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Sponsorship Request Application


Download Sponsorship Request Application

REQUEST FOR SPONSORSHIP OR DONATION

Dignity Health in Arizona is committed to supporting charitable events that align with our mission, vision and values and are restricted to a community benefit purpose as outlined by the IRS Form 990 Schedule H guidelines.

We receive many requests for financial sponsorships. While supportive in spirit of all approaches that encourage positive community improvements, we are limited in providing financial support to projects we view as most closely aligned with our core mission and values.

The Dignity Health Arizona Service Area Facilities include:
  • Arizona General Hospital
  • Barrow Neurological Institute
  • Chandler Regional Medical Center
  • Dignity Health Medical Group
  • Mercy Gilbert Medical Center
  • St. Joseph’s Hospital & Medical Center
  • St. Joseph’s Westgate Medical Center

OUR MISSION 

Dignity Health is committed to furthering the healing ministry of Jesus. We dedicate our resources to:

  • Delivering compassionate, high-quality, affordable health services
  • Serving and advocating for our sisters and brothers who are poor and disenfranchised; and 
  • Partnering with others in the community to improve the quality of life. 

OUR VISION 

A vibrant, national health care system known for service, chosen for clinical excellence, standing in partnership with patients, employees, and physicians to improve the health of all communities served. 

OUR VALUES 

Dignity Health is committed to providing high-quality, affordable health care to the communities we serve. Above all else we value: 

  • Dignity - Respecting the inherent value and worth of each person.
  • Collaboration - Working together with people who support common values and vision to achieve shared goals. 
  • Justice - Advocating for social change and acting in ways that promote respect for all persons and demonstrate compassion for our sisters and brothers who are powerless.
  • Stewardship - Cultivating the resources entrusted to us to promote healing and wholeness. 
  • Excellence - Exceeding expectations through teamwork and innovation.

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COMMUNITY BENEFIT

In accordance with IRS Form 990-Schedule H guidelines, sponsorship/donations are given from the hospital’s operating budget to non-profit organizations. The sponsorship oversight committee shall approve or decline each application based on compliance with guidelines and other strategic connections.    

To Qualify

  • Programs and services should focus on providing activities or services that address one or more identified community health need and seek to provide measurable improvement in health status, access, or use of healthcare resources. The connection between health needs and the activity or service must be clearly stated on the application. Organizations that address one or more of our identified community health needs will be given greater consideration.  Those identified community health needs are:
    • Access to Care i.e. uninsured and underinsured 
    • Mental and Behavioral Health i.e. anxiety, depression, substance abuse, suicide
    • Chronic Disease i.e diabetes, heart disease, asthma 
    • Overweight/Obesity i.e. poor eating habits, lack of exercise
    • Cancer i.e. breast, colorectal, lung, cervical
    • Trauma/Injury Prevention i.e. unintended injuries, including traffic-related, falls, burns, poisonings, drownings
    • Social Determinants of Health i.e. homelessness, food insecurity, transportation, psychosocial circumstances

  • Only 501(c) 3 organizations and public entities are eligible to apply. 

  • Geographic area: services supplied by requesting organizations should be available to citizens within Arizona.  Organizations are advised to submit applications focused on projects, programs and activities supported by funds raised—and provided—in Arizona. An explanation of how funds will be used must be included.   

  • The following types of requests may be made under this application: donations, community event participation or other in-kind contributions/printing. 

  • Applications must demonstrate a commitment to provide services regardless of race, religion, sex, age, disability or national origin.

  • To avoid duplication, requests from national organizations should be coordinated between the regional and county affiliated offices within Arizona.

  • Please submit as many requests for one organization at the same time so we can best determine the event/program that fits our mission.  

  • All sponsorship applications must be submitted at least 90 days prior to the event in order to be eligible for funding. 

We DO NOT Fund or Sponsor:

  • Partisan political groups/activities/campaigns, endowments, memorials, individuals, or tours
  • Requests from individuals or for-profit companies
  • Programs that are inconsistent with our core values
  • Out of area organizations or most entertainment events
  • School or club sports teams or activities including dance, cheer, band, field trips, etc.  

SPONSORSHIP REQUEST APPLICATION

  • All requests must be made by completing this form and attaching your flyer, brochure, or sponsorship packages as well as your W-9.

  • Requests must be made at least three months prior to date needed. 

  • All requests are reviewed by the sponsorship oversight committee. The committee determines whether Dignity Health will sponsor your organization. Every applicant will receive email notification of the outcome of the request.  

  • Successful applications will receive payment within 4-6 weeks of receiving the documentation needed to process payment.    

  • Send request application to:
    • Mercy Gilbert Medical Center
      Attention: Julie Graham
      3555 S. Val Vista Drive
      Gilbert, AZ  85297  


* Please note that while all sponsorships are considered and all are worthy, those which align with our mission and health priorities in the communities we serve will be given greater consideration.