Nash UNC Health Care Foundation Funding Request Application 2019

Organizational and Contact Information


Nash UNC Health Care Foundation Giving Mission and Priorities:

It is the intent of Nash UNC Health Care Foundation to provide funds, when available, to qualified tax-exempt organizations when the request contributes to the overall mission of the health care system, which is to provide superior quality health care services and to help improve the health of the community in a caring, efficient and financially sound manner.

Does the organization have a non-profit tax-exempt classification under Section 501(c) (3) of the Internal Revenue code? *

*If your organization operates as a 501 (c)(3) public charity via a fiscal agent, your application's supporting documentation must include a letter from the fiscal agent organization that verifies the relationship and includes when the relationship was established

Did your organization receive United Way funding in 2018? *

Program Information and Funding Request

The Community Health Needs Assessment (CHNA) is required by the Affordable Care Act every three years. Nash UNC Health Care participated in the Eastern Regional Community Health Needs Assessment for 2019. Health ENC is comprised of 33 counties in Eastern NC. As part of the selection process, we will focus on these three items selected based on ability to impact and relevance to hospital capabilities.


1. Respiratory Disease

2. Heart Failure/Stroke

3. Diabetes/Exercise/Nutrition/Weight Loss/Wellness

How will the requested funds be used? *
Please provide the following basic information about your program. 
Project/program financial information

Application Questions

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