HCA planning new $233M hospital in Hanover County

Health system HCA wants to build a 60-bed hospital on a 40-acre site, highlighted in blue, in Hanover County. (Google Maps)

HCA Healthcare is seeking state approval to build what would be its first hospital in Hanover County, extending its reach to a part of the region where a competitor hospital is wrapping up a sizable renovation project.

The Nashville-based health system wants to build a 60-bed, $233.6 million acute-care hospital that would rise on a site on Sliding Hill Road just off of I-95 near Ashland, according to a certificate of public need (COPN) application filed with the state health department this week.

HCA intends to buy the 40-acre site for the hospital from entities tied to the Pruitt family for $14.5 million.

The site spans four parcels at 10054 Sliding Hill Road. The parcels that make up the project site were most recently assessed by the county at $3.3 million, according to online property records. Portions of two parcels that stretch south of Sliding Hill Road aren’t part of the project area, according to a Hanover-supplied map of the project site.

A site plan for the proposed HCA hospital at 10054 Sliding Hill Road in Hanover County. (Courtesy HCA)

The total $233 million project price tag includes direct construction costs ($158.8 million), equipment ($43.5 million), land acquisition and other expenses, according to the application.

Virginia requires healthcare providers to submit applications to the regulatory COPN program for approval when they want to create or expand facilities. In addition to state approval, HCA is seeking a rezoning from the Hanover Board of Supervisors to pave the way for the facility’s construction.

“Filing the COPN application is the first step in the approval process. HCA Virginia will continue to work through this process in partnership with state and local regulators,” HCA spokeswoman Pryor Green said in an email Thursday.

Law firm Roth Jackson Gibbons Condlin is representing HCA in the rezoning process.

The proposed hospital’s inpatient bed count would be split into 54 medical/surgical beds and six intensive-care beds. The facility would feature a cardiac catheterization lab as well as four general purpose operating rooms, an MRI scanner and CT scanner.

HCA intends to outfit the hospital by relocating 60 beds from Retreat Doctors’ Hospital in Richmond. The Fan District hospital’s cardiac catheterization lab would also be moved to the new Hanover facility. Other features of the hospital would be relocated from other, yet-to-be-determined local HCA facilities, according to the application.

Retreat Hospital is planned to continue to operate, though its licensed-bed count would decrease to 167 beds, according to the application.

HCA’s headquarters in Nashville. (BizSense file)

The application states that the new Hanover hospital would be staffed by about 600 full-time equivalents, most of whom would be existing local HCA employees relocated to the new hospital.

HCA’s arm in the Old Dominion, HCA Virginia Health System, currently runs six hospitals in the greater Richmond region. The proposed Hanover hospital, which HCA calls Ashland Hospital in its application, would operate as a campus of Henrico Doctors’ Hospital and be HCA’s first hospital in Hanover.

“The project aims to better serve patients already seeking care from Henrico Doctors’ Hospital at a location closer to their homes,” Green said. “The proposed location for this hospital, just off of Interstate 95, will be easily accessible for residents, EMS providers and travelers passing through the area.”

HCA’s other greater Richmond region hospitals include Chippenham Hospital in South Richmond, Johnston-Willis Hospital in North Chesterfield, Parham Doctors’ Hospital in western Henrico and TriCities Hospital in Hopewell, which changed its name from John Randolph Medical Center in December.

The health system has a multi-state presence that includes facilities in Virginia outside the Richmond region.

Also this week HCA announced the rebranding of BetterMed urgent care centers in Virginia to match the health system’s CareNow urgent care brand. HCA acquired locally launched BetterMed last year.

HCA’s push into Hanover comes as Bon Secours is in the last stages of a $50 million expansion and renovation project at Memorial Regional Medical Center in Mechanicsville.

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Krista Paretti
Krista Paretti
26 days ago

Employ 600 people for 60 beds?? HCA?! Ha. Now that’s funny. They’ll have 3 nurses, tops, for 60 beds.

William Bagby
William Bagby
26 days ago

I think having another hospital in Hanover is a great idea…. just NOT at THAT location. That’s the most traffic clogged section of Sliding Hill Rd. I think it will be much better to place it somewhere near Lewistown Rd and Route 1.

Bert Hapablap
Bert Hapablap
25 days ago
Reply to  William Bagby

I’d personally like to see it in Ashland. I think it’d be a great location offering better coverage for western Hanover and southern Caroline.

roger turner
roger turner
25 days ago
Reply to  Bert Hapablap

It’s literally six miles from the Ashland Exit (Exit 86 compared to 92) and right off the interstate. If you built it somewhere in Ashland and had to travel 1/2 mile of the interstate through 5 stoplights and 25MPH zones it would literally take you the same time to get there from Caroline. The other factor is if you look at a map you really can’t find 30+ acres of undeveloped land in Ashland if you are referring to inside the town limits. The western Hanover Population is dwarfed by the population within 8 miles of the Sliding Hill Exit… Read more »

Carl Schwendeman
Carl Schwendeman
26 days ago

They need to build some large empty rooms in the new hospatil that can carry several hundred beds should they need to be set up in case we have another pandemic that cracks the ICU capacity.

The empty rooms could be like the collapsible lifeboats on Titanic were they could be converted into regular hospital rooms quickly in a virus surge.