top of page

Authentic Donor Engagement: Unlocking the Power of Alignment

PART 4 of a 4-PART SERIES
PART 4 of a 4-PART SERIES

Health care philanthropy succeeds when relationships lead. Yet under constant pressure for results, even seasoned professionals can slip into reactive mode—tracking outputs instead of cultivating meaning.


This four-part series traces the full progression of authentic donor engagement, from first conversation to long-term partnership. Each paper explores a core discipline that defines exceptional philanthropy. In Part 4, we discover how to translate appreciation into lasting, mission-driven investment.

In major gift development, prospect qualification answers two essential questions: Does this individual care about our mission, and do they have the capacity to invest at the level our organization defines as significant? Qualification, however, is only the beginning. The next crucial step is alignment, or the first phase of true engagement. Alignment is not about solicitation. It is about understanding how donors perceive the organization, where their passions lie and how those passions intersect with institutional priorities. For philanthropy officers, alignment provides the strategic foundation for everything that follows. Why Alignment Matters Alignment transforms a basic indicator of interest into a guiding framework for relationship development. A prospect who is both capable and inclined may not yet understand how they can best connect with the organization’s mission. Without alignment, cultivation drifts, wasting effort or missing chances to link passion to purpose. With alignment, next steps are donor-centered and strategically sound.

Alignment transforms a basic indicator of interest into a guiding framework for relationship development.

Alignment is often the heavy lifting of major gift work. At this stage, philanthropy officers work largely alone. Leadership, physicians and volunteers will play significant roles later, but alignment depends on the officer’s own skill, judgment and initiative. This makes it both challenging and rewarding. Officers must create the conditions for donors to share their perceptions, listen with discipline and interpret subtle cues about motivation and values. Alignment as Strategic Intelligence At its core, alignment is about intelligence-gathering. Donor stories and reflections reveal not just what a prospect thinks, but how they act. That insight helps you anticipate which engagements will resonate. For example:

  • A prospect who emphasizes gratitude for nursing care may respond well to learning about patient-centered initiatives.

  • A prospect who focuses on research will likely connect with the institution’s academic and discovery-driven priorities.

Planning Beyond the First Step Alignment is the bridge between qualification and cultivation. Strategically, it creates the roadmap for the next stage of moves management. By clarifying how donors perceive the organization and where their interests lie, alignment enables philanthropy officers to design cultivation strategies that are authentic and compelling.

By clarifying how donors perceive the organization and where their interests lie, alignment enables philanthropy officers to design cultivation strategies that are authentic and compelling.

From Solitary Work to Shared Partnership Once alignment is established, the philanthropy officer can confidently bring others into the relationship. This shift marks a turning point: the solitary work of alignment gives way to a broader partnership. With strategic clarity, leadership, physicians and volunteers can play purposeful roles that build momentum toward engagement and investment. Conclusion For philanthropy officers, alignment is essential: it is the first step of engagement, the bridge from qualification to cultivation and the foundation for authentic donor partnerships. Alignment may feel like solitary heavy lifting, but it is the work that opens the door to shared involvement and transformational philanthropy. By embracing alignment as both discipline and opportunity, philanthropy officers ensure that every move forward is grounded in strategy, authenticity and is donor-centered.



About the Authors:

Heather Wiley Starankovic, CFRE, CAP, is a Principal Consultant with Accordant. She can be reached at Heather@AccordantHealth.com or through LinkedIn. Amy Dorrill, FAHP, CFRE, is a Principal Consultant and Community Health & Well-Being Practice Leader with Accordant. She can be reached at Amy@AccordantHealth.com or through LinkedIn.




Comments


Our Blog

books.png

The Accordant Team has published a number of books to advance the efforts of health care philanthropy and help development leaders everywhere. 

trustee logo_1.png

Accordant is honored to collaborate with American Hospital Association Trustee Services to provide issue papers, templates and webinars to support the involvement of healthcare trustees and foundation board members in advancing philanthropy. These resources can also be found on the AHA Trustee website.

bottom of page