Healthcare Insights

Top 20 hospitals in Virginia by net patient revenue

With a population of more than 8.6 million people, Virginia is one of the larger states on the east coast. In addition to its proximity to our nation’s capital, it also has numerous well-renowned medical facilities and ranks among the top 10 states in the U.S. by the quality of healthcare.

Using the Definitive Healthcare HospitalView product, we created a list ranking the top 20 Virginia hospitals by net patient revenue (NPR) according to the most recent 12-month interval tracked in our database.

Virginia hospitals with the highest net patient revenue

RankHospital nameCity# of staffed bedsNet patient revenueExplore dataset
1Inova Fairfax Hospital Falls Church794$2,155,046,859 Explore
2University HospitalCharlottesville655$2,068,505,987 Explore
3VCU Medical Center Main HospitalRichmond725$1,778,042,572 Explore
4Carilion Roanoke Memorial HospitalRoanoke621$1,459,650,689 Explore
5Sentara Norfolk General HospitalNorfolk472$1,300,307,000 Explore
6Centra Lynchburg General HospitalLynchburg358$894,945,503 Explore
7Johnston-Willis HospitalRichmond292$876,716,585 Explore
8Riverside Regional Medical CenterNewport News398$862,618,342 Explore
9Winchester Medical CenterWinchester455$694,656,016 Explore
10Henrico Doctors HospitalRichmond340$636,683,418 Explore
11St Marys HospitalRichmond378$612,297,333 Explore
12VHC Health Arlington378$582,934,094 Explore
13Mary Washington HospitalFredericksburg431$536,613,104 Explore
14Childrens Hospital of the Kings DaughtersNorfolk189$516,315,735 Explore
15Sentara Leigh HospitalNorfolk274$490,207,000 Explore
16Inova Loudoun HospitalLeesburg189$467,002,312 Explore
17Sentara RMH Medical Center Harrisonburg238$458,021,270 Explore
18Inova Alexandria HospitalAlexandria318$446,301,219 Explore
19Sentara Virginia Beach General HospitalVirginia Beach239$406,845,000 Explore
20LewisGale Medical CenterSalem332$389,211,528 Explore

Fig. 1. Data is from the Definitive Healthcare HospitalView product, according to the most recent 12-month interval tracked in our database. Data is from the April 2023 Medicare Cost Report release. Data is accurate as of April 2023.

Which Virginia hospital has the highest net patient revenue?

Inova Fairfax Hospital in Falls Church has the highest NPR in the state, with more than $2.1 billion. One of the largest facilities in the state by square footage, Inova Fairfax Hospital is ranked as the number one hospital in the D.C. metro area and in the entire state of Virginia by U.S. News and World Report.

In second place is University Hospital, located in Charlottesville. This facility is the teaching hospital for the University of Virginia, the top medical school in the state, and has more than $2 billion in NPR. As the number two hospital in Virginia, the facility is nationally ranked in six pediatric specialties and rated high performing in six adult specialties by U.S. News and World Report.

The third-place hospital is VCU Medical Center Main Hospital in Richmond, with more than $1.7 billion in NPR. This facility is also a teaching hospital, this time for Virginia Commonwealth University, the state’s second-highest-ranked medical school. VCU Medical Center is also the flagship facility of VCU Health, one of the largest health systems in the state.

Where are the top hospitals in Virginia located?

Virginia is one of the largest and most heavily populated states on the east coast, so the top hospitals by NPR are distributed relatively evenly across the state.

The state’s capital, Richmond, has four facilities in the top 20, while Norfolk has two. The rest of the top 20 are all located in different cities across the state.

What is net patient revenue?

Net patient revenue (NPR) is the aggregate money generated from patient services collected from payors. Hospitals need to calculate their NPR because it paints a clear picture of their financial strength, helps them develop meaningful business strategies, and helps to ensure that all departments retain funding year after year.

A hospital can calculate its net patient revenue by subtracting patient discounts from its total patient revenue. Metrics like contractual adjustments, charitable donations, foundation earnings, and bad debt are not accounted for when calculating NPR.

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