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VCU Medical Center was named the best hospital in Richmond for the ninth consecutive year, but dropped from second to fifth in the state in the annual U.S. News & World Report hospital rankings released Tuesday.

St. Mary’s Hospital ranked second in Richmond and sixth in Virginia, while Chippenham Hospital ranked third and 11th, respectively.

The University of Virginia Medical Center was ranked the best hospital in Virginia for the fourth consecutive year, with three adult specialties and eight children’s specialties that were ranked among the top 50 in the country. Sentara Norfolk General Hospital ranked second and Carilion Roanoke Memorial Hospital and Inova Fairfax Hospital tied for third.

U.S. News evaluated more than 4,500 medical centers in the U.S. in 25 specialties, procedures and conditions using objective data, such as death and discharge-to-home rates, and, in some cases, surveys from physicians on the best hospitals at treating difficult cases in their specialties. Hospitals that were in the top 50 in the country were considered nationally ranked; hospitals that are not in the top 50 but rank in the top 10% were designated as “high-performing.”