The Fourth Pillar

Generosity.

We're not just interested in living longer and healthier lives. We're interested in making those extra years matter.

MedicineInnovationHealthy LivingGenerosity

Four Pillars. One Mission.

Doctor Pickleball is built on four equal pillars: Medicine, Innovation, Healthy Living — and Generosity. The first three help you live longer and better. The fourth is what you do with that gift.

Making Those Extra Years Matter

Pickleball players are, on average, some of the most active, engaged, and community-minded people around. Many are at a stage of life where they have something rare: time, experience, and the perspective that comes from having lived a full life.

Generosity isn't just about writing a check — though that matters too. It's about showing up. Mentoring someone younger. Teaching a neighbor to play. Volunteering at a food bank on Tuesday mornings. Organizing a charity tournament. Sitting on a nonprofit board. Coaching a youth team.

The research on giving back is unambiguous: people who contribute to their communities are healthier, happier, and more connected. Generosity turns out to be good medicine.

Four Ways to Give

Give Your Time

Time is the most democratic gift. You don't need wealth or credentials to volunteer — just willingness. Local food banks, literacy programs, youth sports organizations, senior centers, and hospice programs are almost always looking for reliable, caring people.

Share Your Talents

Decades of professional experience don't expire at retirement. Mentoring, coaching, teaching, advising, and building things are all forms of generosity. The skills you spent a lifetime developing are exactly what many organizations and individuals need.

Strengthen Your Community

The pickleball community is one of the most welcoming in sports — courts are places where strangers become friends and age differences disappear. That spirit of inclusion is worth extending beyond the court into the broader community.

Contribute Your Resources

Financial generosity — at any level — multiplies impact. Exceptional organizations stretch every dollar. Supporting them thoughtfully, and encouraging others to do the same, is one of the highest-leverage things a person can do.

From the Greatest Generation to the Generous Generation

Our parents were known as the Greatest Generation. They endured the Great Depression, fought World War II, sacrificed for their families, and helped build a nation of extraordinary opportunity.

Our generation, the Baby Boomers, inherited many of those opportunities. Through hard work, education, entrepreneurship, and sometimes simply good fortune, many of us have accumulated substantial financial resources.

Yet we live in a world where the disparity between the haves and the have-nots remains enormous.

Some families enjoy financial security beyond anything previous generations could have imagined, while others struggle to afford housing, healthcare, education, and even basic necessities.

I believe those of us fortunate enough to have accumulated wealth have both an opportunity and a responsibility to help address that disparity.

A Historic Opportunity to Make a Difference

Over the coming decades, an extraordinary transfer of wealth will take place as the Baby Boomer generation passes assets to children, grandchildren, and charitable organizations.

The question is not simply how much wealth we will leave behind.

The more important question is what good that wealth can accomplish while we are still here to see the results.

Imagine if even a relatively small portion of this enormous wealth transfer were directed toward improving education, supporting healthcare, helping struggling families, creating opportunities, and addressing problems that have persisted for generations.

The impact could be extraordinary.

Why Private Generosity Matters

Government programs have an important role in helping those in need. Unfortunately, many are burdened by bureaucracy, inefficiency, political considerations, and, at times, corruption.

Too often, substantial resources are spent without achieving the results we hoped for.

I believe private philanthropy can offer something different.

Individuals, families, charitable foundations, and community organizations can identify needs directly, respond quickly, support creative solutions, and evaluate whether their efforts are actually making a difference.

Rather than simply funding programs, we can focus on solving problems.

We can support organizations that demonstrate results, help individuals overcome temporary obstacles, invest in promising ideas, and create opportunities that might otherwise never exist.

Private generosity cannot replace every government responsibility, but it can accomplish things that large institutions sometimes cannot.

And perhaps most importantly, it allows us to become personally involved in improving the lives of others.

Contribute Your Resources

Generosity is not limited to writing checks.

Each of us has resources that can make a difference.

Support effective charitable organizations, educational opportunities, medical initiatives, community projects, and individuals facing genuine hardship.

Share the knowledge and judgment accumulated over a lifetime of work.

Volunteer, mentor younger generations, help community organizations, or become personally involved in causes that matter to you.

Sometimes introducing the right people, opening a door, or helping someone find an opportunity can be more valuable than a financial contribution.

Involve children and grandchildren in charitable decisions. Help younger generations understand that wealth carries responsibilities as well as privileges.

The goal should not simply be to give more. It should be to give thoughtfully, effectively, and with a genuine desire to improve lives.

Giving While We Are Living

Traditional estate planning often focuses on how assets will be distributed after we die.

That is important, but I believe we should also consider what we can accomplish during our lifetimes.

There is something particularly rewarding about seeing the results of generosity firsthand.

Helping a student pursue an education, supporting a family through a difficult period, improving access to healthcare, or assisting a worthwhile community organization can produce benefits that extend far beyond the original contribution.

And when children and grandchildren participate, generosity becomes more than a financial transaction. It becomes a family value.

Our Generation's Legacy

Every generation is remembered for something.

Our parents were the Greatest Generation because of their sacrifice, courage, resilience, and commitment to something larger than themselves.

The Baby Boomer generation has experienced remarkable economic growth, medical advances, technological progress, and opportunities to accumulate wealth.

But perhaps our greatest accomplishment is still ahead of us.

What if we became known as the generation that used its accumulated resources to help others?

What if we demonstrated that financial success is measured not only by what we acquire, but also by what we contribute?

What if we encouraged our children and grandchildren to view generosity as an essential part of a successful life?

“If our parents were the Greatest Generation, let's make ours the Generous Generation.”

Let's be remembered not simply for the wealth we accumulated or the possessions we left behind, but for the opportunities we created, the problems we helped solve, and the lives we improved.

Our greatest legacy may not be what we leave to others, but what we do for others while we're here.

— Mark C. Engasser, MD

“We're not just interested in living longer and healthier lives. We're interested in making those extra years matter.”

— Doctor Pickleball

Ways to Get Involved

Volunteer Locally

Most communities have more need for volunteers than they have volunteers. Show up consistently, do what you say you'll do, and you'll be more valuable than you imagine.

Organize a Charity Tournament

Pickleball tournaments are natural fundraising events. Entry fees, sponsorships, and raffles can generate meaningful support for local causes while giving players a great reason to compete.

Teach Someone to Play

Introducing pickleball to someone who is isolated, sedentary, or looking for community is itself a form of generosity. The health and social benefits of the sport are real, well-documented, and worth sharing.

Support Exceptional Organizations

We feature organizations doing genuinely exceptional work — transparent about their finances, clear about their impact, and making a real difference in people's lives. More to come as we identify them.

Generosity isn't always about writing a check. Sometimes it's about showing up, volunteering your time, sharing your talents, making someone smile, and occasionally wearing a ridiculous chicken hat. Whether you're helping at a pickleball tournament, mentoring a younger player, or supporting someone in need, the important thing is getting involved. Giving back should be rewarding—and sometimes downright fun!

See Dr. Pickleball's lighter side!

Exceptional Organizations

We look for organizations that provide services most people don't know exist — specialized medical care, unusual educational programs, creative approaches to persistent problems. Our standard is simple: real work, real impact, real transparency.

Several of these organizations are discussed in greater depth in the Musing Making Your Charitable Dollar Work Overtime.

Minneapolis Area, Minnesota

1.Phillips Neighborhood Clinic

Minneapolis, Minnesota

The Phillips Neighborhood Clinic in Minneapolis is a particularly appealing example of community-based healthcare. The clinic provides free healthcare services through a volunteer model involving University of Minnesota health-professions students and licensed clinical supervisors. It serves people who might otherwise have difficulty obtaining medical care.

This is the kind of organization where donated time and professional expertise can be just as valuable as financial support.

My Two Cents: As a physician, I especially appreciate the combination of patient care, education, and volunteer service. Students learn not only clinical skills but also something equally important: the responsibility of caring for people who may have limited resources.

2.Hennepin Healthcare Foundation

Minneapolis, Minnesota

The Hennepin Healthcare Foundation supports Hennepin Healthcare, including Hennepin County Medical Center. Its work in trauma care, emergency medicine, specialized treatment, and medical education extends well beyond Hennepin County.

Supporting HCMC is not simply supporting a hospital. It is helping preserve an essential part of Minnesota's healthcare infrastructure.

My Two Cents: HCMC holds a special place in my life. I began my surgical training at the old Minneapolis General Hospital in 1975 and experienced the transition to the new HCMC in 1976.

3.Dunwoody College of TechnologyFrom Skilled Trades to Engineering Degrees

Minneapolis, Minnesota

Dunwoody College of Technology in Minneapolis has a special connection to my family — family members attended Dunwoody, so I've long appreciated its emphasis on practical education and preparing people for meaningful careers.

Founded in 1913, Dunwoody has traditionally been known for teaching skilled trades and technical occupations. Today, students can pursue bachelor's degrees in mechanical, electrical, and computer engineering, along with programs in construction, manufacturing, automotive technology, design, and other technical fields.

A scholarship to a motivated student who lacks sufficient financial resources can be an extraordinarily meaningful gift. It may help that student obtain a career, achieve financial independence, and eventually support a family.

My Two Cents: Helping someone obtain a practical education can be one of the most productive forms of charitable giving. You're not simply providing temporary assistance. You're helping someone develop the tools to become independent and successful.

Learn more: Dunwoody College of Technology

4.A Better Society — Project Life-Cycle

One of the unexpected pleasures of playing pickleball is meeting people who make a difference well beyond the court. My friend and fellow pickleball player, Cliff MacLeod, introduced me to a wonderful charitable initiative called Project Life-Cycle.

The concept is simple but powerful: provide free bicycles to children and adults who need them.

For some people, a bicycle is recreation. For others, it means getting to work, attending school, shopping for groceries, or simply enjoying greater independence.

Project Life-Cycle also promotes bicycle safety, maintenance education, healthy living, and community involvement.

My Two Cents: I've always believed that charitable giving involves more than writing checks. Sometimes it means donating a bicycle, sharing a skill, or volunteering a few hours. Cliff reminds me that making a difference doesn't always require a grand gesture.

And there's something especially appealing about a charity that helps people move forward — literally!

Learn more: Project Life-Cycle

5.Sharing & Caring Hands

Minnesota

Sharing & Caring Hands provides practical assistance to people experiencing poverty, homelessness, and other serious hardships. Its services include food, clothing, shelter-related assistance, and help with basic necessities.

What appeals to me is the directness of the mission. Sometimes the most important charitable intervention isn't complicated. It's helping someone get through a difficult day with dignity.

6.Joyce Uptown Food Shelf

Minnesota

Joyce Uptown Food Shelf addresses food insecurity through community food assistance. Food shelves may not generate the excitement of a new medical breakthrough, but for a family struggling to afford groceries, they can be life-changing.

8.Second Harvest Heartland

Minnesota

Second Harvest Heartland operates on a larger scale, helping move food through an extensive network of community partners. A small neighborhood organization and a large regional food bank may both be highly effective, but they accomplish their missions differently.

Naples, Florida

9.Lorenzo Walker Technical CollegeGiving Someone the Tools to Succeed

Naples, Florida

One Naples institution that particularly interests me is Lorenzo Walker Technical College. It offers career-focused education in healthcare, automotive technology, aviation, construction-related fields, and other technical occupations, with programs that emphasize practical training and preparation for employment.

For many students, technical education offers a direct route to a rewarding career without requiring the time and expense associated with a traditional four-year college education. I particularly like the possibility of supporting scholarships for motivated students who have the ability and determination to succeed but lack the financial resources to complete their training.

My Two Cents: Charitable giving doesn't always have to address an immediate crisis. Sometimes the most meaningful contribution is helping someone acquire a skill that can prevent future financial hardship.

As an orthopedic surgeon, I've always appreciated people who possess practical skills. Whether it's repairing a complex fracture or diagnosing why an automobile refuses to start, there's something impressive about someone who can identify a problem and actually fix it. Of course, the mechanic generally has an advantage. If the repair doesn't work, the car doesn't complain nearly as much as the patient!

Learn more: Lorenzo Walker Technical College

10.St. Matthew's House

Naples, Florida

St. Matthew's House provides services addressing homelessness, hunger, addiction recovery, and related needs. Its combination of immediate assistance and longer-term programs makes it worth examining for donors interested in helping people rebuild their lives.

11.Empty Bowls Naples

Naples, Florida

Empty Bowls Naples uses a community-centered fundraising approach to support efforts addressing hunger. I like the symbolism of the empty bowl — it reminds us that something as ordinary as a meal is not guaranteed for everyone.

12.Our Daily Bread Food Pantry

Naples, Florida

Our Daily Bread Food Pantry helps families and individuals facing food insecurity in the Naples area. Food assistance is a particularly practical form of giving because the need is immediate and understandable.

13.Collier Senior Center

Naples, Florida

The Collier Senior Center serves older adults through programs that support connection, independence, and well-being. As we get older, social isolation can become as important a challenge as many physical ailments. An organization that helps seniors remain engaged and connected deserves serious consideration.

14.Harry Chapin Food Bank

Southwest Florida

Harry Chapin Food Bank serves Southwest Florida through food distribution and partnerships. Its regional scale makes it different from a neighborhood food pantry, but both approaches are important.

Buffalo, New York

15.Friends of Night People

Buffalo, New York

Friends of Night People provides meals, clothing, and other assistance to people experiencing poverty and homelessness. It represents the kind of direct community service that can be especially meaningful to local donors and volunteers.

16.Response to Love Center

Buffalo, New York

Response to Love Center serves people facing poverty and hardship in Buffalo. Its community-based approach reflects the importance of helping people close to home.

17.St. Luke's Mission of Mercy

Buffalo, New York

St. Luke's Mission of Mercy provides food and other assistance to people in need. Its mission is grounded in direct service and community relationships.

18.FeedMore WNY

Western New York

FeedMore WNY addresses hunger across Western New York through food distribution and nutrition-related programs. Like Second Harvest Heartland and Harry Chapin Food Bank, it demonstrates the value of regional organizations that can reach many communities.