DIGITAL HEALTH STRATEGIES × ASSOCIATION FOR HEALTHCARE PHILANTHROPY
Annual Benchmarking Report · 2023 Edition

Digital Fundraising Benchmark Report for Hospitals

Our third annual report — insights from 210 leading non-profit hospital foundations spanning academic, specialty, and community-based systems across the country.

2023 At a Glance
86%
of respondents with digital grateful patient programs saw more new donors
42%
annual donor retention — up from 30% the year before
+150%
growth in $10K+ online gifts since 2021
About This Report

Benchmarks from 37 hospitals. Survey insight from 210 foundations.

The 2023 Digital Fundraising Benchmark Report for Hospitals, produced by Digital Health Strategies in partnership with the Association for Healthcare Philanthropy, is the industry’s leading digital survey. Our insights and benchmarks are drawn from survey responses and data from non-profit hospital foundations.

This year, for our third annual report, we surveyed 210 leading non-profit hospital foundations, spanning academic, specialty, and community-based systems across the country. Benchmarks were developed from data sourced from 37 hospitals and hospital systems. The data only includes revenue from email, website and direct mail solicitation campaigns — not events, major giving, planned giving or employee giving.

Use this report to validate and improve your hospital’s digital fundraising strategy. These insights can help you acquire and convert more donors, generate larger gifts, retain donors longer, and identify and cultivate promising major donors.
Where to Focus

Top 3 fundraising priorities for hospitals & health systems

Acquisition

Digital grateful patient programs are key to donor growth

86% of respondents with digital grateful patient programs saw more new donors. 93% saw larger first gifts.

55% of hospitals without a digital grateful patient program would like to add one to aid acquisition.

Donor Retention & Upgrades

Increased online communication directly leads to increased revenue

60% of hospitals that sent more emails this year than last year saw improved or stable revenue and more major gifts.

58% of hospitals that regularly sent community-based messaging with personal stories saw an increase in gifts above $1,000.

Major Donor Development

Advanced data modeling can support major gift cultivation

64% of respondents don’t perform major donor modeling or don’t know how effective their models are.

72% of respondents reported their average major gift portfolio is between 50–100+ prospects, underscoring the need for digital tools to support outreach.

Key Findings

What separates growing foundations from the rest

Acquisition

Implement the tools to convert top-of-funnel prospects.

  • ~90% of respondents with a digital grateful patient program say they’re seeing improvements in donor conversion and average gift sizes.
  • As a percentage of total donors, first-time donors comprised 26% more than last year. Precise targeting and messaging can successfully reach and convert the right prospects.
  • First-time online donors are converting 20% faster than donors as a whole, and email provides the ability to engage prospects within 30 days of their care encounter.
Donor Retention & Upgrades

Invest in online giving to improve retention and increase gift sizes.

  • Only 38% of respondents use targeted outreach to improve retention, and less than 1/3 are using custom retention messaging.
  • 46% of respondents don’t ramp up retention messaging for at least 24 months after a gift — a major missed opportunity to re-engage donors before they lapse.
  • 92% of survey respondents saw stable or improved year-over-year performance in $1,000+ giving, demonstrating the opportunity to cultivate mid-level donors.
Major Donor Development

Data is being underutilized to support major donor programs.

  • Less than 1/3 of respondents feel they are using major donor modeling effectively.
  • 57% of hospitals who increased their email volume this year had increases in major gifts.
  • Online gifts of $10,000+ have grown by 150% since 2021, demonstrating that donors are increasingly comfortable giving large amounts online.
The Numbers

Hospital foundation digital fundraising benchmarks

We sourced quantitative data from 37 hospitals across the country to develop benchmarks around donor acquisition, donor retention, and major donor development. Want to benchmark your program? Drop us a line at contact@digitalhealthstrategies.com

+13%
Annual growth in online donations. Non-profit hospitals saw an annual growth in online donations of 13% in 2022.
39%
First-time donor rate. Average acquisition rate of 39% in 2022 — 26% higher than the prior 12-month period’s 31%.
$462
Average online donor value. The average 12-month value of an online donor, 8% higher than the prior period’s $426.
42%
Annual donor retention. Percentage of 2021 donors who gave again in 2022 — a 40% increase from the prior rate of 30%.
+11%
Annual growth in online donors. Non-profit hospitals saw an increase in online donors of 11% in 2022.
51%
New donors from online channels. Share of new donors arriving via online channels — a 65% increase from 2021.
+39%
Annual email list growth. Increase in unique email addresses that a foundation can solicit in 2022.
1.59%
Email click rate. Unique email clicks divided by emails sent — a 7% decrease from the rate reported in 2021.
+7%
Annual growth in online revenue. Increase in foundation revenue exclusively from online channels.
$337
Average online donation. Online revenue per gift, on par with the prior year’s average of $332.
Methodology & Participants

Who’s behind the numbers

Survey participants

This survey was sent to members of the Association for Healthcare Philanthropy. Survey responses from 210 participants from the United States are included, spanning small community-based hospitals to large inter-state hospital networks.

104
Urban — serving a principal city of a metro area
68
Suburban — within a metro or micropolitan area
38
Rural — outside of a metropolitan area
19
Small hospitals <100 beds
30
Medium hospitals 100–499 beds
22
Large hospitals 500+ beds

Benchmarking participants

Benchmarks were developed from data sourced from 37 hospitals and hospital systems around donor acquisition, retention, and lifetime value. The data was validated and standardized by Digital Health Strategies and only includes revenue from email, website, and direct mail solicitation campaigns. All participants are based in the United States.

16
Urban communities
11
Suburban communities
10
Rural communities
11
Small hospitals <100 beds
18
Medium hospitals 100–499 beds
8
Large hospitals 500+ beds
Get Ready for 2024

Use this checklist to support your fundraising strategy and planning

Acquisition

  • Implement a digital grateful patient program to build a prospect list for 2024.
  • Develop a comprehensive fundraising calendar to solicit new prospects within 90 days of onboarding throughout the year.
  • Blend digital and traditional fundraising communications to engage supporters based on their preferences.

Donor Retention & Upgrades

  • Ask more often! Data shows that sending more email equals more money.
  • Engage recent donors proactively through regular stewardship to encourage additional gifts.
  • Use data to target gift amounts and reasons for giving based on prior behavior and interests. Directly connect donor support to community impact.

Major Donor Development

  • Use online channels to increase mid-level and giving society membership: online gift sizes are increasing and email allows for just-in-time messaging to drive upgrades.
  • Meet with major gift officers to create a plan for data and digital tools: understand their needs and what insights can make their work more efficient and effective.
Looking for the Latest Edition?

The 2025 benchmarks are here.

See where donor retention, mid-level giving, and grateful patient programs stand this year — and how your foundation compares.