The Howard Hughes Medical Institute (HHMI), headquartered in the Chevy Chase suburb of Washington, DC, is the largest non-profit funding body for biomedical research in the US, with an annual budget of around $670 million. Until now, it has been a virtual institute, renowned for sponsoring elite investigators working at over 70 host laboratories around the country. But changes are afoot. HHMI president Tom Cech talked to Nature Medicine about his vision for the organization's future.