Elizabeth, named after the wife of the earliest sponsor, was originally located in Charlotte where it operated alongside the Gerard Conservatory of Music.

Elizabeth students finished the spring term at Roanoke College before their own institution closed for good in 1922.

In Salem, the land was given to the Lutheran Children's Home of the South, an orphanage that operated from 1927 until the 1980s using several large brick buildings constructed after the Elizabeth fire.

Two miles (3.2 km) from Roanoke's main campus, it is the site of athletic fields and residence halls.

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