Payroll Deduction for Employee Giving

Minimum yearly donation for payroll deduction is $150/year*
Minimum yearly donation for payroll deduction is $150/year
- New Payroll deduction
- I currently have a payroll deduction but wish to change the amount or designation
Gift designation area
- Caregiver Center
- Hospital Courtyard
- The Mather Hospital Fund- Where it’s needed most
Direct donations, no pavers, 24 pay periods per year (for exempt employees)
- $150 over one year = $6.25 per pay check
- $250 over one year = $10.41 per pay check
- $500 over one year = $20.83 per paycheck
- $750 over one year = $31.24 per paycheck
- $1,000 over one year = $41.67 per paycheck
- $2,500 over one year = $104.16 per paycheck**
- $5,000 over one year = $192 per paycheck**
- $7,500 over one year = $288 per paycheck**
Direct donations, no pavers, 26 pay periods per year (for non exempt employees)
- $150 over one year = $5.76 per pay check
- $250 over one year = $9.62 per pay check
- $500 over one year = $19.24 per paycheck
- $750 over one year = $28.84 per paycheck
- $1,000 over one year = $38.46 per paycheck
- $2,500 over one year = $96.15 per paycheck**
- $5,000 over one year = $208 per paycheck**
- $7,500 over one year = $312 per paycheck**
4″ x 8″ Courtyard Brick Paver
- One paver $500 donation
- $19.24 per paycheck for one year x 26 paychecks
- $20.83 per pay check for one year x 24 paychecks
- Two pavers $750 donation
- $28.84 per paycheck for one year x 26 paychecks
- $31.25 per pay check for one year x 24 paychecks
- Three pavers for $1,000
- $38.46 per paycheck for one year x 26 paychecks
- $41.66 per pay check for one year x 24 paychecks
4″ x 8″ Courtyard Brick Paver Inscription
Up to 14 characters per line Up to 3 lines
One time payroll deduction amount*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
People #*
What department do you work in?*
If you are in nursing, please put the department or unit that you work in.

Employee Giving Payroll Deduction

This deduction will continue until you contact Public Affairs to change it.