Donation Form – Colleague Giving Recurring Payroll

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.

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: