Your browser does not support JavaScript!
This form cannot automatically check that you have submitted all of the required fields without JavaScript.
Please be sure to submit all required fields (marked with stars).

St. Luke Community Hospital

St. Luke Community Healthcare Foundation Donation

Our Foundation welcomes donations to support the various needs and programs that require support and funding. Please accept our thanks for your consideration and donation. To donate please scroll down the page and read the short directions.
All information will be kept secure and confidential. For more information about our current needs or to make a donation you may call the Foundation Office at 528-5324 or email We are a 501(c)3 non-profit organization.

To make a donation, please provide all of the necessary information, in the fields below.

All payments are via secure server. Thank you for your support.
* Your Email Address
Please Provide An E-mail Address.
  Is this donation for the Oncology Infusion Center?
Please select "yes" if you wish your donation to go to the Oncology Infusion Center.
  Comments or Messages Related To Your Donation
* Cardholder First Name
The first name of the account holder as it appears on the credit card.
* Cardholder Last Name
The last name of the account holder as it appears on the credit card.
* Amount of Payment
Format: 45.67 (Include decimal and cents. Do not use a dollar sign.)
* Card Number
* Expiration Date
* Card Code Verification Number
The three digit number on the back of your card. (Four digit code on the front of American Express.)
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code
* Contact Phone Number
Please provide a phone number where we may reach you regarding this payment