The Allegiant Direct Blogs

doc and patient illustration

Are your patients really grateful?

May 04, 20262 min read

By Wayne Gurley
President & Creative Director

Recently, an article in the AHP Connect caught my attention -"Why I'm Moving Away from the Term "Grateful Patient,"by Moira K. Connolly.

For decades, the term “Grateful Patient” has come to define all former hospital or clinic patients. It also has ascribed a sense of universally accepted gratitude on their part.

As a former nurse, Connolly approaches the term somewhat differently from a marketer like me, but it was nonetheless compelling.

"Grateful Patient" is misleading.

She argues the term “grateful patient” is misleading and emotionally reductive.

Drawing on her experience, she explains that patient and family giving often comes not from gratitude, but from advocacy, determination, or a desire to create change after harm or trauma.

She says while genuine gratitude can be powerful and transformative, assuming it as the primary motivation oversimplifies deeply personal and complex experiences and can erase the role of families.

Connolly advocates replacing the term with “Patient & Family Giving,” emphasizing that more inclusive language better reflects empathy, honors diverse motivations, and supports more authentic relationships in healthcare philanthropy.

Less than 1% are "grateful."

As a marketer, I’ve always felt the term “grateful” patient misses the mark. Certainly, some are grateful. But when less than 1% respond with a gift, that can hardly be categorized as “grateful.”

And why do rented names - who have NOT been in the hospital - perform better than so-called “Grateful Patients?”

There are reasons for that, which I won’t get into here. But the fact that a non-patient is more responsive than a patient doesn’t make a lot of sense.

It's counter-intuitive, but direct marketing by nature is highly counter-intuitive.

Responses are down, but there are good reasons.

In the last couple of years, responses from grateful patients have been dropping. Recently, I talked to a hospital experiencing a low patient response rate of 0.22%.

When I dug into it, I could see why: The strategy and copy was very weak.

By contrast, we see higher response rates due to the rigid audience selection we use and the kind of copy that generates a better response - on average, 0.7% and higher.

From Former Patients to Grateful Donors

I'd encourage everyone to start using the term “Former Patients” instead of the term “Grateful.” To me, they’re only grateful if they make a gift.

Then you can legitimately call them “Grateful Donors.”

TO DISCUSS YOUR PROGRAM WITH ALLEGIANT DIRECT, CLICK HERE NOW: BOOK A CALL

© 2026 Allegiant Direct, Inc.

grateful patient fundraising

By Wayne Gurley

President & Creative Director

Back to Blog

Frequently asked questions

What kind of copy gets the best response for healthcare fundraising?

Mainly, copy that’s relevant, focused on the donor and non-institutional. Our experience is that it needs to be something related to heart or cancer and perhaps technology that does something better, keeps you out of the hospital and/or is less costly and less invasive. For children’s hospitals and hospices, patient stories usually work best, but appeals for new technology, equipment or programs can also work well.

Which is best - a window or closed face envelope?

We use both depending on the situation. A closed face envelope is a little more expensive. However, the #10 window envelope has been a workhorse for us for many decades. For hospital grateful patients, we think it may work because it approximates the look of a hospital bill. You can split test window vs. closed face, and sometimes you’ll find that a window does better, and sometimes a closed face works better. A closed face envelope has a more professionally looking business correspondence feel to it.

What about using a teaser on the outside envelope?

We usually come down on the side of not using teasers. The reason -  if you put something on the envelope that gives the recipient an idea of what's inside, and they're not interested – like if they can tell it's a fundraising letter - then the trash can is always nearby. The problem with teasers is that most people who write teasers do not know how to tease properly. A teaser has to have some mystery to it. So, when you see it, you say, “What's this all about?” Having no teaser is its own mystery because you're wondering “why are these people writing me?” Then you want to find out and you open the envelope. We’ve used teasers in the past and tested them. Sometimes they work, and sometimes they don't. More often than not, they don't work. So, unless you've got a superb teaser, you may want to not use one at all.  

Which lists work best for healthcare fundraising?

Most of our hospital clients solicit former patients, and they mostly work well. But if you’re a hospice, you have few numbers of bereaved individuals to solicit. By the same token, if you’re a children’s hospital, you have a minimum number of patients to contact. Parents of children’s hospital patients (the guarantors) are too young to be good philanthropic prospects. As a result, what we've found is that rented lists of donors to healthcare causes in your area often work better than patients. With hospices and children’s homes, you almost have no choice but to use rented names to build your donor base. Perhaps surprisingly, rented names tend to outperform hospital grateful patients. But why would a person who hasn't been in your hospital perform better than someone who has? With patients, we really only know two things about them. We know they're the correct age because we can select them based on age or date of birth from the patient record. We also know they've been in the hospital. But that’s it. We don't know anything else about them.   But with a rented name, we know they're the right age because they've given to other nonprofit organizations. They’re definitely philanthropic. They’ve also given through the mail and are responsive to mail appeals. We also know they like to give, and particularly to healthcare causes. So that gives them an edge on former patients.

Book A Call

(FREE 30 minute consult)

To make your FREE consult appointment, select a date and click submit,

then you will be taken to a page to select the time. We look forward to chatting

with you! (If our calendar is not available, please refresh your page.)

Contact Us for More Information

For general inquiries or to receive additional information about our services, please write or call us.

Allegiant Direct, Inc.
278 Franklin Road, Suite 290
Brentwood, TN 37027

(615) 373-2042

[email protected]

Still have questions?

Allegiant Direct, Inc.

278 Franklin Road, Suite 290

Brentwood, TN 37027

(615) 373-2042

[email protected]

Marketing Systems Built By Be Known

We make no income or earnings claims - your results may vary.

We present testimonials and insights about other people’s experiences with our website for purposes of illustration only. The testimonials and examples used are of actual clients. They are not intended to represent or guarantee that current or future clients will achieve the same or similar results; rather, these testimonials represent what is possible for illustrative purposes only. 

This site is not a part of the Google or Facebook website or Google/Facebook/Meta Inc. Additionally, this site is NOT endorsed by or affiliated with Google or Facebook in any way. GOOGLE and FACEBOOK are trademarks of GOOGLE, Inc. and FACEBOOK, Inc or Meta, Inc.