Be a Hero

The mission of Memorial Health Foundation is to build a healthier community through education, special patient and employee assistance initiatives, charity care, purchasing the most advanced medical equipment, and funding areas where the need is greatest throughout our health system and community.

We can’t do this alone.

Thanks to our Healthcare Employees Reaching Others (HERO) Program, you have the opportunity to support Memorial Health Foundation and help us help others!

HERO donations make a huge impact within our healthcare system and our community. These funds assist with a wide range of patient needs, including preventative screenings, pediatric therapy camps, diabetes education, community-based exercise programs, and life-saving medications.

We are incredibly thankful for our donors and acknowledge that we could not serve the needs of our community without their generosity. Please consider joining our HERO Campaign by completing the donation form below. With a simple pledge through a small payroll deduction, you can make a positive impact on our health system and the lives of everyone in our community.

If you have any questions about Memorial Health Foundation, how to donate, or how to apply for funds, please reach out to anyone on our team at (740) 374-4913 or email us at foundation@mhsystem.org.

Ways to Give

To give via credit card, click here.

If you’d like to send a check by mail, our address is:

Memorial Health Foundation
PO Box 112
Marietta, Ohio 45750

Employee Donation Form

Name: (*)

Department: (*)

Address Line 1: (*)

Address Line 2:

City: (*)

State: (*)

Zip: (*)

Email: (*)

Date of Birth: (*)

Home Phone:

Cell Phone:

Office Phone:

I wish to make a gift/pledge in support of:

Area of Greatest Need Defibrillator Initiative Women and Children's Hospital Initiative Athens County Transportation Assistance Initiative Bariatric Exercise Initiative Breast Health Initiative Cancer Patient Emergency Initiative Community AED Initiative Diabetes Education Initiative Evergreen Child Development Center Initiative G.R.A.C.E Employee Assistance Initiative Heart and Cardiac Rehab Initiative Hospice Initiative Hounds Helping Heroes Initiative ICU Renovation Initiative Jim Christy Pediatric Initiative Lung Screening Initiative Patient-Centered Caring Initiative Pediatric Assistance Initiative Pediatric Therapy Initiative Selby General Hospital Initiative Sistersville General Hospital Patient Transportation Initiative Sistersville FARMacy Initiative Sistersville General Hospital Initiative Social Service Initiative Stroke Rehabilitation Support Initiative Stroke Screening Initiative Teddy Bear Initiative Thomas & Ella Wong Healthcare Merit Scholarship Initiative Transportation Initiative Trauma Initiative Women Leaders in Medicine Initiative

Would you like to make a payroll deduction?

 Yes, I wish to make my gift as a one-time only payroll deduction. Amount:  $   /   Payroll Deduction Date:   Yes, and continue the bi-weekly payroll deduction in perpetuity -OR- until written notice is given to cancel or change my gift. Amount:  $   /   Start Date:   Yes, a bi-weekly payroll deduction to end at a specific date. Amount: $   /   Start Date:     /   Total Pays:  
Total Deduction Amount: $

Note: Unless indicated, deduction will begin on the next pay cycle.

Would you like to donate Vacation or PTO?

 I wish to donate  hours of === Make a selection ===VacationPTOBoth (Vacation & PTO) on .

Please see policy for details. Note: MHCPI Providers are not eligible for PTO donations.

Signature: (*)

Date: 12/21/2024