Hermanowski Family Foundation Initial Request Form

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Organization Name: Perry County Memorial Hospital
Legal Name (if Different): N/A
Also Known As: PCMH
Mailing Address: 8885 IN-237
City: Tell City
State: IN
Postal Code: 47586
Main Phone: 812-547-7011
Main Fax: 812-547-0174
Organization Website: https://www.pchospital.org
Employer ID Number: 35-1121699
Organization Tax Status: Nonprofit 501(c)(3)

Proposal Information

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Today’s Date: 3/9/26
Requested Amount: $10,000

Project Title: Perry County Memorial Hospital Youth Path
Project Description:

The Perry County Memorial Hospital (PCMH) Youth Path is a comprehensive program designed to ensure clinical continuity for families in Perry County, from the first ultrasound through high school graduation. The program’s initial “Roots” Phase is a prenatal-to-postnatal support bridge, helping families maintain PCMH as their medical home, even as mother delivers at hospitals near by who provide labor and delivery services.

Phase 1: The Bridge (Prenatal to Age 5) begins at PCMH-affiliated clinics, where expectant mothers receive a “Delivery Travel Kit.” This kit, tailored for families traveling out-of-county to deliver, includes a $25 gas card, a “My First Journey” baby book, and checklists for transferring records back to PCMH pediatrics. Once home, families are welcomed with a scheduled one-week wellness visit at a local PCMH clinic, where they receive a “New Parent Survival Guide” highlighting local resources and pediatric milestones.

Phase 2: Growth (Ages 6-12) focuses on nutrition and physical activity. Children receive a “PCMH Passport to Health,” a logbook distributed through Perry County schools. Kids earn stamps for attending well-child checkups, participating in local sports, and tracking healthy habits. Achieving “Gold Status” earns them a PCMH-branded prize, reinforcing healthy behaviors.

Phase 3: Horizon (Ages 13-18) addresses behavioral health and resilience through quarterly peer workshops on topics such as substance prevention, digital wellness, and sports medicine. Each year, the “Future of PCMH” scholarship awards $500 to a graduating senior pursuing a health-related degree.

Digital support includes a QR-code resource hub and SMS reminders, ensuring families stay connected to PCMH at every stage, nurturing lifelong health and loyalty within the community.

Total Project Budget: 11,500

Other Funding
Sources For The Project (Committed & Potential): N/A

Project Duration: 1 year
Geographical Area Served: Perry County Indiana
Age Group To Be Served: Prenatal to age 18

Contact Information

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Contact Prefix (Mr,Mrs etc.): Mrs.
Contact First Name: Brooke
Contact Last Name: Bennett
Contact Title: Grant Coordinator/Medical Coder
Contact Phone: 812-547-0167
Contact Email: brooke.bennett@pcmhospital.org