (VIRTUOUS CYCLES)COMMUNITY HEALTH -COMMUNITY LEVEL COMMITMENTS TO TACKLING HEALTH AND QUALITY OF LIFE ISSUESEARLY CHILDHOOD INTERVENTION -EARLY CHILDHOOD INTERVENTIONS THAT HELP SET CHILDREN, PARTICULARLY LOW-INCOME AND HIGH-NEEDS CHILDREN, ON A GOOD PATH EDUCATIONALLY, SOCIALLY-EMOTIONALLY, HEALTH-WISE ETC.SCHOOL-BASED HEALTH -HAVING SCHOOLS OR EDUCATIONAL INSTITUTIONS MAKE IMPROVING HEALTH OUTCOMES A TOP PRIORITYFAMILY STABILITY -PROGRAMS THAT SUPPORT STRONGER FAMILIES AND FAMILY UNITS, PROVIDING PARTICULARLY FOR LOW-INCOME KIDS STABILITY AND SUPPORTTHE FOUNDATION CURRENTLY FUNDS PROGRAMS THROUGH THE FOLLOWING GRANT PROGRAMS:NEW HORIZONS GRANT PROGRAM:PURPOSE - GRANTS HELP PILOT INNOVATIVE, PROOF OF CONCEPT PROJECTS AIMED AT IMPROVING THE HEALTH AND WELLBEING OF LOUISIANANS AMOUNT - GENERALLY GRANTS UP TO $25,000 ARE MADE IN SUPPORT OF PROJECTS THAT TAKE LESS THAN ONE YEAR TO COMPLETEELIGIBILITY - ONLY LOUISIANA-BASED 501( C)(3) NONPROFIT ORGANIZATIONS MAY APPLYAPPLYING - LETTERS OF INTENT MUST BE SUBMITTED ONLINE AT BCBSLAFOUNDATION.ORG ON OR BEFORE THE BELOW DEADLINESLETTER ON INTENT DEADLINES - MARCH 1, JUNE 1, SEPTEMBER 1, DECEMBER 1SPECIAL PROJECTS GRANT PROGRAM:PURPOSE - GRANTS ARE INTENDED TO HELP EXPAND OR COMPLETE PROJECTS PREVIOUSLY FUNDED BY THE FOUNDATION AND/OR SCALE UP SUCCESSFUL PROJECTS AND INITIATIVES- FURTHER IMPROVING THE HEALTH AND WELLBEING OF LOUISIANIANSAMOUNT - GENERALLY GRANTS UP TO $100,000 ARE MADE IN SUPPORT OF PROJECTS THAT TAKE LESS THAN ONE YEAR TO COMPLETEELIGIBILITY - GRANTS ARE ONLY MADE TO LOUISIANA-BASED, 501( C)(3) NONPROFIT ORGANIZATIONS WITH WHOM THE FOUNDATION HAS A PAST GRANTING HISTORYAPPLYING - LETTERS OF INTENT MUST BE SUBMITTED ONLINE AT BCBSLAFOUNDATION.ORG ON OR BEFORE THE BELOW DEADLINESLETTER ON INTENT DEADLINES - MARCH 1, JUNE 1, SEPTEMBER 1, DECEMBER 1COLLECTIVE IMPACT GRANT PROGRAM:PURPOSE - COLLECTIVE IMPACT GRANTS ARE MADE TO COMMUNITY COALITIONS WORKING TOGETHER TO ADDRESS MAJOR PUBLIC HEALTH CONCERNSAMOUNT - GENERALLY GRANTS UP TO $250,000 TO $1 MILLION OVER AN AVERAGE OF THREE YEARSMATCHING -COLLECTIVE IMPACT GRANTS REQUIRE A MINIMUM ONE-TO-ONE MATCH (MAY COME FROM MULTIPLE SOURCES; UP TO ONE-HALF MAY BE IN-KIND)ELIGIBILITY -ONLY LOUISIANA-BASED, 501( C)(3) NONPROFIT ORGANIZATIONS MAY APPLYAPPLYING - LETTERS OF INTENT MUST BE SUBMITTED ONLINE AT BCBSLAFOUNDATION.ORG ON OR BEFORE THE BELOW DEADLINESLETTER ON INTENT DEADLINES - MARCH 1, JUNE 1, SEPTEMBER 1, DECEMBER 1DISASTER RELIEF GRANT PROGRAM:PURPOSE - INVESTMENTS TO MEET THE IMMEDIATE TO LONG-TERM NEEDS OF LOUISIANA COMMUNITIES IMPACTED BY NATURAL DISASTERS - SPECIFICALLY COVID-19, HURRICANE LAURA AND HURRICANE IDA PLUS OTHER NATURAL DISASTERS.AMOUNT - GRANTS OF UP TO $50,000 FOR THOSE DOING COVID RELIEF OR DISASTER RELIEF THROUGHOUT THE STATE; GRANTS UP TO $250,000 FOR THOSE DOING DISASTER RELIEF IN FEDERALLY DECLARED DISASTER AREAS.MATCHING -NO MATCH REQUIREDELIGIBILITY -ONLY LOUISIANA-BASED, 501( C)(3) NONPROFIT ORGANIZATIONS MAY APPLYAPPLYING - APPLICATION SUBMITTED ONLINE AT BCBSLAFOUNDATION.ORGDEADLINES - ROLLING & REVIEWED AS SUBMITTEDANGELS OF CHANGE GRANTS:PURPOSE - ANGELS OF CHANGE GRANTS ARE MADE TO COALITIONS OF PREVIOUS ANGEL HONOREES AND THEIR PARTNERS WORKING TOGETHER TO ADDRESS THE SYSTEMIC HEALTH & QUALITY OF LIFE ISSUES IMPACTING LOUISIANA'S CHILDREN.AMOUNT - TEN (10) GRANTS OF UP TO $250,000 EACH TO BE IMPLEMENTED OVER ONE TO THREE YEARS. MULTI-YEAR AWARDS WILL BE MADE IN YEARLY INCREMENTS WITH EACH YEAR INCREMENT CONTINGENT UPON SUCCESSFUL PERFORMANCE OF PREVIOUS BENCHMARKS OR GRANT COMPLETION.MATCHING - ANGELS OF CHANGE GRANTS DO-NOT REQUIRE A MATCH ALTHOUGH MATCHING COMMITMENTS WILL FACTOR FAVORABLY INTO CALCULATIONS OF PROJECT SUSTAINABILITYELIGIBILITY -LOUISIANA INDIVIDUALS WHO ARE DOING WORK THAT GOES ABOVE AND BEYOND IN SUPPORT OF LOUISIANA'S CHILDREN; GRANT DESIGNATIONS ARE MADE BY EACH OF THE SELECTED ANGELS - THE ORGANIZATIONS MUST BE LOUISIANA-BASED 501( C)(3) NONPROFIT ORGANIZATIONS.APPLYING - REQUESTS ARE MADE THROUGH A LETTER OF INTENT, SUBMITTED ONLINE AT BCBSLAFOUNDATION.ORG.LETTER ON INTENT DEADLINES - DECEMBER 1, MARCH 1, JUNE 1 AND SEPTEMBER 1 UNTIL FUNDS ARE EXHAUSTED; IF THE 1ST FALLS ON A WEEKEND OR HOLIDAY WE WILL ACCEPT LETTERS OF INTENT THROUGH THE DEADLINE, BUT WE WILL NOT BE IN THE OFFICE TO ANSWER QUESTIONS. IN THIS CASE, WE RECOMMEND SUBMITTING YOUR LETTER OF INTENT NO LATER THAN 4:00PM CST ON THE LAST WORK DAY PRECEDING THE DEADLINEADDITIONALLY, THE FOUNDATION CURRENTLY OPERATES ONE SIGNATURE PROGRAM, THE ANGEL AWARDS, WHICH HIGHLIGHTS AND SUPPORTS LOUISIANA LEADERS WHOSE WORK GOES ABOVE AND BEYOND TO MEET THE NEEDS OF LOUISIANA CHILDREN. THE FOUNDATION ANNUALLY HIGHLIGHTS THESE INDIVIDUALS AND MAKES GRANTS IN SUPPORT OF THEIR EFFORTS.

TY 2023 InvestmentsCorpStockSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Name of Stock End of Year Book Value End of Year Fair Market Value
ACCENTURE PLC CL A COM 100,009 100,009
ADYEN UNSPON 50 ADR REP 1 ORD 116,731 116,731
AON CL A ORD 93,708 93,708
ASML HLDG NV NY REGISTRY NEW 2012 123,378 123,378
ATLAS COPCO AB SPON ADR NEW R 66,224 66,224
DODGE & COX GLOBAL BOND 1,252,195 1,252,195
EPAM SYSTEMS ORD 47,574 47,574
EVOLUTION ADR 88,960 88,960
EXPERIAN PLC SPON ADR 86,532 86,532
FERRARI ORD 142,817 142,817
FIDELITY 500 INDEX FUND 6,928,973 6,928,973
FIDELITY EXTENDED MKT IX 2,753,778 2,753,778
GUGGENHEIM TOTAL RETURN BOND ETF 1,899,356 1,899,356
ICON PLC LTD SHS 142,101 142,101
J HANCOCK DS VAL ITL R6 2,806,913 2,806,913
LVMH MOET HENNESSY LOUIS VUITTON 82,362 82,362
METROPOLITAN WEST TOTAL RET ETF 1,828,958 1,828,958
NESTLE S A SPONSORED ADR REPSTG 80,132 80,132
NOVO NORDISK ADR REPSG 1 ORD 171,520 171,520
PIMCO: INCOME INST 2,430,096 2,430,096
PRINCIPAL: DVS RL AS INST 1,194,273 1,194,273
RBC EM MKTS EQ R6 1,802,986 1,802,986
STERIS ORD 81,784 81,784
FERGUSON ORD 99,431 99,431
SCHNEIDER ELECTRIC SE UNSPONSORE 66,500 66,500
ASM INTERNATIONAL ADR 95,014 95,014
ASTRAZENECA ADR REP O.5 ORD 83,649 83,649
WASTE CONNECTIONS ORD 68,366 68,366
ICICI BANK ADR REP 2 ORD 77,194 77,194
ATLASSIAN CL A ORD 135,818 135,818
ARCH CAPITAL GROUP ORD 77,612 77,612
LINDE ORD 80,499 80,499
BAE SYSTEMS ADR 99,158 99,158
CANADIAN PACIFIC KANSAS CITY ORD 159,938 159,938
COMPASS GROUP ADR 62,294 62,294
THOMSON REUTERS ORD 67,261 67,261
ADVANTEST SPON ADR 65,205 65,205
MERCADOLIBRE ORD 130,438 130,438
L OREAL ADR 82,809 82,809
SAFRAN ADR 91,746 91,746
UBS GROUP N ORD 70,885 70,885
CDN NATURAL RESOURCE ORD 61,196 61,196

TY 2023 OtherAssetsSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
DIVIDENDS RECEIVABLE 387 407 407
INVESTMENT INCOME REC - S-T -1 -2 -2
1 0 17,000 17,000


TY 2023 OtherExpensesSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ADVERTISING & PROMOTIONAL 140,154 0 0 140,154
BOARD MEETING MEALS 698 0 0 698
BUSINESS ENTERTAINMENT 431 0 0 431
BUSINESS MEALS 2,615 0 0 2,615
DUES - CIVIC AND PROMOTIONAL 7,049 0 0 7,049
DUES - CORPORATE 18,582 0 0 18,582
EMPLOYER TRAIN AND EDUCATION 7,578 0 0 7,578
FEDERAL EXCISE TAX 56,057 0 0 0
PRINTING & OFFICE EXPENSES 2,776 0 0 2,776
TELEPHONE - OTHER 775 0 0 775
TRAVEL MEALS 1,248 0 0 1,248


TY 2023 OtherIncreasesSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Description Amount
UNREALIZED GAIN/LOSS ON INVESTMENTS 2,790,579


TY 2023 OtherLiabilitiesSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Description Beginning of Year - Book Value End of Year - Book Value
REIMBURSEMENT UNDER MGMT AGREEMENT 26,023 29,592


TY 2023 OtherProfessionalFeesSchedule
Name:
BLUE CROSS & BLUE SHIELD OF
 
LOUISIANA FOUNDATION
EIN:
72-1232379
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
OUTSOURCING AND TEMP SERVICES 111,211 0 0 111,211
INVESTMENT EXPENSE - NON-CW 52,865 52,865 0 0
INVESTMENT EXPENSE - EXTERNAL 87,136 87,136 0 0