Dr. Frank Spencer Royal, a distinguished American physician, influential civic leader, and dedicated advocate for healthcare equity and education, passed away peacefully on February 2, 2026, in Richmond, Virginia, at the age of 86. Born in Lynchburg, Virginia, Dr. Royal dedicated his life to serving his community and advancing opportunities for African Americans in medicine and academia. His profound impact was felt across numerous institutions and countless lives, leaving an indelible legacy of leadership and compassion.

Dr. Royal's extensive career was marked by significant leadership roles. He served as the chairman and later president of the National Medical Association, the nation's oldest and largest organization representing African American physicians and patients. His commitment to medical education was evident through his nearly 40 years of service on the board of trustees for Meharry Medical College, where he chaired the board for three decades and spearheaded a transformative $127.5 million fundraising campaign.

Beyond his contributions to national medical organizations, Dr. Royal was a pivotal figure in his home state of Virginia. He provided visionary leadership as the chairman of the Board of Trustees for Virginia Union University for 30 years, guiding the institution through periods of significant growth and development. In Richmond, he played a crucial role in the relocation of Richmond Community Hospital, ensuring continued access to quality healthcare for underserved communities.

Dr. Royal also extended his expertise to the corporate world, serving on the boards of directors for major companies such as CSX Corporation, SunTrust Banks, Smithfield Foods, HCA Healthcare, and Dominion Energy. Alongside his beloved wife, Pamela Royal, he established the Pamela and Frank S. Royal, Sr. Endowed Scholarship and the Royal Society at Meharry Medical College, further cementing his commitment to future generations of medical professionals. His life was a testament to purpose, faith, and unwavering dedication to the betterment of others.

Dr. Royal is survived by his wife, Pamela Charlton Royal, and their children, Pamela, Karen, and Frank Jr., all of whom followed him into the medical profession. He also leaves behind numerous grandchildren, great-grandchildren, his twin brother, Harry Willis Royal, and a vast network of colleagues, mentees, and friends who were touched by his generosity and leadership. His passing marks the end of an era for many, but his spirit of service and excellence will continue to inspire.