Donations & Charitable Contributions

At Memorial Health System, we understand the importance of engagement with the communities we serve and we are committed to supporting community outreach and not-for-profit agencies, especially when it comes to organizations that support health education, events and activities. The community benefit should complement the impact of our organization and fall within Memorial’s strategic initiatives.

Please consider the following:

Charitable contributions that will not be considered include, but not limited to:
Donations to individuals, pageant contestants, student trips
Multi-year commitments, verbal or in writing (without specific rationale and annual review by MHG)
Legislators, political groups, or campaigns
Directly competes with Memorial Foundation funding resources or opportunities

Charitable contributions that may be considered include, but not limited to:

The areas of focus identified for community and corporate relations (CCR) monetary consideration include but are not limited to:
- Access to care
- Obesity/physical activities
- Cardiovascular disease
- Diabetes
- Women’s and children’s health
- Oncology
- Healthcare workforce development
- Community involvement
- Economic development
- Senior health programs
- Community/city/chamber events
- Youth events
- Partners in education
- Leadership programs
- Information technology
CCR, marketing and communications sponsorships that may be considered include donations defined as supporting school or college sponsored academics, arts and athletics including advertising in yearbooks and athletic signage/marketing items.

To review a charitable contribution request for funding consideration, the following must be included:

Completion of proper donation letter request form to include brief description of project, event or activity requiring funding, amount and reason for request, event goal
Organization/company is located in Memorial’s defined service area
Mission of organization, area and populations served by the organization, and disclose association with other not-for-profits or businesses
Current W-9, copy of tax-exempt letter stating legal name of the organization from IRS (990) or equivalent
Disclose any previous funding (past two years) received from Memorial or Memorial Foundation
Complete list of organization’s Board of Directors and key staff
Address/contact person where the check should be mailed
Outline of reciprocal benefits, if any (ex: logo recognition, tickets, marketing, etc)

Donations & Charitable Contributions Request Form

The community relations committee will give greater consideration to events and volunteer opportunities that meet the criteria above and the organization’s request is received 60 days prior to the event date.

Request Submission Date(Required)

Organization(Required)

Event Name(Required)

Event Date(Required)

Purpose(Required)

Contact Person(Required)

First Last

Phone Number(Required)

Email Address(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organization/company is located in Memorial’s defined service area(Required)

Mission of organization, area and populations served by the organization, and disclose association with other not-for-profits or businesses(Required)

Completion of proper donation letter request form to include brief description of project, event or activity requiring funding, amount and reason for request, event goal(Required)

Max. file size: 50 MB.

Current W-9, copy of tax-exempt letter stating legal name of the organization from IRS (990) or equivalent(Required)

Max. file size: 50 MB.

Disclose any previous funding (past two years) received from Memorial(Required)

Complete list of organization’s Board of Directors and key staff(Required)

List highlights or benefits provided to Memorial for monetary or volunteer support, if any (ex: logo recognition, tickets, marketing, etc.)

Additional information