The Richmond Region has more than 4,100 physicians and 19 acute care and specialty hospitals with nearly 4,000 staffed beds. The largest medical system includes Virginia Commonwealth University Health System with more than 650 beds and McGuire Veterans Affairs Medical Center with 399 beds.

VCU Health is the most comprehensive teaching medical center in Virginia and is regularly ranked among the top hospitals in America. Its medical school is one of the nation’s largest and houses one of the nation’s oldest transplant programs. In 2018, VCU Health was awarded $21.5 million from the National Institutes of Health to promote and expand research and provide Virginians with access to cutting-edge treatments. It opened a $350 million Children’s Pavilion in 2019 that includes 86 licensed beds, with the capacity for 125 beds in future. VCU Health will also complete a $349 million outpatient facility in downtown Richmond in 2020.

HCA Virginia, which is headquartered in Richmond, is the third largest employer in the region, after VCU Health. HCA maintains a network of six hospitals, four free-standing emergency centers, over 2,500 affiliated physicians, and over 300 community-based providers (composed of doctors, imaging centers, and surgery centers).

Bon Secours Health System has four hospitals in Greater Richmond plus additional care facilities, as well as a college of nursing, a school of medical imaging, and two family practice residency programs. It is the fourth largest private employer in Greater Richmond.