Saint Mary’s Health Foundation of New Westminster continues the legacy of Saint Mary’s Hospital by providing grants for community health initiatives. After the hospital closed in 2004, the foundation shifted its focus to health-related grantmaking, including tuition support for healthcare professionals, hospital beds, lifts and specialty equipment for hospitals and care facilities, patient supports, and palliative care. It reports more than $3.5 million donated over 20 years through grants generally ranging from $2,000 to $50,000, and it has announced a final grant application round as it prepares to grant out remaining funds. In the funding ecosystem, the foundation is a clear example of legacy healthcare philanthropy: it converts historic hospital assets into targeted support for local health capacity. Its grants can help facilities, professionals, and patients access resources that improve care delivery beyond core public funding.