
Virginia is home to over 150 healthcare facilities and hospitals, with 47 community health and hospital systems. The state's hospitals employ over 64,000 people and generate more than $12 billion in revenue each year. Inova Fairfax Medical Campus, located in Falls Church, is the biggest hospital in Virginia by bed size, with 923 beds. The hospital is affiliated with the Virginia Commonwealth University School of Medicine and is home to several speciality institutes. The second-largest hospital by bed size is the VCU Medical Center in Richmond, with 820 beds.
| Characteristics | Values |
|---|---|
| Name | Inova Fairfax Medical Campus |
| Number of Beds | 923 |
| Location | Falls Church |
| Affiliated With | Virginia Commonwealth University (VCU) School of Medicine |
| Specialty | Multi-speciality academic medical centre |
| Other Features | Northern Virginia's only Level 1 trauma centre, nationally ranked in adult gynaecology and paediatric neonatology |
| Healthcare System | Sentara Health, one of the largest non-profit health systems in the US |
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What You'll Learn
- Inova Fairfax Medical Campus: the biggest hospital in Virginia by bed size
- VCU Medical Center: the second-biggest hospital in Virginia by bed size
- Carilion Roanoke Memorial Hospital: a tertiary teaching hospital with 737 beds
- Sentara Health: a non-profit health system with 14 hospitals
- Riverside Health System: a non-profit healthcare organisation based in Newport News

Inova Fairfax Medical Campus: the biggest hospital in Virginia by bed size
With 923 beds, the Inova Fairfax Medical Campus is the biggest hospital in Virginia by bed size as of December 2021. Located in Falls Church, the multi-specialty academic medical centre is affiliated with the Virginia Commonwealth University (VCU) School of Medicine. The campus includes the Inova Fairfax Hospital, Inova Heart and Vascular Institute, Inova Schar Cancer Institute, Inova Neurosciences Institute, and Inova Children's and Women's facilities.
Inova Fairfax Medical Campus is also home to Northern Virginia's only Level 1 trauma centre and specialises in heart, lung, kidney and pancreas transplantation. It is nationally ranked in the adult speciality of gynaecology and the paediatric speciality of neonatology.
The second-largest hospital in Virginia by bed size is the 820-bed VCU Medical Center, located in downtown Richmond. It is the flagship hospital campus of VCU Health, a non-profit academic health system operated by Virginia Commonwealth University. The multi-specialty medical centre performs more than 24,000 surgeries a year.
The Carilion Roanoke Memorial Hospital, located in Roanoke, is another large hospital in Virginia, with 737 beds. It is affiliated with the Virginia Tech Carilion School of Medicine and is the flagship campus of Carilion Clinic, a Virginia-based non-profit healthcare system. The University of Virginia Medical Center in Charlottesville is another large hospital, with 671 beds.
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VCU Medical Center: the second-biggest hospital in Virginia by bed size
The VCU Medical Center, formerly known as the Medical College of Virginia (MCV), is the second-biggest hospital in Virginia by bed size. It is the medical campus of Virginia Commonwealth University (VCU), located in downtown Richmond, Virginia.
VCU Medical Center has been recognised as the No. 1 hospital in the Richmond metro area and the No. 2 hospital in Virginia by U.S. News & World Report in its 2023-2024 Best Hospitals rankings. It is the region's only comprehensive Level I trauma centre verified for paediatric, adult and burn patients. It is also central Virginia's largest safety net provider.
The VCU Medical Center was formed in 1968 when the Medical College of Virginia merged with the Richmond Professional Institute to create Virginia Commonwealth University. The Medical College of Virginia Hospitals Authority was created in the 1990s to oversee the MCV Hospitals. In 2004, the name of the authority was changed to the VCU Health System, and the MCV Hospitals and surrounding campus were named the VCU Medical Center.
The VCU Medical Center has expanded its research programs significantly since 2001 and has over $255 million in sponsored research. In 2010, the NIH selected VCU for a $20 million grant to become part of a nationwide consortium of research institutions working to turn laboratory discoveries into treatments for patients.
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Carilion Roanoke Memorial Hospital: a tertiary teaching hospital with 737 beds
Carilion Roanoke Memorial Hospital is the biggest hospital in Virginia by bed size as of 2021, with 737 beds. It is located in Roanoke and is a tertiary teaching hospital affiliated with the Virginia Tech Carilion School of Medicine. The hospital is the flagship campus of Carilion Clinic, a Virginia-based non-profit healthcare system. Carilion Roanoke Memorial Hospital is a multi-specialty medical and surgical facility, offering a wide range of services and treatments. It houses a neonatal intensive care unit, Carilion Children's Hospital, and the region's only Level 1 trauma centre. The hospital is highly regarded for its expertise in several areas, including cardiology and heart surgery, colon and lung cancer surgery, diabetes, kidney failure, maternity care, hip and knee replacement, and chronic obstructive pulmonary disease (COPD).
Carilion Clinic is a well-known non-profit healthcare organisation in Virginia, serving nearly one million people. It operates eight hospitals and outpatient centres and is committed to improving community health through better patient care and lower costs. The clinic is one of the largest employers in the state's healthcare sector, with a significant contribution to the industry's revenue.
In addition to Carilion Roanoke Memorial Hospital, other notable large hospitals in Virginia include the Inova Fairfax Medical Campus in Falls Church, with 923 beds, and the VCU Medical Center in downtown Richmond, with 820 beds. These hospitals are also distinguished for their specialised care and rankings in specific medical fields.
The state of Virginia boasts a robust healthcare system, with over 150 healthcare facilities and hospitals. These hospitals are often part of integrated delivery networks (IDNs) or health systems, such as Sentara Health, which is the second-largest health system in the state in terms of affiliated hospitals and has the highest net patient revenue. The Defense Health Agency manages the most hospitals within Virginia, with 35 hospitals under its network.
Virginia's healthcare landscape is characterised by a mix of large organisations and smaller community-focused entities, all working towards providing quality care to the state's residents and contributing to advancements in medical research and practice.
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Sentara Health: a non-profit health system with 14 hospitals
Sentara Health is an integrated, non-profit health system that is one of the largest health systems in the US Southeast and Mid-Atlantic. It is also one of the top 20 largest non-profit health systems across the country. Sentara Health operates 14 hospitals and serves Virginia, northeastern North Carolina, and Florida. It is headquartered in Norfolk, Virginia, and has been ranked as one of IBM Watson Health's Top 15 Health Systems.
Sentara Enterprises, part of Sentara Health's integrated organization, provides healthcare facilities and services to improve health. Sentara Health is dedicated to providing leading medical experts, advanced technology, and continuous innovation to improve health every day.
The Carilion Clinic, a Virginia-based non-profit healthcare system, serves nearly one million people in Virginia through a multi-specialty physician group, advanced primary care practices, eight hospitals, and outpatient centres. The Carilion Roanoke Memorial Hospital, with 737 beds, is the flagship campus of Carilion Clinic. It is a multi-specialty medical and surgical facility that houses a neonatal intensive care unit, Carilion Children's Hospital, and the region's only Level 1 trauma centre.
Inova Fairfax Medical Campus, located in Falls Church, is the biggest hospital in Virginia by bed size as of December 2021. It has 923 beds and is affiliated with the Virginia Commonwealth University (VCU) School of Medicine. The multi-speciality academic medical centre is home to the Inova Schar Cancer Institute, Inova Neurosciences Institute, and Inova children's and women's facilities.
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Riverside Health System: a non-profit healthcare organisation based in Newport News
The Riverside Health System is a non-profit healthcare organisation based in Newport News, Virginia, serving two million people annually. Founded in 1915, it has grown from a small hospital in Newport News into a large healthcare provider with a broad range of services. The organisation is governed by a voluntary Board of Trustees.
Riverside Health offers a diverse array of services and programs, including prevention, primary care, advanced diagnostics, neurosciences, oncology, orthopaedics, ageing-related services, rehabilitation, medical education, home care, and hospice care. It operates four acute care hospitals, as well as hospitals dedicated to behavioural health, physical rehabilitation, and critical illness recovery. Additionally, Riverside Lifelong Health manages six nursing home facilities, three continuing care retirement communities, and provides home health and hospice services.
The Riverside Medical Group, with over 700 physicians and advanced practice providers, delivers care across 132 locations in Eastern Virginia. The group was an early adopter of electronic medical records and embraces a multidisciplinary approach to patient care. Riverside also prioritises education, with the Riverside Health College of Health Sciences offering accredited programs in Nurse Aide, Practical Nursing, Professional Nursing, and the RN-to-Bachelor of Science in Nursing.
The organisation's headquarters are located in Newport News, Virginia, and it serves the southeastern part of the state. Riverside is committed to meeting the needs of the communities it serves through its medical services, outreach programs, and partnerships with like-minded local organisations. It also offers a podcast, "Healthy YOU," as an educational resource for its patients and the wider community.
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Frequently asked questions
Inova Fairfax Medical Campus in Falls Church is the biggest hospital in Virginia by bed size, with 923 beds as of December 2021.
The 820-bed VCU Medical Center in Richmond is the second-biggest hospital in Virginia.
The Defense Health Agency is the Virginia health system with the most hospitals, managing 35 hospitals and military clinics worldwide.
Nonprofit Sentara Health has the highest net patient revenue of $4.7 billion. It is also the health system with the second most affiliated hospitals, with 14 hospitals.
The VCU Medical Center has been ranked the No. 1 hospital in the Richmond metro area and the No. 2 hospital in Virginia by US News & World Report in its 2023-2024 Best Hospitals rankings.
























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