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Your next major donor is already in your system. The question is whether you’ll recognize them in time.
2026 REPORT

Your next major donor is already in your system. The question is whether you’ll recognize them in time.

Clinically-Intelligent Philanthropy: the new activation model for accelerating patient-to-donor conversion - and unlocking the $60M in annual giving hidden inside the typical U.S. health system.

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75%
Of health system donors begin as patients
$60M
In annual philanthropic revenue sits untapped in the median U.S. health system’s patient base
55%
Year-over-year lift in annual giving revenue in the model’s first year at one $4.5B health system
INSIDE THE REPORT

What’s inside.

Three out of four donors begin as patients, and 70% of major gifts trace back to an early care experience. Yet most foundations still see net worth before they see the patient. This report lays out the operating model that changes that - grounded in first-year results at a $4.5B health system with a $200M philanthropy program.

  • Why traditional patient-to-donor conversion breaks down: the five legacy practices - starting with over-prioritizing wealth - that cause foundations to miss 63% of their high-value donors.
  • The full activation model: how care journey intelligence, patient-donor phenotypes, and enterprise-wide engagement identify giving readiness earlier and personalize outreach at scale.
  • The Inova case study: a $200M philanthropy program that added a 55% annual giving lift, $300K in new major gifts within 4 months, and 514 new physician champions in under a year.

Whether you lead a foundation, a gift officer team, or the health system itself - this report shows what becomes possible when philanthropy finally sees the patient.

Get the report
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