People have all sorts of motivations for giving money to charitable causes – sometimes it’s as simple as wanting to announce to the world that you supported a new hospital wing by having your name on that building. In order for a building to sport your name, it usually requires a charitable gift in the hundreds of thousands, if not millions. Of course, every organization has their own policies when it comes to naming stuff after big donors (as do the donors themselves!) – there are no hard and fast rules. But donors giving at that level are often heavily involved with the organization, for example serving on the board of directors, or at least having frequent fancy lunches with the CEO or Executive Director of the organization.