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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 nameCityDefinitive IDNet patient revenue# of staffed bedsExplore dataset
1Inova Fairfax Hospital (AKA Inova Fairfax Medical Campus)Falls Church4271$2,663,050,752908Explore
2University HospitalCharlottesville4310$2,370,509,568665Explore
3VCU Medical Center Main HospitalRichmond4335$2,261,221,376842Explore
4Sentara Norfolk General HospitalNorfolk4329$1,662,604,800472Explore
5Carilion Roanoke Memorial HospitalRoanoke4338$1,525,864,576621Explore
6Riverside Regional Medical CenterNewport News4326$1,076,928,000433Explore
7Johnston-Willis HospitalRichmond4264$1,004,930,112292Explore
8Centra Lynchburg General HospitalLynchburg274410$927,557,184358Explore
9Henrico Doctors HospitalRichmond4280$776,625,408340Explore
10Winchester Medical CenterWinchester4345$753,297,536455Explore
11St Marys HospitalRichmond4279$688,942,400363Explore
12VHC Health (AKA Virginia Hospital Center)Arlington4260$678,312,768385Explore
13Mary Washington HospitalFredericksburg4315$607,268,352414Explore
14Sentara Leigh HospitalNorfolk4330$597,121,984274Explore
15Childrens Hospital of the Kings DaughtersNorfolk5001$546,188,224202Explore
16Inova Loudoun HospitalLeesburg4285$530,668,160189Explore
17Inova Alexandria HospitalAlexandria4308$507,155,488303Explore
18LewisGale Medical CenterSalem4339$498,302,560271Explore
19Sentara Virginia Beach General HospitalVirginia Beach4343$478,391,008239Explore
20Augusta HealthFishersville4261$448,911,968193Explore

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 December 2024 Medicare Cost Report release. Accessed January 2025.

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 $2.6 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 $2.3 billion in NPR.

The third-place hospital is VCU Medical Center Main Hospital in Richmond, with more than $2.2 billion in NPR. This facility is also a teaching hospital 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 three. 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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