PDO may also be donated to Liberty Hospital Foundation-sponsored programs at 100% of their value. Any taxes associated with a PDO donation are the responsibility of the donor. For further details, please refer to the PDO policy found in the Liberty Hospital Handbook, in policy tech, or in the 2025 Benefits Enrollment Guide. Foundation staff cannot see your total hours donated, only Payroll will have access to this information! 

.

PDO (Paid Days Off) Donation Form

Name(Required)

Please enter a number greater than or equal to 4.
Is this towards the Car Raffle?
We’ll round your PDO donation to the cost of the nearest raffle tickets, and any extra will be counted as a regular donation.

For example:
– If you donate 12 hours of PDO at $20/hour, that’s a $240 donation.
– You’ll receive 2 tickets (worth $200 total) and be credited with a $40 donation for the extra amount.