The massive Inova at Landmark project is headed to the Alexandria Planning Commission and City Council for final approval in March and the project could wrap by 2028.
The city released Inova’s development site use permit application last week and it includes new renderings for the 930,000-square-foot hospital campus. The Planning Commission’s public hearing on the project is on Tuesday, March 7, and the City Council public hearing will be held on Saturday, March 18.
Inova, which has held numerous public meetings on the project, wants construction to occur between 2024 and 2028. That schedule is subject to change, Inova’s attorney Cathy Puskar previously told ALXnow.
Inova at Landmark includes 675,000 square feet devoted to the new hospital, 130,000 square feet to a cancer center and 110,000 square feet to a specialty outpatient care center. The inpatient hospital is designed to be nine stories tall and includes a roof tower to hide hospital mechanical equipment that would make the structure 175-feet tall (16 stories).
Inova signed a 99-year ground lease for the property more than two years ago, and sent its first wrecking ball into the former Landmark Mall in May 2022. The old above-ground 550-space parking garage is the only structure that remains, and it will be retrofitted into the new hospital campus.
The project makes up a fifth of the total land use on the 52-acre West End Alexandria development. The city bought the 11-acre parcel of land for $54 million from The Howard Hughes Corporation in 2021, and Inova has a 99-year ground lease for the hospital land.
The project was designed by Ballinger and Ennead Architects, and is being managed by Inova.
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Hi, my name is Moneim Z., and I am a blind male with chronic kidney disease, who needs a living kidney donor for a transplant. My blood type is B+, and I can accept a kidney from individuals who have blood types B and O.
To read my story, please see the attached letter.
To contact me directly, please email me at [email protected] or call at 571-428-5065. My living donor coordinator at INOVA Hospital, Amileen Cruz can be reached at (703) 776-8370 , or via email at [email protected]
Thank you!

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