Health Organization (Non-Profit)

1. Includes, but not limited to, hospital, clinics, residential treatment centers, rehabilitation facilities, and blood or tissue banks.

2. Must be licensed, accredited or approved by nationally recognized accrediting or licensing agency (Ex. Dept. of State Health Services) or the current recipient of research grants by a recognized authority such as the National Institutes of Health, or by similar national advisory council or organization.

3. Required additional documentation that must be submitted with application:

a. Letter from IRS certifying status as a 501(C) non-profit. IRS ruling letter must include current name and address.

b. Complete narrative about your organization, including:

i. Description of services provided;

ii. Number and type of patients served;

iii. Description of facilities, including number of beds; and

iv. Overview of key staff and their qualifications.

c. Certificate of accreditation, license, or letter of approval from a nationally recognized accrediting or licensing agency OR research grant from National Institutes of Health or similar national advisory organization.

d. Articles of incorporations, bylaws, charter or other organizing document (optional)

e. List of additional research grants awarded (optional)