Form990-PF
Click to see attachment
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Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 09-01-2021 , and ending 08-31-2022
Name of foundation
GENERATIONS HEALTH CARE INITIATIVES INC
 
Number and street (or P.O. box number if mail is not delivered to street address)130 W SUPERIOR STREET 700
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DULUTH, MN55802
A Employer identification number

41-2000473
B Telephone number (see instructions)

(218) 336-5700
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$11,123,965J 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) 244,393
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 229,067 229,067  
5a Gross rents............ 10,479    
b Net rental income or (loss) 10,479
6a Net gain or (loss) from sale of assets not on line 10 577,757
b Gross sales price for all assets on line 6a 2,382,006
7 Capital gain net income (from Part IV, line 2)... 577,757
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 4,167 0  
12 Total. Add lines 1 through 11........ 1,065,863 806,824  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 187,611 6,101   181,510
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 1,240 0   1,240
b Accounting fees (attach schedule)....... Click to see attachment 16,343 817   17,051
c Other professional fees (attach schedule).... Click to see attachment 46,724 46,724   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 10,964 163   0
19 Depreciation (attach schedule) and depletion... Click to see attachment 4,148 0  
20 Occupancy.............. 41,851 0   45,333
21 Travel, conferences, and meetings....... 615 0   913
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 349,597 1,111   355,973
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 659,093 54,916   602,020
25 Contributions, gifts, grants paid....... 234,038 243,590
26 Total expenses and disbursements. Add lines 24 and 25 893,131 54,916   845,610
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 172,732
b Net investment income (if negative, enter -0-) 751,908
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 56,219 62,832 62,832
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet28,179
Less: allowance for doubtful accounts bullet   37,324 28,179 28,179
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges.......... 17,713 13,936 13,936
10a Investments—U.S. and state government obligations (attach schedule) 973,663 Click to see attachment961,134 961,134
b Investments—corporate stock (attach schedule)....... 10,547,229 Click to see attachment7,704,343 7,704,343
c Investments—corporate bonds (attach schedule)....... 1,128,471 Click to see attachment1,905,144 1,905,144
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 696,414 Click to see attachment444,478 444,478
14 Land, buildings, and equipment: basis bullet101,348
Less: accumulated depreciation (attach schedule) bullet97,429 8,067 Click to see attachment3,919 3,919
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 13,465,100 11,123,965 11,123,965
Liabilities 17 Accounts payable and accrued expenses.......... 105,975 84,781
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 attachment32,650 Click to see attachment29,472
23 Total liabilities (add lines 17 through 22)......... 138,625 114,253
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........... 13,326,475 11,009,712
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)..... 13,326,475 11,009,712
30 Total liabilities and net assets/fund balances (see instructions). 13,465,100 11,123,965
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
13,326,475
2
Enter amount from Part I, line 27a .....................
2
172,732
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
13,499,207
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,489,495
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
11,009,712
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P    
b CAPITAL GAINS DIVIDENDS P    
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 2,146,906   1,804,249 342,657
b 235,100     235,100
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       342,657
b       235,100
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 2 577,757
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 10,452
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 10,452
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 9,751
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 7,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 16,751
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 26
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 6,273
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet6,273 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMN
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.GHCI.US
    14
    The books are in care ofbulletTERRY LEONIDAS Telephone no.bullet (218) 336-5702

    Located atbullet130 W SUPERIOR STREET SUITE 700DULUTHMN ZIP+4bullet55802
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    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
    ........bullet
    d
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2021? .............
    1d
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2021.) .....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant? .................
    5d
     
     
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    ELIZABETH HENDERSON VICE CHAIR
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    ANGIE MILLER DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    DALE GREENE DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    MICHAEL SLAG MD DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    STACY JOHNSTON DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    JIM SPREITZER DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    YVONNE MICHAUD NOVAK DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    KIM DAUNER DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    JO ANN HOAG FORMER CHAIR/HONORARY DIRECTOR
    0.30     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    CARL CRAWFORD CHAIR
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    STEVE PATRONIS SECRETARY/TREASURER
    0.50     		0 0 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    TERRY LEONIDAS CFO
    20.00     		30,015 2,101 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    MARY RAPPS EXECUTIVE DIRECTOR
    40.00     		118,015 37,480 0
    130 WEST SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    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
    MEGAN HALENA PROGRAM DIRECTOR
    40.00     		68,109 13,871 0
    130 W SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    SARAH NELSON PROGRAM DIRECTOR
    30.00     		62,872 4,151 0
    130 W SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    SONIA KJOS MANAGEMENT INFORMATI
    24.00     		54,473 3,813 0
    130 W SUPERIOR STREET SUITE 700
    DULUTH,MN55802
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part VIII-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 IMPROVING ACCESS TO CARE - GENERATIONS (GHCI) LEADS THE INSURE DULUTH COALITION, 15 ORGANIZATIONS PROVIDING A COORDINATED COMMUNITY APPROACH TO 1) INFORMING RESIDENTS OF DULUTH AND THE SURROUNDING AREA ABOUT COVERAGE OPPORTUNITIES AVAILABLE THROUGH MNSURE, 2) CONDUCTING OUTREACH TO TARGETED POPULATIONS TO ENCOURAGE ENROLLMENT, AND 3) PROVIDING INDIVIDUAL ENROLLMENT ASSISTANCE. GHCI COORDINATES PROJECT ACTIVITIES AND PROVIDES MANAGEMENT FOR GRANTS PROVIDED BY MNSURE AND BLUE CROSS BLUE SHIELD. ADDITIONALLY, GHCI FUNDS THE LAKE SUPERIOR COMM. HLTH. CTR. TO OPERATE ITS HEALTH CARE ACCESS OFFICE. THE OFFICE HELPS TO INCREASE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDER-INSURED BY ENROLLING THEM IN HEALTH COVERAGE AND PHARMACEUTICAL ASSISTANCE PROGRAMS. THE STAFF SCREENS INDIVIDUALS, ASSISTS IN COMPLETING THE APPLICATIONS, AND PROVIDES ADVOCACY. GHCI ALSO SUPPORTS THE EFFORTS OF THE STATEWIDE NAVIGATOR COALITION THROUGH LEADING COALITION MEMBERSHIP DEVELOPMENT AND INFRASTRUCTURE. 372,502
    2 ADVANCING HEALTH EQUITY - GENERATIONS PROVIDES FUNDS AND SUPPORT TO THE FOLLOWING ORGANIZATIONS AND INITIATIVES AIMED AT IMPROVING HEALTH EQUITY IN THE COMMUNITY: 1) DULUTH COMMUNITY SCHOOL COLLABORATIVE TO EMPLOY A COMMUNITY HEALTH WORKER (CHW) TO SERVE STUDENTS AND FAMILIES IN MYERS-WILKENS ELEMENTARY SCHOOL, LINCOLN PARK MIDDLE SCHOOL AND DENFELD HIGH SCHOOL THAT ARE EXPERIENCING BARRIERS TO HEALTH. 2) HEALTH EQUITY NORTHLAND AND OTHER PARTNERS ON AN AFRICAN HERITAGE COVID-19 OUTREACH PROJECT WITH FOCUS ON SYSTEMIC CAUSES OF HEALTH INEQUITIES. 3) BRIDGING HEALTH DULUTH (BHD) ON FOCUSING EQUITY IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN PROCESS. 4) BHD RESOURCEFUL PROJECT ON RECRUITING AND SUPPORTING A COMMUNITY ADVISORY TEAM IN A COMMUNITY PARTICIPATORY BASED EVALUATION PROCESS. 114,967
    3 LEVERAGING AND SUPPORTING STRATEGIC ALLIANCES - GENERATIONS PROVIDES LEADERSHIP AND FINANCIAL SUPPORT TO INITIATIVES IN THE REGION INCLUDING: 1) BRIDGE TO HEALTH SURVEY - A REGIONAL ADULT HEALTH STATUS SURVEY. GENERATIONS SERVES AS THE BACKBONE ORGANIZATION OF THIS EFFORT, RESPONSIBLE FOR FUNDRAISING, COORDINATING, AND COMMUNICATING THE SURVEY RESULTS. 2) BRIDGING HEALTH DULUTH (BHD) - A COLLABORATIVE THAT DEVELOPS A COMMUNITY HEALTH NEEDS ASSESSMENT AND EXECUTES A COMMUNITY HEALTH IMPLEMENTATION PLAN. 90,475
    4 PROGRAM DEVELOPMENT - GENERAL PROGRAM DEVELOPMENT INCLUDES ACTIVITIES SUCH AS FORMATIVE RESEARCH, PROGRAM PLANNING, AND TRAINING RELATED TO PROGRAM DEVELOPMENT. 8,205
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    12,200,842
    b
    Average of monthly cash balances.......................
    1b
    110,827
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    12,311,669
    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
    12,311,669
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    184,675
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    12,126,994
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    606,350
    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
    606,350
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    10,452
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,452
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    595,898
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    595,898
    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
    595,898
    Part XI
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part VIII-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2020     		(c)
    2020     		(d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 595,898
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 537,219
    b From 2017...... 490,429
    c From 2018...... 297,901
    d From 2019...... 302,475
    e From 2020...... 508,635
    f Total of lines 3a through e ........ 2,136,659
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 845,610
    a Applied to 2020, 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 2021 distributable amount..... 595,898
    e Remaining amount distributed out of corpus 249,712
    5 Excess distributions carryover applied to 2021. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 2,386,371
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		56,500
    8 Excess distributions carryover from 2016 not
    applied on line 5 or line 7 (see instructions) ...     		480,719
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......     		1,849,152
    10 Analysis of line 9:
    a Excess from 2017.... 490,429
    b Excess from 2018.... 297,901
    c Excess from 2019.... 302,475
    d Excess from 2020.... 508,635
    e Excess from 2021.... 249,712
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or 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 (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    COMMUNITY ACTION DULUTH INC
    2424 W 1ST ST SUITE 102
    DULUTH,MN55805     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 67,804
    DULUTH COMMUNITY SCHOOL COLLABORATIVE
    1027 N 8TH AVE E
    DULUTH,MN55805     		N/A PC EDUCATE FAMILIES ON ACCESS TO HEALTH CARE 1,280
    LAKE SUPERIOR COMMUNITY HEALTH CENTER
    4325 GRAND AVE
    DULUTH,MN55807     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 144,333
    WE HEALTH CLINIC
    32 EAST 1ST ST SUITE 300
    DULUTH,MN55802     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 12,353
    YMCA AT THE ESSENTIA WELLNESS CENTER
    PO BOX 3678
    DULUTH,MN55803     		N/A PC INFORMING RESIDENTS ABOUT COVERAGE THROUGH MNSURE 17,820
    Total .................................bullet 3a 243,590
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........     		         
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 10,479  
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 577,757  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INCOME     		        4,167
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 817,303 4,167
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    821,470
    (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.)
    11A OTHER INCOME
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

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


    		 Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    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
    2021
    Name of the organization
    GENERATIONS HEALTH CARE INITIATIVES INC
     
    Employer identification number

    41-2000473
    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) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number
    41-2000473
    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
    MNSURE
     
    355 RANDOLPH AVE
     
    ST PAUL, MN55102

    		$ 237,793


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    MID-MINNESOTA LEGAL ASSISTANCE FUND
     
    111 N FIFTH ST SUITE 100
     
    MINNEAPOLIS, MN55403

    		$ 6,600


    (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) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number

    41-2000473
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    (a)
    No. from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (See instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 4
    Name of organization
    GENERATIONS HEALTH CARE INITIATIVES INC
          		Employer identification number

    41-2000473
    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) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 16,343 817   17,051

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

    TY 2021 DepreciationSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    LEASEHOLD IMPROVEMENTS 2001-01-01 8,211 7,217 SL 15.000000000000 795 0    
    MOVEABLE EQUIPMENT 2001-01-01 93,137 86,064 SL 5.000000000000 3,353 0    

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Name of Bond End of Year Book Value End of Year Fair Market Value
    ABBVIE INC 39,267 39,267
    ANTHEM INC 38,748 38,748
    BANK OF AMERICA CORP 51,895 51,895
    BANK OF MONTREAL 34,187 34,187
    BRISTOL-MYERS SQUIBB CO. 13,216 13,216
    BUNGE LTD FINANCE CORP 13,926 13,926
    CAPITAL ONE FINANCIAL CO 38,445 38,445
    CHEVRON CORP 47,180 47,180
    COMCAST CORP 44,608 44,608
    CVS HEALTH CORP 34,632 34,632
    DIGITAL REALTY TRUST LP 38,183 38,183
    DOLLAR GENERAL CORP 39,857 39,857
    EQUINIX INC 29,680 29,680
    FEDERATED HERMES INSTITUTIONAL HIGH YIELD BOND FUND 411,765 411,765
    FEDEX CORP 12,625 12,625
    GLOBAL PAYMENTS INC 13,324 13,324
    GOLDMAN SACHS GROUP INC 49,113 49,113
    HALLIBURTON COMPANY 2,999 2,999
    HP ENTERPRISE CO 33,602 33,602
    ISHARES CMBS ETF 70,701 70,701
    JPMORGAN CHASE & CO 51,365 51,365
    KEYCORP 12,831 12,831
    LOWE'S COS INC 12,023 12,023
    METLIFE INC 44,020 44,020
    MORGAN STANLEY 38,862 38,862
    PAYDEN EMERGING MARKETS BOND FUND 216,279 216,279
    PIMCO INTERNATIONAL BOND FUND 270,470 270,470
    PNC FINANCIAL SERVICES 39,463 39,463
    ROYAL BANK OF CANADA 13,478 13,478
    SUNTRUST BANKS INC 44,877 44,877
    UNION PACIFIC CORP 13,011 13,011
    WALT DISNEY COMPANY/THE 47,511 47,511
    WESTPAC BANKING CORP 43,001 43,001

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ACCENTURE PLC 23,942 23,942
    AGCO CORP COM 24,895 24,895
    ALIGN TECHNOLOGY INC 23,639 23,639
    ALPHABET INC CL C 124,431 124,431
    AMAZON COM INC COM 139,447 139,447
    AMEX CONSUMER DISCR SPDR 199,364 199,364
    AMEX ENERGY SELECT SPDR 181,124 181,124
    APPLE INC 213,347 213,347
    ARISTA NETWORKS INC 47,233 47,233
    ARTISAN INTERNATIONAL FUND INSTITUTIONAL CLASS 284,333 284,333
    BOOKING HOLDINGS INC 20,634 20,634
    BOSTON SCIENTIFIC CORP COM 35,352 35,352
    BROADCOM INC 46,417 46,417
    CANADIAN PAC RY LTD COM 28,372 28,372
    CENTENE CORP DEL COM 32,486 32,486
    CHEWY INC 9,853 9,853
    CHIPOTLE MEXICAN GRILL INC 43,114 43,114
    CONSTELLATION BRANDS INC 29,526 29,526
    COSTCO WHOLESALE CORP 21,406 21,406
    DANAHER CORP 35,628 35,628
    DEXCOM INC 33,213 33,213
    DODGE & COX INTERNATIONAL STOCK FUND 492,251 492,251
    DODGE & COX STOCK FUND 931,704 931,704
    ECOLAB INC 22,445 22,445
    ELI LILLY & CO COM 25,303 25,303
    ESTEE LAUDER COMPANIES INC 38,920 38,920
    FIDELITY NATL INFORMATION SVCS INC 34,264 34,264
    FINANCIAL SELECT SECTOR SPDR FUND 239,613 239,613
    FLEETCOR TECHNOLOGIES INC 34,855 34,855
    FORTUNE BRANDS HOME & SECURITY 23,528 23,528
    GXO LOGISTICS 17,574 17,574
    INTERCONTINENTAL EXCHANGE, INC 30,759 30,759
    INTUITIVE SURGICAL INC 22,631 22,631
    INVESCO OPPENHEIMER DEVELOPING MARKETS FUND 441,439 441,439
    ISHARES MSCI EAFE ETF 137,283 137,283
    ISHARES MSCI EMERGING MARKETS 253,338 253,338
    ISHARES RUSSELL 1000 GROWTH ETF 257,081 257,081
    ISHARES RUSSELL 2000 ETF 330,300 330,300
    ISHARES RUSSELL MID-CAP GROWTH 281,187 281,187
    ISHARES RUSSELL MID-CAP VALUE 160,365 160,365
    JP MORGAN MID CAP VALUE FUND-CLASS R6 371,667 371,667
    LULULEMON ATHLETICA INC 26,396 26,396
    META PLATFORMS INC. 55,233 55,233
    MICROSOFT CORP 167,079 167,079
    MORGAN STANLEY COM 36,815 36,815
    NETFLIX INC 20,791 20,791
    NORWEGIAN CRUISE LINE HOLDINGS LTD 12,439 12,439
    NVIDIA CORP COM 34,263 34,263
    OKTA INC 27,329 27,329
    PALO ALTO NETWORKS INC 40,647 40,647
    POOL CORPORATION COM 23,065 23,065
    S&P GLOBAL INC 34,161 34,161
    SALESFORCE INC 40,903 40,903
    SERVICENOW INC. 40,854 40,854
    SPDR DJ WILSHIRE INTERNATIONAL REAL ESTATE ETF 232,575 232,575
    SPDR DOW JONES REIT ETF 399,223 399,223
    T ROWE PRICE INSTITUTIONAL EMERGING MARKETS EQUITY FUND 215,784 215,784
    TRACTOR SUPPLY CO COM 29,624 29,624
    TRANSDIGM GROUP INC COM 27,018 27,018
    TRIBUTARY SMALL COMPANY FUND CLASS 203,174 203,174
    TRIMBLE INC 28,526 28,526
    TWILIO INC 17,395 17,395
    ULTA BEAUTY, INC. 35,689 35,689
    VANGUARD REAL ESTATE ETF 116,263 116,263
    VERTEX PHARMACEUTICALS INC COM 25,922 25,922
    VISA INC-CLASS A SHRS 55,440 55,440
    XPO LOGISTICS INC 13,472 13,472

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    US Government Securities - End of Year Book Value:

    961,134
    US Government Securities - End of Year Fair Market Value:

    961,134
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACC INT REC - SECURITIES FMV 15,796 15,796
    MONEY MARKET FUNDS FMV 428,682 428,682

    TY 2021 LandEtcSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    LEASEHOLD IMPROVEMENTS 8,211 8,012 199  
    MOVEABLE EQUIPMENT 93,137 89,417 3,720  


    TY 2021 LegalFeesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 1,240 0   1,240


    TY 2021 OtherDecreasesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 2,489,495


    TY 2021 OtherExpensesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSES 6,344 0   6,422
    DUES AND MEMBERSHIPS 1,121 0   1,121
    PARKING 852 0   858
    INSURANCE 5,014 0   5,492
    LEASED EMPLOYEES 58,799 0   67,893
    COMPUTER SUPPLIES & SOFTWARE 27,199 0   22,756
    PROGRAM DEVELOPMENT 1,985 0   1,919
    LEVERAGING AND SUPPORTING STRATEGIC ALLIANCES 32,942 0   33,070
    PAYROLL FEES 22,203 1,110   21,093
    ADVANCING HEALTH EQUITY 62,374 0   62,662
    IMPROVING ACCESS TO CARE 130,414 0   132,338
    SPACE EXPENSE 325 0   325
    TAX RETURN REGISTRATION 25 1   24


    TY 2021 OtherIncomeSchedule2
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INCOME 4,167   4,167


    TY 2021 OtherLiabilitiesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Description Beginning of Year - Book Value End of Year - Book Value
    ASSETS HELD FOR OTHERS 32,650 29,472


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 46,724 46,724   0


    TY 2021 TaxesSchedule
    Name:
    GENERATIONS HEALTH CARE INITIATIVES INC
    EIN:
    41-2000473
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAXES 10,801 0   0
    FOREIGN TAXES 163 163   0