Provide high-quality, community-centered healthcare — "Your Health Is Our Mission" — through patient care, research, education and community outreach.
Carilion Medical Center’s largest recent grants have gone to medical education, with Virginia Tech Carilion School of Medicine receiving $6,344,695 in 2023, $4,293,581 in 2024, and $4,422,046 in 2025 for Medical School Support. That repeated commitment points to a funder closely tied to clinical training, research, and patient care rather than a broad external grantmaker. The foundation also supports community-facing health work through grants such as $286,827 in 2025 to Ronald McDonald House Charities SWVA for donated rent program support, helping sustain lodging support tied to care access. Other recent awards show a mix of health-system priorities and community partnerships, including funding for pediatric behavioral health, health sciences education, and health-related outreach. Carilion Medical Center’s grantmaking reflects a local, health-centered institution using philanthropy to support the medical pipeline, care delivery, and services around patients and families. Across the recent grants list, the pattern is consistent: large institutional support at the top end, alongside targeted community grants that connect directly to health outcomes and service access.
Medical education is a central theme. In 2025, Carilion Medical Center gave $243,442 to Radford University for Assoc Provost Health Sci, and in 2024 it awarded $144,987 to Radford University for Assoc Provost Health Sciences. The foundation also backed Virginia Tech Carilion School of Medicine at scale over multiple years, reinforcing physician training as a core priority. Community health outreach appears in grants such as $50,000 in 2025 to United Way of Roanoke Valley for Health collaborative and $79,772 in 2023 to The Rescue Mission of Roanoke Inc for General Support. Behavioral health is another specific area: Carilion Clinic Properties LLC received $258,407 in 2025 for Pediatric Behavioral Health. The portfolio also includes health-related economic and systems work, such as $600,000 in 2023 to Roanoke Regional Partnership for Promote economic development.
Typical grants cluster around a median of $20,000, with the 25th percentile at $10,000 and the 75th percentile at $56,944. The recent list shows both very large institutional awards and a long tail of smaller program and general support grants. Several recipients appear in multiple years, including Virginia Tech Carilion School of Medicine, Ronald McDonald House Charities of SW VA, Virginia Health Care Foundation, Cardinal Productions Inc, Children’s Trust Roanoke Valley, CHIP of Roanoke Valley, and Virginia Ready Initiative, which points to recurring relationships rather than one-off giving. The foundation is not a DAF and does not fund individuals. It also makes program-related investments.
$7.1M
$2.4B
$2.3B
$2.2B
Most grants fall between $10K and $57K, with a median of $20K.
25th Percentile
$10K
Median
$20K
75th Percentile
$57K
Nancy Howell Agee
CEO, Carilion Clinic
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Grantmaking is overwhelmingly local, with 93% of grants going to recipients in Virginia and all recent grants in the U.S. Recent awards reach Roanoke, Blacksburg, Richmond, Radford, and Alexandria. Roanoke appears often through recipients such as Ronald McDonald House Charities of SWVA, The Rescue Mission of Roanoke Inc, and CHIP of Roanoke Valley, while Blacksburg shows up through Valleys Innovation Council Verge and Valleys Innovation Council. Richmond and Alexandria also appear in the recipient list, reflecting a Virginia-centered portfolio anchored in Southwest and Western Virginia.
The recent grants show support for medical education, community health, pediatric behavioral health, economic development, and health-related outreach. Examples include Virginia Tech Carilion School of Medicine for Medical School Support, Radford University for health sciences, and United Way of Roanoke Valley for a Health collaborative.
Yes. Several recipients appear in multiple years, including Virginia Tech Carilion School of Medicine, Ronald McDonald House Charities of SW VA, Virginia Health Care Foundation, Virginia Ready Initiative, Cardinal Productions Inc, Children’s Trust Roanoke Valley, and CHIP of Roanoke Valley.
The typical grant size is $20,000. In the recent grant data, the 25th percentile is $10,000 and the 75th percentile is $56,944, which shows that many awards are relatively modest even though the foundation also makes much larger institutional grants.
The foundation gives most often in Virginia, and 93% of its grants go to recipients in the HQ state. The recent grants list also shows a strong concentration in Roanoke, with additional recipients in Blacksburg, Richmond, Radford, and Alexandria.
Its active grant program, Carilion Clinic / Carilion Clinic Foundation Grant Support, says it does not accept unsolicited requests. The program is oriented around patient care, clinical trials and research, community health and outreach, and medical education.
2026
Source: IRS Form 990-PF, fiscal year 2026.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| VIRGINIA TECH CARILION SCHOOL OF MEDICINE | ROANOKE, VA | $4,250,200 | 2026 | MEDICAL SCHOOL SUPPORT |
| RONALD MCDONALD HOUSE CHARITIES OF SW VA | ROANOKE, VA | $626,975In-kind: building, donated rent | 2026 | BUILDING |
| CARILION FRANKLIN MEMORIAL HOSPITAL | ROANOKE, VA | $543,398 | 2026 | PEDIATRIC CLINIC CAPITAL PROJECT |
| VALLEYS INNOVATION COUNCIL VERGE | BLACKSBURG, VA | $300,000 | 2026 | PROGRAM SUPPORT |
| GOODWILL INDUSTRIES OF THE VALLEYS | ROANOKE, VA | $250,000 | 2026 | RESTORING GREATNESS/MELROSE PLAZA |
| RADFORD UNIVERSITY | RADFORD, VA | $225,877 | 2026 | ASSOC PROVOST HEALTH SCI |
| GREATER ROANOKE TRANSIT COMPANY | ROANOKE, VA | $131,195 | 2026 | TRANSPORTATION SUPPORT |
| CHILDREN'S TRUST ROANOKE VALLEY | ROANOKE, VA | $121,000 | 2026 | OPERATING SUPPORT |
| CHIP OF ROANOKE VALLEY | ROANOKE, VA | $101,000 | 2026 | OPERATING SUPPORT |
| COALITION TO STRENGTHEN AMERICA'S HEALTHCARE | BETHESDA, MD | $56,250 | 2026 | PROGRAM SUPPORT |
| THE TWELVE FOUNDATION | ROANOKE, VA | $50,000 | 2026 | SUBSTANCE USE DISORDER TREATMENT FACILITY |
| BLUE RIDGE INNOVATION CORRIDOR | RICHMOND, VA | $50,000 | 2026 | GENERAL SUPPORT |
| VIRGINIA COMMEMORATIONS INC | RICHMOND, VA | $50,000 | 2026 | SPONSORSHIP |
| LOCAL ENVIRO AGRICULTURAL PROJ (LEAP) | ROANOKE, VA | $25,000 | 2026 | ACCESS TO HEALTHY FOOD |
| CARDINAL PRODUCTIONS INC | ROANOKE, VA | $25,000 | 2026 | HEALTH REPORTER |
| TAUBMAN MUSEUM OF ART | ROANOKE, VA | $22,500 | 2026 | SPONSORSHIP |
| FAMILY SERVICE OF ROANOKE VALLEY | ROANOKE, VA | $20,000 | 2026 | MENTAL HEALTH COUNSELING |
| A TREE PLANTED COLLECTIVE | ROANOKE, VA | $20,000 | 2026 | SCHOOL ECOSYSTEM THERAPY |
| CARILION SERVICES INC | ROANOKE, VA | $18,732 | 2026 | SUPPORT |
| FEEDING SOUTHWEST VIRGINIA | SALEM, VA | $18,575 | 2026 | FOOD FARMACY INITIATIVE |
| ROANOKE SYMPHONY ORCHESTRA | ROANOKE, VA | $16,000 | 2026 | SPONSORSHIP |
| AMERICAN HEART ASSOCIATION | GLEN ALLEN, VA | $15,000 | 2026 | EVENT SPONSORSHIPS |
| COMMONWEALTH CATHOLIC CHARITIES | RICHMOND, VA | $15,000 | 2026 | HEALTH CASE MANAGEMENT SUPPORT |
| COMPRESSION & SHOCK FOUNDATION | ROANOKE, VA | $15,000 | 2026 | PROGRAM SUPPORT |
| BLUFORD HEALTHCARE LEADERSHIP INSTITUTE | KANSAS CITY, MO | $15,000 | 2026 | PROGRAM SUPPORT |
| CHILDREN'S ASSISTIVE TECHNOLOGY SERVICES | MONETA, VA | $11,424In-kind: donated rent | 2026 | DONATED RENT |
| JUNIOR ACHIEVEMENT OF SW VA | ROANOKE, VA | $10,350 | 2026 | EVENT SPONSORSHIP |
| THE SCOTT ROBERTSON MEM JR GOLF ACAD | ROANOKE, VA | $10,000 | 2026 | EVENT SPONSORSHIP |
| NATIONAL MS SOCIETY | NEW YORK, NY | $10,000 | 2026 | SPONSORSHIP |
| VIRGINIA WESTERN EDUCATIONAL FDN | ROANOKE, VA | $10,000 | 2026 | SPONSORSHIP |
| BLUE RIDGE LITERACY | ROANOKE, VA | $10,000 | 2026 | ENGLISH AND HEALTH LITERACY |
| AMERICAN CANCER SOCIETY | GLEN ALLEN, VA | $10,000 | 2026 | EVENT SPONSORSHIPS |
| IMPACT LIVING SERVICES | ROANOKE, VA | $10,000 | 2026 | YOUTH INDEPENDENT LIVING PROGRAM |
| PLANNED PARENTHOOD SOUTH ATLANTIC | RALEIGH, NC | $7,500 | 2026 | EDUCATIONAL PROGRAM SUPPORT |
| WEST END CENTER FOR YOUTH | ROANOKE, VA | $7,000 | 2026 | EVENT SPONSORSHIP |
| BOY SCOUTS OF AMERICA BLUE RIDGE MOUNTAINS COUNCIL | ROANOKE, VA | $5,300 | 2026 | SPONSORSHIP |
| VIRGINIA BREAST CANCER FOUNDATION | RICHMOND, VA | $5,250 | 2026 | EVENT SPONSORSHIP |
| Virginia Tech Carilion School of Medicine | — | $4,422,046 | 2025 | Medical School Support |
| Ronald McDonald House Charities SWVA | — | $286,827In-kind: donated rent | 2025 | Donated rent prog support |
| Carilion Clinic Properties LLC | — | $258,407 | 2025 | Pediatric Behavioral Health |
| Radford University | — | $243,442 | 2025 | Assoc Provost Health Sci |
| Virginia Growth and Opportunity Foundation | — | $100,000 | 2025 | Program support |
| Valleys Innovation Council Verge | — | $100,000 | 2025 | Program support |
| Virginia Health Care Foundation | — | $75,000 | 2025 | Program support |
| Virginia Ready Initiative | — | $62,500 | 2025 | Program support |
| Virginia Chamber Foundation | — | $50,000 | 2025 | Program support |
| United Way of Roanoke Valley | — | $50,000 | 2025 | Health collaborative |
| Bradley Free Clinic of Roanoke | — | $28,000 | 2025 | Behavioral Health Services |
| Science Museum of Western Virginia | — | $25,000 | 2025 | Program support |
| Virginia Business Higher Education Council | — | $25,000 | 2025 | Program support |
VIRGINIA TECH CARILION SCHOOL OF MEDICINE
$4,250,200MEDICAL SCHOOL SUPPORT
RONALD MCDONALD HOUSE CHARITIES OF SW VA
$626,975In-kind: building, donated rentBUILDING
CARILION FRANKLIN MEMORIAL HOSPITAL
$543,398PEDIATRIC CLINIC CAPITAL PROJECT
VALLEYS INNOVATION COUNCIL VERGE
$300,000PROGRAM SUPPORT
GOODWILL INDUSTRIES OF THE VALLEYS
$250,000RESTORING GREATNESS/MELROSE PLAZA
ASSOC PROVOST HEALTH SCI
GREATER ROANOKE TRANSIT COMPANY
$131,195TRANSPORTATION SUPPORT
CHILDREN'S TRUST ROANOKE VALLEY
$121,000OPERATING SUPPORT
THE TWELVE FOUNDATION
$50,000SUBSTANCE USE DISORDER TREATMENT FACILITY
BLUE RIDGE INNOVATION CORRIDOR
$50,000GENERAL SUPPORT
LOCAL ENVIRO AGRICULTURAL PROJ (LEAP)
$25,000ACCESS TO HEALTHY FOOD
CARDINAL PRODUCTIONS INC
$25,000HEALTH REPORTER
A TREE PLANTED COLLECTIVE
$20,000SCHOOL ECOSYSTEM THERAPY
CARILION SERVICES INC
$18,732SUPPORT
ROANOKE SYMPHONY ORCHESTRA
$16,000SPONSORSHIP
COMPRESSION & SHOCK FOUNDATION
$15,000PROGRAM SUPPORT
BLUFORD HEALTHCARE LEADERSHIP INSTITUTE
$15,000PROGRAM SUPPORT
CHILDREN'S ASSISTIVE TECHNOLOGY SERVICES
$11,424In-kind: donated rentDONATED RENT
JUNIOR ACHIEVEMENT OF SW VA
$10,350EVENT SPONSORSHIP
THE SCOTT ROBERTSON MEM JR GOLF ACAD
$10,000EVENT SPONSORSHIP
VIRGINIA WESTERN EDUCATIONAL FDN
$10,000SPONSORSHIP
BLUE RIDGE LITERACY
$10,000ENGLISH AND HEALTH LITERACY
IMPACT LIVING SERVICES
$10,000YOUTH INDEPENDENT LIVING PROGRAM
WEST END CENTER FOR YOUTH
$7,000EVENT SPONSORSHIP
BOY SCOUTS OF AMERICA BLUE RIDGE MOUNTAINS COUNCIL
$5,300SPONSORSHIP
VIRGINIA BREAST CANCER FOUNDATION
$5,250EVENT SPONSORSHIP
Virginia Tech Carilion School of Medicine
$4,422,046Medical School Support
Ronald McDonald House Charities SWVA
$286,827In-kind: donated rentDonated rent prog support
Carilion Clinic Properties LLC
$258,407Pediatric Behavioral Health
Radford University
$243,442Assoc Provost Health Sci
Virginia Growth and Opportunity Foundation
$100,000Program support
Valleys Innovation Council Verge
$100,000Program support
Virginia Ready Initiative
$62,500Program support
Virginia Chamber Foundation
$50,000Program support
Science Museum of Western Virginia
$25,000Program support
Virginia Business Higher Education Council
$25,000Program support