About Highlands Cashiers Health Foundation
To Improve Health and Well-Being
Focus Areas
Primary CareBehavioral HealthInfant, Child & Adolescent Well-beingAccess to HealthcareRural Health / Western North Carolina
Who They Fund
school-aged youth and studentsyouth in foster caredisplaced familiessurvivors of domestic/sexual violence and child abuseolder adults/elderly (Meals on Wheels recipients)rural and underserved Western North Carolina communities (including EBCI)frontline staff and clinicians (school staff, care providers)
About Highlands Cashiers Health Foundation
Highlands Cashiers Health Foundation Inc stands out for its large, local grantmaking in Western North Carolina, including repeated support for community health providers and behavioral health services across the Plateau. The foundation’s recent awards show a strong emphasis on access to care, with sizeable operating and program support flowing to clinics, schools, and service organizations in NC communities such as Hendersonville, Highlands, Sylva, Franklin, and Cashiers. A major thread in the record is health-system capacity. Blue Ridge Community Health Services Inc received three of the largest recent grants, including $700,009 in 2023, $643,372 in 2024, and $533,707 in 2025, all tied to operational or health-center support. The foundation also backed Counseling and Psychotherapy Center of Highlands with $105,000 in 2025 for behavioral and mental health support related to Hurricane Helene, expanding access to services and community awareness. Other large awards support school health, community clinics, farmworker health, and services for abuse survivors, reflecting a funder that uses grants to strengthen local care delivery rather than fund individual assistance.
What Highlands Cashiers Health Foundation Funds
Behavioral health is a clear priority. The foundation gave $95,000 to Counseling and Psychotherapy Center of Highlands in 2024 to expand access to behavioral health services and bolster community awareness and support for the Plateau Behavioral Health Collaborative. It also awarded $70,000 to Hights in Cullowhee for restorative justice behavioral health. Youth and school-based health appear throughout the record. Macon County Public Schools received $66,640 for Highlands School Nurse, and Jackson County Public Schools received $54,000 for Leading School Based Mental Health in the West. The Summit Charter School Inc in Cashiers got $50,000 for student mental and physical wellness. Access to clinical care is another recurring theme. Vecinos Farmworker Health Program received $50,000 for Community Health Worker III and Chronic Disease Care Plans, while Western Carolina Medical Society Foundation Inc received $38,000 to expand colorectal cancer screening access for underserved populations in Western North Carolina.
How Highlands Cashiers Health Foundation Gives
Typical grant size clusters around $30,000 at the 25th percentile, $45,842 at the median, and $65,480 at the 75th percentile. The recent record also includes several much larger awards, suggesting a mix of routine program grants and larger operating or capacity investments. Recipients recur across years: Blue Ridge Community Health Services Inc appears in 2023, 2024, and 2025, and Counseling and Psychotherapy Center of Highlands appears in both 2024 and 2025. The foundation is a public charity, does not fund individuals, and does not make program-related investments. Its active LIFT Grants cycle accepts unsolicited applications.
Financial Snapshot
Annual Giving
$1.6M
Total Assets
$35.4M
Total Revenue
$5.8M
Total Expenses
$2.5M
Typical Grant Size
Most grants fall between $30K and $65K, with a median of $46K.
25th Percentile
$30K
Median
$46K
75th Percentile
$65K
Geographic Reach
Local2 states funded
Funding intensity
LowHigh
Headquarters
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