Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
HEALTHCARE INITIATIVES INC
 
Number and street (or P.O. box number if mail is not delivered to street address)9465 COUNSELORS ROW SUITE 200
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
INDIANAPOLIS, IN46240
A Employer identification number

35-1392974
B Telephone number (see instructions)

(317) 805-4869
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$23,211,482J 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 61 61 61
4 Dividends and interest from securities... 206,712 206,712 206,712
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 163,248
b Gross sales price for all assets on line 6a 2,941,113
7 Capital gain net income (from Part IV, line 2)... 163,248
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........ 370,021 370,021 206,773
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 187,500 33,600 0 153,900
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 2,483 621 0 1,862
b Accounting fees (attach schedule)....... Click to see attachment 12,334 4,534 0 7,800
c Other professional fees (attach schedule).... Click to see attachment 11,000 1,200 0 9,800
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 49,052 42,326 0 6,726
19 Depreciation (attach schedule) and depletion...      
20 Occupancy.............. 18,474 1,847 0 16,627
21 Travel, conferences, and meetings....... 3,066 306 0 2,760
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 160,795 139,804 0 20,991
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 444,704 224,238 0 220,466
25 Contributions, gifts, grants paid....... 817,500 817,500
26 Total expenses and disbursements. Add lines 24 and 25 1,262,204 224,238 0 1,037,966
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -892,183
b Net investment income (if negative, enter -0-) 145,783
c Adjusted net income (if negative, enter -0-)... 206,773
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 28,373 23,207 23,207
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) bullet348,000
Less: allowance for doubtful accounts bullet150,000 198,000 Click to see attachment198,000 198,000
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 2,516 14,799  
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 20,746,202 Click to see attachment22,990,275 22,990,275
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,052 Click to see attachment28,026 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 20,977,143 23,254,307 23,211,482
Liabilities 17 Accounts payable and accrued expenses.......... 13,883 12,842
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 attachment1,999,000 Click to see attachment1,999,000
23 Total liabilities (add lines 17 through 22)......... 2,012,883 2,011,842
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........... 18,964,260 21,242,465
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)..... 18,964,260 21,242,465
30 Total liabilities and net assets/fund balances (see instructions). 20,977,143 23,254,307
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
18,964,260
2
Enter amount from Part I, line 27a .....................
2
-892,183
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
3,170,388
4
Add lines 1, 2, and 3 ..........................
4
21,242,465
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
21,242,465
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a BEL AIR - 4002   2019-01-16 2020-12-31
b DIAMOND CAPITAL - LT COVERED   2020-01-01 2020-12-31
c DIAMOND CAPITAL - LT NONCOVERED   2020-01-01 2020-12-31
d FIDELITY/EVOKE - 5852 ST COVERED   2020-01-01 2020-12-31
e FIDELITY/EVOKE - 5852 LT COVERED   2020-01-01 2020-12-31
FIDELITY/EVOKE - 5853 ST COVERED   2020-01-01 2020-12-31
FIDELITY/EVOKE - 5853 LT COVERED      
CAPITAL GAINS DIVIDENDS 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 152,917   122,008 30,909
b 547,828   556,616 -8,788
c 206,780   228,564 -21,784
d 67,306   65,482 1,824
e 191,081   138,251 52,830
81,095   82,566 -1,471
1,562,623   1,584,378 -21,755
131,483     131,483
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       30,909
b       -8,788
c       -21,784
d       1,824
e       52,830
      -1,471
      -21,755
      131,483
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 2 163,248
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 3 353
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 2,026
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 2,026
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 2,026
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 28,000
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 28,000
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 25,974
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet8,000 RefundedBullet 11 17,974
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.HEALTHCAREINITIATIVESINC.ORG
    14
    The books are in care ofbulletHALEY GILROY Telephone no.bullet (317) 805-4869

    Located atbullet9465 COUNSELORS ROW SUITE 200INDIANAPOLISIN ZIP+4bullet46240
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    KENNETH L SONNER VICE CHAIRMAN/TREASURER
    3.00     		21,000 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    TIMOTHY HARDEN SECRETARY
    1.00     		18,000 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    EDWARD R SCHMIDT CHAIRMAN
    3.00     		24,000 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    ROBERT FISHER DIRECTOR
    1.00     		18,000 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    PATRICIA ROE DIRECTOR
    1.00     		18,000 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    HALEY GILROY PRESIDENT/EXECUTIVE DIRECTOR
    30.00     		88,500 0 0
    9465 COUNSELORS ROW SUITE 200
    INDIANAPOLIS,IN46240
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 CHARITABLE GRANTS AND CONTRIBUTIONS 817,500
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    20,590,340
    b
    Average of monthly cash balances.......................
    1b
    88,855
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    20,679,195
    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
    20,679,195
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    310,188
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    20,369,007
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,018,450
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,018,450
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    2,026
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,026
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,016,424
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,016,424
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    1,016,424
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    1,037,966
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,037,966
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,037,966
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 1,016,424
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 32,460
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016......  
    c From 2017......  
    d From 2018......  
    e From 2019......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 1,037,966
    a Applied to 2019, but not more than line 2a 32,460
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 1,005,506
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 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 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		10,918
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2016....  
    b Excess from 2017....  
    c Excess from 2018....  
    d Excess from 2019....  
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    A KID AGAIN - INDIANA
    8275 ALLISON POINTE TRAIL SUITE 220
    INDIANAPOLIS,IN46250     		N/A PC GENERAL SUPPORT - INDIANA CHAPTER 2,500
    AMERICAN ACADEMY OF PEDIATRICS - IN CHAPTER
    350 MASSACHUSETTS AVE SUITE 300
    INDIANAPOLIS,IN46204     		N/A PC REACH OUT AND READ PROGRAM 5,000
    ASCENT 121
    PO BOX 1143
    CARMEL,IN46082     		N/A PC ASCENT 121 DONATION 5,000
    ASSISTANCE LEAGUE OF INDIANA
    1475 W 86TH STREET SUITE E
    INDIANAPOLIS,IN46260     		N/A PC GENERAL SUPPORT 2,500
    CANCER SUPPORT COMMUNITY - CENTRAL INDIANA
    5150 W 71ST ST
    INDIANAPOLIS,IN46268     		N/A PC PSYCHOSOCIAL SUPPORT SERVICES/PATIENT ASSISTANCE FUND 32,500
    CHILD ADVOCATES
    8200 HAVERSTICK RD 240
    INDIANAPOLIS,IN46240     		N/A PC WISHING WELL FUND/INTERRUPTING RACISM PROGRAM 35,000
    CHILDREN'S ORGAN TRANSPLANT ASSOCIATION
    2501 W COTA DR
    BLOOMINGTON,IN47403     		N/A PC GENERAL SUPPORT 2,500
    COBURN PLACE SAFEHAVEN II INC
    604 E 38TH STREET
    INDIANAPOLIS,IN46205     		N/A PC GENERAL SUPPORT 10,000
    COMMUNITY HEALTH NETWORK FOUNDATION
    7330 SHADELAND STATION SUITE 150
    INDIANAPOLIS,IN46256     		N/A PC GENERAL SUPPORT 5,000
    DANA FARBER CANCER INSTITUTE
    10 BROOKLINE PLACE WEST 6TH FLOOR
    BROOKLINE,MA02445     		N/A PC DANA FARBER CANCER INSTITUTE/ THE JIMMY FUND DONATION 2,500
    DIABETES YOUTH FOUNDATION
    5050 E 211TH STREET
    NOBLESVILLE,IN46062     		N/A PC GENERAL SUPPORT 5,000
    DOUBLE H RANCH
    97 HIDDEN VALLEY ROAD
    LAKE LUZERNE,NY12846     		N/A PC GENERAL SUPPORT 2,500
    DOVE RECOVERY HOUSE FOR WOMEN
    3351 N MERIDIAN ST SUITE 110
    INDIANAPOLIS,IN46208     		N/A PC STEPS TO SUCCESS PROGRAM 40,000
    ESKENAZI HEALTH FOUNDATION
    720 ESKENAZI AVE FIFTH THIRD BANK
    BUILDING 5TH FLOOR
    INDIANAPOLIS,IN46202     		N/A PC GENERAL SUPPORT 5,000
    GLEANERS FOOD BANK OF INDIANA
    3737 WALDEMERE AVENUE
    INDIANAPOLIS,IN46241     		N/A PC GENERAL SUPPORT 10,000
    HOOSIER BURN CAMP
    PO BOX 233
    BATTLE GROUND,IN47920     		N/A PC PROGRAMMING AND OUTREACH/SOFTWARE SUPPORT 25,000
    INDIANAPOLIS PARKS FOUNDATION
    615 N ALABAMA STREET SUITE 119
    INDIANAPOLIS,IN46204     		N/A PC MEALS PROGRAMS 5,000
    INDIANAPOLIS PUBLIC SCHOOLS EDUCATION FOUNDATION
    120 E WALNUT STREET
    INDIANAPOLIS,IN46204     		N/A PC GENERAL SUPPORT 10,000
    IU FOUNDATION
    1110 W MICHIGAN ST LO 506
    INDIANAPOLIS,IN46202     		N/A PC CRANIOFACIAL FELLOWSHIP - $2,500COVID-19 RESEARCH - $5,000PANCREATIC CANCER EARLY DETECTION FUND - $2,500 10,000
    JDRF-INDIANA CHAPTER
    10401 N MERIDIAN ST SUITE 150
    INDIANAPOLIS,IN46290     		N/A PC GENERAL SUPPORT 5,000
    JOSEPH MALEY FOUNDATION
    PO BOX 681010
    INDIANAPOLIS,IN46268     		N/A PC GRANT & DONATION FOR GALA NO ONE FROM HCI ATTENDINGGRANT JOSEPH MALEY FOUNDATION 35,000
    JOY'S HOUSE
    2028 BROAD RIPPLE AVENUE
    INDIANAPOLIS,IN46220     		N/A PC GENERAL OPERATING SUPPORT 35,000
    KID'S VOICE OF INDIANA
    127 E MICHIGAN ST SUITE 500
    INDIANAPOLIS,IN46204     		N/A PC GENERAL SUPPORT 7,500
    LIONS CLUB OF INDIANAPOLIS
    101 E MONROE STREET
    FRANKLIN,IN46131     		N/A PC HEALTH/WELLNESS PROGRAM 2,500
    MARIAN UNIVERSITY
    3200 COLD SPRING ROAD
    INDIANAPOLIS,IN46222     		N/A PC RESIDENT PREP/BOOT CAMP 5,000
    REACH FOR YOUTH
    3505 N WASHINGTON BLVD
    INDIANAPOLIS,IN46205     		N/A PC REACH PROGRAM 25,000
    REHABILITATION HOSPITAL
    4141 SHORE DRIVE
    INDIANAPOLIS,IN46254     		N/A PC SPINAL CORD INJURY MODEL SYSTEM RESEARCH INITIATIVE 60,000
    RILEY CHILDREN'S FOUNDATION
    30 S MERIDIAN STREET SUITE 200
    INDIANAPOLIS,IN46204     		N/A PC COVID-19 RELIEF FUNDING 10,000
    SALVATION ARMY
    6060 CASTLEWAY WEST DRIVE
    INDIANAPOLIS,IN46250     		N/A PC DISASTER RELIEF 10,000
    ST VINCENT FOUNDATION
    8402 HARCOURT ROAD SUITE 210
    INDIANAPOLIS,IN46260     		N/A PC COVID-19 RELIEF, ONCOLOGY PROGRAM, AND PEYTON MANNING CHILDREN'S HOSPITAL SCHOOL PROGRAM 57,500
    THE ARC OF INDIANA FOUNDATION
    143 W MARKET ST SUITE 200
    INDIANAPOLIS,IN46204     		N/A PC ERSKINE GREEN TRAINING INSTITUTE 40,000
    VILLAGE OF MERICI
    5707 LAWTON LOOP E DR OFC 22
    INDIANAPOLIS,IN46216     		N/A PC COVID-19 RELIEF FUNDING, CAPITAL DEVELOPMENT & HEALTH MATTERS PROGRAM 90,000
    IVY TECH FOUNDATION
    50 W FALL CREEK PKWY NORTH DRIVE
    INDIANAPOLIS,IN46208     		N/A PC IVY TECH COMMUNITY COLLEGE FOUNDATION, CERTIFIED NURSING AIDE PROGRAM 30,000
    MARTIN UNIVERSITY
    2186 NORTH SHERMAN DRIVE
    INDIANAPOLIS,IN46218     		N/A PC HEALTH ASSURANCE INITIATIVE 32,500
    HOPE ACADEMY
    3919 MADISON AVE SUITE 100
    INDIANAPOLIS,IN46227     		N/A PC START UP/TRANSITIONAL COSTS OF MOVING LOCATIONS 50,000
    WHEELER MISSION
    205 E NEW YORK ST
    INDIANAPOLIS,IN46204     		N/A PC GENERAL SUPPORT 10,000
    UNITED WAY OF CENTRAL INDIANA INC
    2955 NORTH MERIDIAN STREET SUITE
    300
    INDIANAPOLIS,IN46208     		N/A PC COVID-19 RELIEF 5,000
    JAG NATIONAL
    1729 KING ST SUITE 100
    ALEXANDRIA,VA22314     		N/A PC GENERAL SUPPORT 7,500
    SECOND HELPINGS
    1121 SOUTHEASTERN AVE
    INDIANAPOLIS,IN46202     		N/A PC GENERAL SUPPORT 12,500
    CICOA AGING & IN HOME SOLUTIONS INC
    8440 WOODFIELD CROSSING BLVD STE
    175
    INDIANAPOLIS,IN46240     		N/A PC GENERAL SUPPORT 10,000
    PREVAIL INC
    1100 S 9TH STREET SUITE 100
    NOBLESVILLE,IN46060     		N/A PC GENERAL SUPPORT 10,000
    FAIRBANKS HOSPITAL INC
    8102 CLEARVISTA PKWY
    INDIANAPOLIS,IN46256     		N/A PC GENERAL SUPPORT 7,500
    WE BLOOM
    9933 W COUNTY ROAD 975 N
    MIDDLETOWN,IN47356     		N/A PC GENERAL SUPPORT 5,000
    HORIZON HOUSE INC
    1033 EAST WASHINGTON ST
    INDIANAPOLIS,IN46202     		N/A PC GENERAL SUPPORT 7,500
    STARFISH INITIATIVE
    2955 NORTH MERIDIAN STREET SUITE
    101
    INDIANAPOLIS,IN46208     		N/A PC GENERAL SUPPORT 7,500
    CENTER FOR LEADERSHIP DEVELOPMENT INC
    2425 DR MARTIN LUTHER KING JR ST
    INDIANAPOLIS,IN46208     		N/A PC GENERAL SUPPORT 7,500
    100 BLACK MEN OF INDIANPOLIS
    3901 N MERIDIAN ST STE 10
    INDIANAPOLIS,IN46208     		N/A PC GENERAL SUPPORT 7,500
    UNCF INDIANPOLIS
    3737 NORTH MERIDIAN ST SUITE 507
    INDIANAPOLIS,IN46208     		N/A PC GENERAL SUPPORT 5,000
    THE RIVIERA CLUB FOUNDATION
    5640 N ILLINOIS ST
    INDIANAPOLIS,IN46208     		N/A PC GENERAL SUPPORT 2,500
    RACHAEL'S FIRST WEEK
    PO BOX 556
    ZIONSVILLE,IN46077     		N/A PC GENERAL SUPPORT 2,500
    Total .................................bullet 3a 817,500
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 61  
    4 Dividends and interest from securities....     14 206,712  
    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 ............     		    14 163,248  
    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).. 0 370,021 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    370,021
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 12,334 4,534 0 7,800

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Name of Stock End of Year Book Value End of Year Fair Market Value
    DIAMOND CAPITAL 3,196,194 3,196,194
    EVOKE 19,794,081 19,794,081

    TY 2020 LegalFeesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 2,483 621 0 1,862


    TY 2020 OtherAssetsSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    OFFICE DEPOSIT 2,052 2,052  
    EXCISE TAX RECEIVABLE 0 25,974  


    TY 2020 OtherExpensesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 137,554 137,554 0 0
    COMPUTER AND SOFTWARE 2,496 250 0 2,246
    OFFICE SUPPLIES 1,654 166 0 1,488
    INSURANCE 13,412 1,341 0 12,071
    PROFESSIONAL DEVELOPMENT 765 0 0 765
    BANK CHARGES 492 49 0 443
    MISCELLANEOUS EXPENSES 3,083 310 0 2,773
    PAYROLL FEES 1,339 134 0 1,205


    TY 2020 OtherIncreasesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Description Amount
    GAIN ON COLLATERAL PLEDGE AGREEMENT 21,000
    UNREALIZED GAIN ON INVESTMENTS 3,149,388


    TY 2020 OtherLiabilitiesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Description Beginning of Year - Book Value End of Year - Book Value
    ASSET PLEDGED AS COLLATERAL 1,999,000 1,999,000


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

    TY 2020 OtherNotesLoansRcvblLongSch
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974

    Borrower's Name Relationship to Insider Original Amount of Loan Balance Due Date of Note Maturity Date Repayment Terms Interest Rate Security Provided by Borrower Purpose of Loan Description of Lender Consideration Consideration FMV
    VALIANT HEALTH INC ORGANIZATION'S ASSETS PLEDGED AS COLLATERAL 350,000 348,000 2016-06 2021-12 PAYMENT IN THE NEAR TERM 600.0000000000 % NONE OPERATIONAL SUPPORT N/A 348,000

    TY 2020 OtherProfessionalFeesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MEDICAL ADVISORY PANEL FEES 5,000 0 0 5,000
    CONSULTING 6,000 1,200 0 4,800


    TY 2020 TaxesSchedule
    Name:
    HEALTHCARE INITIATIVES INC
    EIN:
    35-1392974
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 40,362 40,362 0 0
    PAYROLL TAXES 7,473 747 0 6,726
    FOREIGN TAXES 1,217 1,217 0 0