Top 25 Largest VA Hospitals in the US by Staffed Bed and State [Updated 2026]

Last updated on October 27th, 2026

Largest VA Hospitals in the US: Top 25 Ranked by Staffed Beds (2026)

The biggest VA hospital in the US serves as a vital center for veteran healthcare, providing advanced medical care across multiple specialties. Identifying the largest VA hospital in the US helps healthcare professionals, researchers, and policy makers understand the scale and capacity of the Veterans Health Administration (VHA) system. As per Ampliz healthcare data intelligence, the largest VA hospital in the United States by staffed beds is Biloxi VA Medical Center, accommodating 716 patients at full capacity.

Here we provides a comprehensive list of VA hospitals in the US, including details by state, hospital size, and bed count. Whether you want to know how many VA hospitals are in the United States or are looking for a list of VA hospitals by state, our updated 2026 dataset gives you all the insights. Explore the top VA hospitals, compare their sizes, and understand the infrastructure that supports millions of veterans nationwide.

Key takeaways

• Biloxi VA Medical Center (716 staffed beds) is the largest VA hospital in the US by staffed beds; four of the top five are outside the Northeast.
• VHA runs 170 VA medical centers and 1,193 outpatient sites, 1,380 health care facilities in total (Ampliz, October 2026).
• Bed counts vary by source because some include nursing-home and residential rehabilitation beds. Several top-ranked campuses are mainly long-term and mental health facilities.
• VA is consolidating its 18 regional networks (VISNs) into 5, with a mid-2027 target. Account maps built on the old VISN numbers will need updating.
• VA medical centers buy through federal contract vehicles, not hospital GPOs, and give priority to veteran-owned small businesses.

The Top 5 Largest VA Hospitals in the US by Staffed Beds

1. Biloxi VA Medical Center, Biloxi, MS: 716 staffed beds
2. Southern Oregon Rehabilitation Center and Clinics, White City, OR: 600
3. Louis Stokes Cleveland VA Medical Center, Cleveland, OH: 586
4. West Los Angeles VA Medical Center, Los Angeles, CA: 500
5. Edward Hines Jr. VA Hospital, Hines, IL: 483

The full top 25 follows, with each facility’s city and state.

Top 25 Largest VA Hospitals by Staffed Beds

The table ranks VA medical center campuses by staffed beds, the beds a facility has staff to operate, rather than beds it is licensed or authorized for.

[EDITOR: re-pull this table from Ampliz Hospital Analytics (staffed beds) and update the source line before publishing. The figures below match the most recent public staffed-bed ranking, dated October 2026]

Rank	VA medical center	City, State	Staffed beds
1	Biloxi VA Medical Center (Gulf Coast Veterans Health Care System)	Biloxi, MS	716
2	Southern Oregon Rehabilitation Center and Clinics	White City, OR	600
3	Louis Stokes Cleveland VA Medical Center	Cleveland, OH	586
4	West Los Angeles VA Medical Center	Los Angeles, CA	500
5	Edward Hines Jr. VA Hospital	Hines, IL	483
6	Cincinnati VA Medical Center	Cincinnati, OH	463
7	Brockton VA Medical Center (VA Boston)	Brockton, MA	448
7	West Roxbury VA Medical Center (VA Boston)	Boston, MA	448
9	Bath VA Medical Center	Bath, NY	440
10	James A. Haley Veterans’ Hospital	Tampa, FL	415
11	St. Cloud VA Medical Center	St. Cloud, MN	388
12	Bruce W. Carter VA Medical Center	Miami, FL	372
13	H. John Heinz III VA Medical Center	Pittsburgh, PA	358
14	Perry Point VA Medical Center	Perry Point, MD	357
15	John J. Cochran Veterans Hospital	St. Louis, MO	355
16	Michael E. DeBakey VA Medical Center	Houston, TX	350
17	San Juan VA Medical Center	San Juan, PR	348
18	Alvin C. York VA Medical Center	Murfreesboro, TN	347
19	James J. Peters VA Medical Center	Bronx, NY	311
20	Minneapolis VA Medical Center	Minneapolis, MN	309
21	Coatesville VA Medical Center	Coatesville, PA	302
22	Jennifer Moreno VA Medical Center	San Diego, CA	296
23	Tucson VA Medical Center	Tucson, AZ	295
24	Seattle VA Medical Center	Seattle, WA	291
25	Dallas VA Medical Center	Dallas, TX	289

Source: [EDITOR: Ampliz Hospital Intelligence, staffed beds, accessed Month 2026]. Malcom Randall VA Medical Center in Gainesville, FL also reports 289 staffed beds.

How This Ranking Works?

Each row is one campus, not a health care system. VA often groups several campuses under one system name (VA Boston, for example, runs Brockton and West Roxbury), so a system-level list would rank differently. Facilities are sorted by staffed beds; ties share a rank.

Why VA Bed Counts Differ Between Sources?

You will see different bed totals for the same VA hospital depending on where you look. Three reasons:

• Bed type. Many VA campuses run a community living center (VA’s nursing home), a residential rehabilitation program (domiciliary) and acute inpatient beds on one site. Some counts include all three; others report acute beds only.
• Staffed vs. authorized. Authorized beds are what VA permits a facility to operate; staffed beds are what it can run with current staff. Staffed counts are usually lower.
• Date. VA campuses add, close and convert beds as care shifts to outpatient settings.

That is why several campuses near the top, including White City, Bath, St. Cloud, Perry Point and Coatesville, are known mainly for residential rehabilitation, mental health and long-term care rather than surgery. If you sell acute-care products, look at acute beds and service lines, not the total alone.

Largest VA hospital by State

The largest VA hospital in Florida is James A. Haley Veterans’ Hospital in Tampa (415 staffed beds). In Texas, it is Michael E. DeBakey VA Medical Center in Houston (350).

State	Largest VA hospital	City	Staffed beds
Mississippi	Biloxi VA Medical Center	Biloxi	716
Oregon	Southern Oregon Rehabilitation Center and Clinics	White City	600
Ohio	Louis Stokes Cleveland VA Medical Center	Cleveland	586
California	West Los Angeles VA Medical Center	Los Angeles	500
Illinois	Edward Hines Jr. VA Hospital	Hines	483
Massachusetts	Brockton and West Roxbury VA Medical Centers (tie)	Brockton / Boston	448
New York	Bath VA Medical Center	Bath	440
Florida	James A. Haley Veterans’ Hospital	Tampa	415
Minnesota	St. Cloud VA Medical Center	St. Cloud	388
Pennsylvania	H. John Heinz III VA Medical Center	Pittsburgh	358
Maryland	Perry Point VA Medical Center	Perry Point	357
Missouri	John J. Cochran Veterans Hospital	St. Louis	355
Texas	Michael E. DeBakey VA Medical Center	Houston	350
Puerto Rico	San Juan VA Medical Center	San Juan	348
Tennessee	Alvin C. York VA Medical Center	Murfreesboro	347
Arizona	Tucson VA Medical Center	Tucson	295
Washington	Seattle VA Medical Center	Seattle	291

Same source and date as the top 25 table. States are listed when their largest VA hospital appears in the national top 25.

How Many VA Hospitals are there in the US?

The Veterans Health Administration runs 170 VA medical centers and 1,193 outpatient sites, 1,380 health care facilities in all, serving more than 9.1 million enrolled veterans.

“VA hospital” usually means a VA medical center (VAMC): a campus with inpatient beds plus surgery, critical care, mental health, radiology and pharmacy. Outpatient sites, including community-based outpatient clinics (CBOCs), provide primary care and some specialty care but have no inpatient beds. Older counts you may see (171 medical centers, 1,298 facilities) are earlier VHA figures.

Not every state has a full-service VA medical facility. VA names Alaska, Hawaii and New Hampshire, plus Guam, American Samoa, the Northern Mariana Islands and the U.S. Virgin Islands; veterans there qualify for community care.

What VA Medical Centers Provide?

A VA medical center is a hospital run by the US Department of Veterans Affairs through the Veterans Health Administration (VHA), the largest integrated health care system in the country. According to VHA, most medical centers offer:

• Core hospital services: surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy.
• Specialty services at most sites: audiology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology and vision care.
• Advanced services at some sites: organ transplants and plastic surgery.

VHA is also the largest provider of graduate medical education in the US, with about 113,000 health professions trainees a year. That makes many VA medical centers teaching campuses tied to nearby medical schools, which affects who influences clinical decisions.

VA care in the community

VA medical centers do not treat every enrolled veteran in-house. Under the MISSION Act, veterans can use in-network community providers when VA can’t meet its access standards: a 30-minute average drive or 20-day wait for primary care and mental health, and a 60-minute drive or 28-day wait for specialty care. For vendors, this means private hospitals and practices near large VA campuses also see VA-funded patient volume.

VISNs: how VA groups its hospitals

VA manages its medical centers through regional Veterans Integrated Service Networks (VISNs). For years there were 18. In 2026, VA began consolidating them into 5 regional VISNs, each split into health service areas that roughly follow the old boundaries, with a target of mid-2027. VA’s network page already lists the 5:

New VISN	States and territories
VISN 1	CT, DC, DE, ME, MD, MA, NH, NJ, NY, PA, RI, VT, WV
VISN 2	AL, FL, GA, NC, PR, SC, U.S. Virgin Islands, VA
VISN 3	IL, IN, IA, KY, MI, MN, ND, OH, SD, TN, WI
VISN 4	AR, CO, KS, LA, MS, MO, NE, OK, TX, UT, WY
VISN 5	AK, American Samoa, AZ, CA, Guam, HI, ID, MT, NV, NM, Northern Mariana Islands, OR, WA

Source: VA Integrated Service Networks, updated Sept. 17, 2026.

If your territory plan or CRM uses the old VISN numbers, map accounts to the new regions now. Leadership and approval paths are moving with the consolidation.

Largest vs. best: how VA reports hospital quality

The largest VA hospital is not necessarily the best one; size and quality are measured separately. VA tracks medical center performance through its Strategic Analytics for Improvement and Learning (SAIL) model, which covers measures such as mortality and access to care (GAO-19-350). VA stopped publishing SAIL star ratings in late 2019 but continues to publish the underlying measures (Military Times). Treat any “best VA hospitals” list that ranks by size alone with caution.

If you sell into VA, the next question is how these facilities buy.

How to Sell to VA Medical Centers in US?

VA medical centers buy through federal contracting, not the hospital GPO contracts most private hospitals use. That changes who you talk to and when.

How VA buys:

• Federal Supply Schedules. VA’s National Acquisition Center runs the VA schedules for medical, dental and pharmacy supplies and equipment (FSC Group 65), lab equipment (Group 66) and health care services, including staffing (Group 621) (VAAR Part 808).
• Strategic sourcing first. For medical and lab supplies, VA contracting officers must consider prime-vendor, national contracts and VA schedules before other vehicles.
• Veteran-owned priority. VA orders give priority to verified service-disabled veteran-owned small businesses, then veteran-owned small businesses.

Who is involved at the facility: the medical center director and associate directors set priorities; the chief of staff and clinical service chiefs evaluate clinical products; logistics and contracting staff run the buy. A clinician who likes your device is a champion, not the buyer.

Marketer action items:

• Start with the campuses whose service lines match your product. A 400-bed residential rehab campus and a 400-bed tertiary surgical hospital need different things.
• Check whether you are on, or partnered with a holder of, a VA schedule before outreach to contracting staff.
• Map each account to its new VISN and health service area so your territory plan survives the 2027 consolidation.
• Reach clinical service chiefs and facility leaders in parallel; contracting staff act on a defined requirement, they don’t create one.
• Add community hospitals near large VA campuses to your list; MISSION Act referrals send VA-funded patients there.

Ampliz’s hospital database profiles hospitals with bed count, location and their executives, and Ampliz Executive Search filters healthcare contacts by title, department, facility type, bed size and geography. Ampliz covers 11M+ healthcare executives and 6.8M+ healthcare providers, with records verified every 30 days. For non-VA public hospitals, see our list of the largest government hospitals by staffed beds, and for private systems, the largest health systems in the US.

Planning outreach to VA medical centers or the community hospitals around them? Book a demo and we’ll show you how to build a verified list of facility leaders and department heads by bed size and region.

Frequently Asked Questions

What is the largest VA hospital in the US?

Biloxi VA Medical Center in Biloxi, Mississippi is the largest VA hospital in the US by staffed beds, with 716. It is the main campus of the Gulf Coast Veterans Health Care System. Rankings by acute beds only, or by system rather than campus, can put a different facility first.

What are the top 5 largest VA hospitals?

By staffed beds: Biloxi VA Medical Center, MS (716); Southern Oregon Rehabilitation Center, White City, OR (600); Louis Stokes Cleveland VA Medical Center, OH (586); West Los Angeles VA Medical Center, CA (500); and Edward Hines Jr. VA Hospital, IL (483).

How many VA hospitals are in the United States?

VHA operates 170 VA medical centers, the facilities usually meant by “VA hospitals,” plus 1,193 outpatient sites, for 1,380 health care facilities in total (VHA, June 2026). Outpatient sites provide primary and some specialty care but no inpatient beds.

Is the Washington DC VA Medical Center one of the largest VA hospitals?

It is a large tertiary campus but does not appear in the top 25 by staffed beds. VA describes it as having 164 acute care beds, 30 residential rehabilitation beds and a 120-bed community living center. Whether it ranks higher depends on which bed types a list counts.

Which VA hospital is the best?

VA does not publish an official “best” ranking. It stopped releasing SAIL star ratings in 2019 and now publishes the underlying quality and access measures, which are the better basis for comparing facilities than size.

Conclusion

Biloxi VA Medical Center is the largest VA hospital by staffed beds, but the top of the list mixes acute-care hospitals with long-term and residential campuses, so check bed types before you prioritize. The VA system itself is changing: 170 medical centers, 1,193 outpatient sites and a move from 18 VISNs to 5 by mid-2027. If you sell into VA, plan around federal contract vehicles and the facility leaders who define requirements.

Ampliz helps healthcare sales and marketing teams find and reach decision-makers at VA medical centers and the hospitals around them. Book a demo to see how it works.