Donation & Sponsorship Requests

West Holt Medical Services is proud to sponsor and support the communities we serve.

Requests for sponsorships, charitable contributions or assistance must be submitted in writing using the Donation and Sponsorship Request Form.

Requests will be evaluated based upon the following criteria:

1. The request meets West Holt Medical Services’ policy out lined here.
2. The request meets our current funding capabilities.
3. The request supports West Holt Medical Services’ mission, vision and values.
4. If the request is for a sponsorship, the sponsorship provides for broad community impact.
5. For team sponsorships, at least 75% of the team participants must be employees or volunteers at West Holt Medical Services.

West Holt Medical Services will not fund requests in the following instances:

1.    Requests from commercial, for-profit businesses.

2.    Requests from organizations that are engaged in political or governmental activities.

3.    Requests from organizations or programs that are inconsistent with West Holt Medical Services’ mission, vision or values or that would be deemed a conflict of interest.

4.    Individuals, including persons who are seeking financial support for their individual participation in a fundraising effort or event.

5.    Individuals requesting funds for their private use – regardless of the intent of need.  Including seeking funds to defray the costs of an individual’s health care by conducting fundraising events or other activities. Due to the volume of such requests, varying types, and inability to manage all such requests, we do not participate in promoting, funding, or coordinating such activities.

6.    Political causes or candidate.

7.    Events or projects outside the West Holt Medical Services’ Service Area.

Preference is given to projects related to the following:

  • Health needs identified through the North Central District Health Department’s Community Health Needs Assessment.  This document can be found at
  • Promote health and wellness

Other projects related to the following may be considered:

  • Education
  • Civic/community events
  • Economic/community development
  • Arts and cultural efforts

The requestor does not have to be affiliated with West Holt Medical Services; however, West Holt Medical Services employees will be given precedence if all criteria is met equally among requestors.

Sponsorships and charitable contributions will be reviewed and approved on a case-by-case basis by the Director of Marketing.  West Holt Medical Services reserves the right to deny any request, at its sole discretion. Funding in prior years does not guarantee continued funding in any subsequent year.

How to Apply:

Formal requests for charitable contributions, sponsorships or services must be made 30 days prior to the event or activity. A Donation and Sponsorship Form must be completed for each activity/event.

The form may be printed and sent to:

Attn: Marketing Department
West Holt Medical Services
406 West Neely
Atkinson, NE 68713

Requests are evaluated as they are received. Applicants will be notified of approval or denial via email or by phone. Questions should be directed to the Marketing Department, 402-925-1956 or