The pillowcases are part of the American Patchwork & Quilting’s (APQ) All People Quilt Million Pillowcase Challenge. Quilter's Emporium (QE) in Stafford, Texas, donates the pillowcases their customers make to Houston & Silverado Hospices 11 months of the year.

Around Christmas every year, QE donates pillowcases to several nursing homes in the rural areas south of Houston. The challenge started in January 2010 and as of August 15, 2013, QE had donated 3,921 pillowcases. The national pillowcase challenge from APQ has recorded more than 500,000 pillowcases donated to charity. Image courtesy of Karen Humphrey