HCA planning $260M Magnolia Hospital near Hull Street and Otterdale roads in Chesterfield

A layout plan of the proposed Magnolia Hospital project in Chesterfield. (Courtesy HCA)

HCA has its eye on the growing Moseley area of Chesterfield for its next hospital in the region.

The Nashville, Tennessee-based health system is planning to build a $260 million, 60-bed hospital near the corner of Hull Street and Otterdale roads, according to recent filings with the state health department.

Dubbed Magnolia Hospital, the proposed acute-care facility would feature 54 medical/surgical beds, six intensive-care beds, four general-purpose operating rooms, a CT scanner and an MRI scanner.

The hospital is proposed for a 24-acre property at 16100, 16300, 16500 Hull Street Road, and would be built on a portion of the 200-acre Nunnally Village mixed-use development unveiled last year by Ed Nunnally’s EWN Investments and Markel | Eagle.

HCA said in its state filing that it is under contract to purchase the project site, which is owned by the Nunnally Village developers. The site would need to be rezoned to allow the construction of the hospital. Attorney Andy Condlin of law firm Roth Jackson is representing HCA in the request.

The hospital, which is subject to state regulatory approval, would address demand for medical services in the growing western part of Chesterfield County, the company said in its Certificate of Public Need, or COPN, application filed in early July.

“In an area of high population growth where traffic congestion can hinder timely access to healthcare, Magnolia Hospital will meaningfully improve access for a significant number of (HCA’s) existing patients at a location closer to home,” the filing reads.

Virginia regulates hospitals and other medical facilities through the COPN program, and projects subject to the process require approval from the state health commissioner to proceed.

HCA said the new hospital would be a continuation of its efforts to follow Chesterfield’s population growth and address the needs of patients in the fast-growing county. The closest HCA hospital to the proposed new facility’s site is Johnston-Willis, which is about 10 miles to the northeast.

Johnston-Willis opened in Chesterfield in 1980 after relocating from the city of Richmond. Back then, the county had a population of 141,000 people, according to the health system’s application. Chesterfield’s 2024 population was 395,000 residents, according to data from UVA’s Weldon Cooper Center, and it’s anticipated to continue to grow.

The hospital would be situated near where Chesterfield County officials plan to connect a future extension of the Powhite Parkway with Hull Street Road. It would also be in a position to serve patients coming from Powhatan and Amelia counties.

Johnston-Willis Hospital. (Jack Jacobs photo)

In a letter of support included in the COPN application, Chesterfield County Administrator Joe Casey noted the county’s growing population, particularly in the Matoaca District where the hospital is planned, and what he described as the project’s strategic location as reasons the project should be approved.

“Much of Chesterfield County’s recent and anticipated growth is being absorbed in the Matoaca District, which is the fastest growing part of the county. Therefore, having an acute care hospital at the epicenter of future growth in the country over the next 20 years is essential to preserving and enhancing the quality of life for those north, south, east and west of this area,” Casey wrote.

To equip the new hospital, HCA proposes to relocate 60 beds and an operating room from its 230-bed Retreat Doctors’ Hospital in the city’s Fan district. HCA said in its application it would also plan to move three operating rooms out of Johnston-Willis to fill out Magnolia’s complement of ORs.

Magnolia Hospital’s CT scanner would be relocated from HCA’s Swift Creek freestanding emergency center at 14720 Hancock Village St., which the company says would be closed once the new hospital opens.

HCA signaled its intention to file a COPN application for the new hospital in early June, but that letter of intent to the state didn’t reveal the specific location of the project.

HCA’s planned expansion in Chesterfield comes as competitor VCU Health is planning a 66-bed hospital in the county near Beach and Iron Bridge roads. VCU Health also recently broke ground on a 100,000-square-foot medical office building in that same area. Bon Secours is likewise eyeing new facilities in Chesterfield, with plans to further expand St. Francis Medical Center and open a new 90,000-square-foot medical office on the St. Francis campus near Brandermill.

As of this week, the state health commissioner hadn’t issued a decision on the Magnolia Hospital request, according to online health department records.

An HCA spokesman didn’t respond to a request for comment Thursday afternoon.

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