[2] A sailor had arrived at the port of Alexandria with typhoid fever, sparking fears of an epidemic, but there was no place to quarantine or treat those with the disease.

In 1917, it moved to another new location at the corner of Duke and Washington Streets, where it would remain until the opening of its current campus on Seminary Road, in Alexandria's West End area.

[4] As the 1960s began, a group of physicians at Alexandria Hospital played a pivotal role in creating the modern medical specialty of emergency medicine.

[1] By the 1990s, many patients were covered by health insurance plans that provided larger hospital groups with advantages over smaller independent facilities, which led to many mergers and consolidations in the industry.

[6] In addition to concerns about insurance providers, the hospitals' leaders said they expected to save money by avoiding duplication of services.