Major & Principal Giving

While everyday giving keeps the lights on, Major and Principal Giving provides the blueprint for institutional transformation. These high-level investments—often spanning six, seven, or even eight figures—are what allow healthcare organizations to build new heart centers, launch global research initiatives, and pioneer experimental therapies.

At this level, fundraising shifts from a transaction to a deep, multi-year partnership. It’s about aligning a donor’s personal legacy with your institution’s boldest visions. Because these gifts are complex and highly personal, they require a sophisticated approach to relationship management, creative gift planning, and executive leadership engagement.

Explore our resources below to master the art of the “ask,” learn how to steward high-net-worth donors, and discover strategies for moving supporters from annual donors to lifetime partners in innovation.