St. Clare Memorial Hospital About Us Community Involvement Community Benefit

Community Benefit

HSHS believes in giving back to the communities we serve. We support programs and projects that are consistent with our community benefit mission – namely to improve access to health services, enhance public health, advance increased general knowledge and relieve the burden of government to improve health.

Funding preference is given to programs/initiatives that address local priorities identified through the Community Health Needs Assessment process. For HSHS St. Clare Memorial Hospital, these include:

Mental health
Nutrition and physical activity
Access and treatment of alcohol and other drug abuse (AODA)

Requests for support may be – but do not need to be – monetary in nature. All requests should be submitted via the online application.

NOTE: All funding recipients MUST possess non-profit status at the time of the request. Once a request has been submitted, we may contact you for additional information.

Please submit your request 60 days prior to the event/program start (as applicable). Due to the number of applications we receive, HSHS cannot fulfill all funding requests. A representative of HSHS St. Clare Memorial Hospital will notify you once a decision has been made.

Organization Name:
Organization Mailing Address:
Organization City:
Organization State:
Organization Zip:
Contact Name:
Contact Phone Number:	( ) - Second three digits Last four digits
Contact Email:
Select hospital you are requesting from:
Recipient of funds, if different than organization applying:
Is the recipient of funds currently a:	Non-Profit 501(c)(3) organization Governmental agency Other
If other, describe:
Primary county the recipient of funds supports:
What type of donation?:
Amount/sponsorship level you are requesting:
Please explain how fund (or in-kind support) will be used:
Date of event (if applicable):	Today
Is donor recognition a significant aspect of this request? Yes No (If yes, please include details in supporting documents below.):	Yes No
Are other health care organizations supporting your cause?:	Yes No
If so, who?:
Has HSHS supported this organization in the past? :	Yes No
If so, when?:	Today
How will HSHS be notified of the impact of the program/initiative? :
How does this request support community health priorities? :
Upload file:	Attach supporting documentation or enter details below with project description/details and budget.
Additional details, if needed:
Security code: