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Short-term acute care hospital · Alexandria, Virginia · 303 beds · CMS certification number 490040

Inova Alexandria Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 8, 2026. 30 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$642.2M
$642,166,212 · G-3 line 3
Operating expenses
$389.2M
$389,218,507 · G-3 line 4
Result from patient care
$252.9M
$252,947,705 · G-3 line 5
Margin on patient care
39.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $121.8M in its first year on file (1996) to $642.2M in 2025.
  • Its result from patient care: $166.9M (2023), $198.4M (2024), $252.9M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 6.0% of its inpatient days and Medicare for 29.5%.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled with audit
$121.8M
$116.4M
1997
settled with audit
$120.1M
$118.7M
1998
reopened
$124.4M
$122.3M
1999
reopened
$129.8M
$123.6M
2000
reopened
$144.3M
$137.9M
2001
reopened
$174.9M
$158.1M
2002
settled
$195.1M
$174.8M
2003
reopened
$198.3M
$176.9M
2004
settled
$199.8M
$188.2M
2005
reopened
$193.6M
$194.1M
2006
reopened
$213.4M
$207.5M
2007
reopened
$249.8M
$223.4M
2008
reopened
$276.2M
$255.0M
2009
reopened
$283.7M
$253.1M
2010
reopened
$292.8M
$272.7M
2011
reopened
$327.4M
$299.0M
2012
reopened
$337.8M
$303.2M
2013
reopened
$339.0M
$314.7M
2014
reopened
$361.4M
$310.4M
2015
reopened
$369.3M
$308.5M
2016
reopened
$379.0M
$332.5M
2017
reopened
$387.4M
$338.7M
2018
reopened
$403.1M
$349.2M
2019
reopened
$409.6M
$334.8M
2020
settled
$394.9M
$332.2M
2021
settled
$446.3M
$383.4M
2022
settled
$456.5M
$336.5M
2023
as submitted
$507.2M
$340.2M
2024
amended
$563.6M
$365.2M
2025
as submitted
$642.2M
$389.2M

Beside its peers

Short-term acute care hospitals in Virginia with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Inova Alexandria Hospital303$642,166,212$389,218,50739.4%
Bon Secours - Southside Medical Center, Petersburg300$342,343,927$317,177,3037.3%
Bon Secours St. Marys Hospital of Richmond, Richmond333$929,881,387$769,600,76917.2%
Chesapeake General Hospital, Chesapeake310$442,131,667$450,225,132−1.8%
Lewis Gale Medical Center, Salem264$571,458,794$403,452,82529.4%
Sentara Leigh Hospital, Norfolk274$760,338,162$588,113,19322.7%

Patients and payers

Discharges
16,250
S-3 line 14, col 15
Inpatient days
74,136
S-3 line 14, col 8
Beds in use, on an average day
203.7
days ÷ days in year
Occupancy
67.0%
days ÷ bed days
Medicare share of days
29.5%
S-3 cols 6 ÷ 8
Medicaid share of days
6.0%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: INOVA HEALTH, healthcare.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 490040. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 8, 2026.