Rezoning Petition 2025-009 proposes to amend a previously approved plan for a 40.43-acre site on the east side of Johnston Road, south of Providence Road West, in Charlotte, NC. The amendment seeks additional entitlements for a hospital and associated medical, dental, and optical offices and clinics. The project will now encompass a total of 106,946 SF of medical office uses and 216,000 SF of health institution uses, including 96 beds. The site's current zoning is INST(CD), and the proposed zoning is INST(CD) SPA (Institutional, Conditional, Site Plan Amendment). Staff recommends approval of this petition upon resolution of outstanding issues related to transportation, site, and building design. The petition is consistent with the 2040 Policy Map recommendation for the Campus Place Type. Minor increases in allowed square footage are proposed, and the plan also includes enhanced transportation improvements. Outstanding issues before the public hearing include updating the site plan, reconciling proposed medical office square footages (106,946 SF in notes vs. 115,000 SF in traffic impact study), and adding a site plan development table for cumulative development.