Dolly Parton, the renowned country music star and philanthropist, has been widely mourned in her native Appalachia following her death last week at the age of 80. Her contributions to children’s health, literacy, and the Appalachian region have left a lasting impact on communities across Tennessee and beyond.

Parton’s deep connection to the region is reflected in the Dolly Parton Children’s Hospital in Knoxville, Tennessee, formerly known as the East Tennessee Children’s Hospital, which was renamed in her honor earlier this year. The 152-bed facility, a private, not-for-profit pediatric hospital, has become a central part of her philanthropic legacy. About 60% of the hospital’s patients receive free care, making donations crucial to its operation. The hospital’s director of marketing, Natalia Havasy, emphasized Parton’s unique influence, describing a “halo effect” that touches every aspect of the institution—from neon signage bearing her name to brightened playrooms and wards designed to reflect her vibrant personality.

Chad and Kristin Burrows, parents of six-month-old twins, Lila and Drew, expressed their support for the hospital, noting that it was highly recommended for their children’s medical needs. They also highlighted Parton’s Imagination Library program, which delivers free books monthly to children, including their twins. Parton herself once said she believed every child deserved to grow up healthy and hopeful, and she committed much of her life to helping children and families in need.

The hospital’s chief executive, Matt Schaefer, described meeting Parton as a “surreal moment,” praising her lifelong dedication to children’s welfare. The singer’s influence extends beyond healthcare; her Imagination Library fosters literacy and education among children in Appalachia, complementing her broader efforts to support the region.

Parton’s philanthropic work has attracted national recognition. In 2022, Jeff and Lauren Bezos awarded her $100 million to distribute to charities, citing her capacity to “lead with her heart” and effectively support those in need.

The star’s legacy also resonates locally. Leah Heintz and her children from nearby Sevierville spoke of their admiration for Parton and her lasting presence in the area, underscoring the singer’s connection to local culture and tourism, including the Dollywood theme park, which attracted nearly four million visitors last year.

Parton’s influence has sparked cross-partisan admiration. While conservatives often praise her Christian faith and commitment to action, progressives highlight her outspoken support for LGBTQ rights and public health measures. Former President Donald Trump, known for his often critical commentary on public figures, acknowledged her passing by ordering flags flown at half-mast and calling her one of the greatest country singers ever.

As the region and the nation remember Dolly Parton, her enduring legacy may well be defined by her contributions to literacy and the well-being of Appalachian communities, ensuring that her impact will be felt for generations.