As the commonwealth’s most comprehensive provider network, HCA Virginia Health System operates 14 hospitals, 27 outpatient centers, five freestanding emergency rooms, three urgent care centers, and is affiliated with 3,000 physicians. The private, tax-paying hospital system is one of Virginia’s largest employers, provides $105.7 million in charity and uncompensated care, and pays $88.9 million in taxes annually. HCA Virginia hospitals include Chippenham, Henrico Doctors’, John Randolph, Johnston-Willis, Parham Doctors’, Retreat Doctors’, Spotsylvania Regional Medical Center, LewisGale Medical Center in Salem, LewisGale Cave Spring Emergency Room, LewisGale Hospital Alleghany, LewisGale Hospital Montgomery, and LewisGale Hospital Pulaski, Reston Hospital Center, StoneSprings Hospital Center and Dominion Hospital.