This document outlines the mission, vision, and goals of Memorial Hospital and Beacon Health System to promote community health. Their mission is to enhance physical, mental, and emotional well-being in the communities they serve through high-quality and comprehensive healthcare. Their vision is to be in the top 10% for clinical quality, patient satisfaction, and value in the United States. Their goal by 2021 is to reduce preventable chronic disease cases and treatment expenditures by 40% and 50% respectively.

1. Creating community health is at
the core of Memorial Hospital
and Beacon Health System’s
mission
We believe promoting community health is the right thing to do,
and is key to long-term cost-effectiveness. We believe improving
the community’s health status is as much social, economic and
environmental as it is a medical issue.

2. Mission:
To enhance the physical, mental and emotional well-being of the
communities we serve as the community's provider of outstanding
quality, superior value and comprehensive health care services.
Vision:
To be recognized as a model for the delivery of health and wellness
by achieving the Top 10% in clinical quality, Top 10% in patient
satisfaction and top tier in value per patient in the United States.
Beacon Intent Statement:
Building on the Health Systems' strengths of being community
oriented, building deep ties in the community, and being recognized
as a core hub by the community, our future promise is to: Reduce by
40% the number of preventable chronic disease cases in our
community by 2021 and reduce treatment expenditures by 50%.

3. DATE OF _____
ORGANIZATION NAME
ADDRESS
CITY, STATE, ZIP
PHONE NUMBER
EMAIL ADDRESS
CONTACT PERSON / TITLE
PROJECT TITLE
CHNA PRIORITY THEME
First, we ask that organizations include this information
on all documents submitted for tithing so that it is
clearly identified and we will have immediate access
to all program reference information.

4. is for groups who need program
direction and guidance. It will give an
initial structure for generating interest in
support of program ideas and allow
organizations to identify areas of focus
as well as determine how it fits into
Memorial’s funding priorities and
requirements.
Priority Themes:
http://www.qualityoflife.org/chna
Critical Indicators:
St. Joseph County Indicators
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5. PROPOSAL
Once a need is identified and a project
or program is decided on, the proposal
will help organizations organize their
plan and supporting data into a format
that allows easy reference for our
Council and Executives when
determining funding priorities.
Based on the strength areas and
helping to support any weaker aspects
of the plan, feasibility and sustainability
can be assessed and tithing awards
determined.
Critical Indicators:
St. Joseph County Indicators
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6. PROPOSAL
MID-YEAR REPORT
Memorial is required to provide
progress reports on the programs we
fund periodically during the year, from
health system reporting to President
reports and the IRS.
Providing us with a mid-term project
report allows us to communicate
program status, keeps organizations
accountable for the funds they were
granted and helps to prep
documentation for year-end reporting.
As a bonus, it gives our partners a
opportunity to showcase their success
and ask for help with any problems or
concerns they may have.
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7. PROPOSAL
MID-YEAR REPORT
ANNUAL REPORT
is an opportunity to present outcomes
at the successful completion of the
program. Analyzing success and
shortfall helps to adjust program and
project trajectory, focusing on not just
the needs of the community, but also its
capacity for change.
Not every project is systemic; not all are
designed to be. However, with
measurement and outcome analysis
every program can inform the greater
goal of a healthier community. Positive
or negative results are an important
indicator of current community
support, opportunity and limitations.
These are vital pieces of the puzzle and
this cumulative report will detail that.
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8. is a way to demonstrate how the
Activities, Outputs and Outcomes
delivered by community projects can
have a wider impact.
Community Health's Innovation Training
will define and demonstrate the link
between objectives, inputs; activities,
outputs and outcomes within established
and developing projects. And how these
initial and projected steps can lead to
true Impact.
This Logic Chain template , developed
by Memorial staff, explores - in detail – all
the various aspects of the program’s
stages, outlining a plan of measurement
and setting up success from the initial
stages of implementation.
Logic Chain template

9. BUDGET
Obviously, the budget is a vitally
important part of any organization’s
proposal. Requesting funds is a great
deal more difficult if the required
amount is unknown.
The budget should provide a clear
overview of what everything is
expected to cost and who/how that
cost will be covered.
Memorial has clear regulations on what
we can provide funding for, as the
template clearly indicates. However,
we need to know that the costs we
cannot cover will be provided by
someone, or the program’s chance of
success is sabotaged from the start.
Budget template

10. BUDGET
INVOICE
Memorial understands that our
partners’ time is limited. In an effort to
alleviate some additional stress, we
developed a standard invoice which
can be used to request awarded
funding at the agreed upon intervals.
We require an invoice from the
receiving organization to facilitate
check release. This template includes
all the information we require to
process and release funds.
Organizations are always welcome to
utilize invoices of their own design
provided it includes all relevant
information.
Invoice template

11. IN CONCLUSION
Memorial provides this packet of
templates to our potential community
partners to help streamline processes
and meet requirements we need to
provide to both our board and
executives not only to support the
programs we fund, but also to provide
accountability to the hospital and
health system, and the federal
government from which the mandates
come.
Our status as a non-profit hospital is very
important to our continuing mission with
and in the community.