Donation Form – Colleague Giving Recurring Payroll

Holy Cross Health

Holy Cross Health is a Catholic not-for-profit health system that serves the two most populous counties in Maryland—Montgomery and Prince George's counties—and Washington, D.C. Holy Cross Hospital is located in Silver Spring and Holy Cross Germantown Hospital is located in Germantown, Md. Learn more.

Together, We Make Health Happen.

At Holy Cross Health, compassion starts within our walls. Every gift you make strengthens the heart of our mission — supporting the colleagues who care for our community every day. Your generosity fuels programs that make a tangible difference for your team, our patients, and the broader community.

Choose from:

Colleague Support Funds – Programs that assist and uplift our team.
Patient & Community Health Funds – Initiatives that enhance care and promote well-being.

For a complete list of funds and descriptions, click here.

Make your recurring payroll gift today and be the reason hope shines brighter.

To make bi-weekly donations through payroll deduction, please complete the form below. Please allow time for processing. Your deductions will typically start within one to two pay periods after your enrollment is received.

Donation Information

Amount:

Per Pay Period

$5.00

Per Pay Period

$10.00

Per Pay Period

$25.00

Per Pay Period

$50.00

Other

Designation:

Additional Information

18000-Workday ID:

18000 - Employer:

18000 - Work Site:

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

Email:

Additional Security

This is a security measure to help prevent fraud.

Tribute Information

Type:

First name:

Last name:

Please send a letter about my tribute gift to: