@dpendleton Nice to hear your side of the story, with both the quilting and the hospital experience and bringing up the different needs and uses. Which also goes to why they all have different requirements. Here in Peoria we also have St Jude and they have their own requirements. Project Linus chapters have their own preferences/requirements, as does Ronald McDonald House.
The twin quilts I pictured were made to that donation groups sizing and preference for flannel on the back. They were meant to go home with the infants and had put in a request for "related but not identical" sets for the multi-births. I had two $1 packs of strips so least I could do was whip up something... and Janice was happy to quilt them down and bind them.
Since I work large, I target my donation projects to aging foster kids and young adults and/or houses in transition or starting over. Some of those groups prefer poly batts as being low allergen. I just do as I am told! Pretty much all donation quilts should be made in mind of heavy washing.