Canada’s major healthcare and hospital construction projects

In order to recover from the economic impacts COVID-19, Canada is committed to heavy infrastructure spending. One of the main sectors set to benefit from this increased infrastructure spending is hospital construction. This article is your definitive guide to Canada’s ongoing and upcoming hospital construction projects. Currently there is over $24bn worth of healthcare projects in procurement phase across Canada and over $18bn of projects in delivery phase.

Below is a guide of active hospital construction projects in Canada, categorized in terms of preconstruction or project delivery phase.  

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Projects in Procurement Stage

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Projects in Construction Phase

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Projects in Procurement Stage

Prince Edward County Memorial Hospital Redevelopment, ON – $200m BF

New hospital to be equipped with 18 in-patient beds with space to expand for another five beds, a 24-7 emergency department, diagnostic imaging, a surgical suite, dialysis and ambulatory care.

Status:RFQ issued in April 2024.

Red Deer Hospital Redevelopment, AB – $1.8bn P3

Expansion and refurbishment of the Red Deer Regional Hospital Centre will include 200 new in-patient beds, increasing capacity to 570 beds. The expansion also provides for three new operating rooms, increasing surgical capacity to 14 operating rooms. A new cardiac catheterization lab will also be part of the hospital’s expansion.
Status: RFQ expected in 2024. Construction to start in 2025

New Edmonton Hospital, AB – $1.5bn P3 

Status: RFQ expected in Q3 2021

The Ottawa Hospital – Civic Redevelopment, Ottawa – Progressive DBFM $2bn

The 2.5-million-square-foot facility’s main building will see two towers of 11 storeys and seven storeys connected by a central atrium. Emergency care will be one floor below grade, while acute care will occupy the west wing and critical care beds will be in the eastern-facing tower.

Status: RFQ released under Progressive DBFM model. Contract to be awarded in Q1 2024. Completion by 2028

New Weyburn General Hospital, SK – $100m

The new 35-bed hospital will be built on a greenfield site located on the north side of 5th Avenue North between Hamilton Street and 5th Street at 275 – 5th Avenue North West. When complete, it will include 25 acute care beds and 10 in-patient mental health beds from Tatagwa View.
Status: RFQ issued in Jan 2022. RFP set to begin in H2 2022

Burnaby Hospital Phase II, Vancouver – $750m

Phase II of redevelopment.

Status: RFQ to be issued in 2022.

Prince Albert Hospital, SK – $300m DBF

The expansion includes a new acute care tower, replacing its mental health space and renovations, reads a news release.

Status: RFP expected in 2021

Kingston General Hospital Development Phase II, Kingston, ON – $500 DBF

The redevelopment will see four buildings torn down and replaced with a tower of between 8 to 12 storeys, and within it will be operating rooms, a pharmacy, neonatal ICU, labs, a data centre and the emergency department.

Status: RFQ due in Fall 2021. RFP due in Winter 2022.

Bowmanville Hospital Redevelopment, Clarington, ON – <$200m

Construction of a new hospital wing, which will replace the existing north wing, along with a new emergency department, surgical services, critical care unit, inpatient units and diagnostic imaging.

Status: RFP in Winter 2023.

Richmond Hospital, Acute Care Tower, Greater Vancouver, BC – $861m

The expansion and renovation of the hospital will be conducted over four phases between 2022 and 2031. It will add 113 new beds, increasing the hospital’s in-patient capacity to a total of 353 beds. The 9-storey project includes a new emergency department and intensive care unit, and a new medical imaging unit.

Status: Federal funding approved in Jul 2021. RFQ expected later in 2021.

Juravinski Hospital, Hamilton, ON – $1bn TBD

Early stages of development to replace the E, F, and M wings with a modern tower that will include space for growth.

Status: RFQ due in 2023.

Mountainview Health Complex, AB – $  P3 TBD

The town of Beaverlodge, Alberta, and the county of Grande Prairie recently released a request for proposals (RFP) searching for a partner to form a public-private partnership (P3) with the town to own, design, build, manage and maintain a Mountainview Health Complex.

Status: RFP due in Mar 2021

Windsor Regional Hospital – Acute Care Centre, Windsor, ON – $2bn

Phase 2: The new acute care hospital will be located on a 24-hectare site at County Road 42 and the 9th Concession. The new hospital will consolidate acute care services, and replace outdated infrastructure with modern facilities.

Status: RFQ to be issued in 2024.

Projects in Construction Phase

Surgeon standing in the Vancouver General Hospital's Surgical Centre
The Vancouver General Hospital’s Surgical Centre is on track to get a major upgrade in the coming years. Photo credit: Province of British Columbia.

Queensway Health Centre, ON – DBFM $1.3bn

Trillium Health Partners Broader Redevelopment Project – The Future Home of The Gilgan Family Queensway Health Centre. This project will result in a modern dedicated centre for complex care and rehabilitation services, where patients can receive care and recover in a purpose-built environment. The project will include the construction of a new patient tower, parkade and Central Utility Plant and redevelopment of other facilities required for the hospital.

Status: Contract signed in Feb 2024.

Centre for Addiction and Mental Health – Phase 1D Redevelopment, ON – DBF $1.3bn

A new, highly-specialized Forensics Building is the latest phase of a development at the CAMH.

Status: Awarded Q1 2024.

CHEO Integrated Treatment Centre (1Door4Care), Ottawa, ON – $371m

The new six-storey building will be constructed in front of CHEO’s main campus, and offer services for children and youth living with complex medical, developmental, behavioural and mental health needs.

Status: Development phase started in 2023. Set for completion by 2028.

Grandview Children’s Treatment Centre Redevelopment – $263 P3 DBF

Construction of a new five-storey building in Ajax, Ontario.

Status: Constuction underwat as of Q2 2023.

Mississauga Hospital Site, Toronto GTA – Progressive DBFM $2bn

Design and development to deliver a new Mississauga hospital. In anticipation of this growth, the new Peter Gilgan Mississauga Hospital will fully replace the existing Mississauga Hospital.
Status: Development phase started in Mar 2023.

New Surrey Hospital, Greater Vancouver, BC – $2.9bn

Replacement hospital which is set to triple the capacity of the existing hospital.The new hospital and integrated cancer centre is funded by the provincial government. It will have 168 beds, five operating rooms, four procedure rooms, an emergency department with 55 treatment spaces and room for a large medical imaging department, pharmacy and laboratory. The cancer centre will have 50 exam rooms, 54 chemotherapy treatment spaces and room for six linear accelerators for radiation therapy

Status: Financial close Sept 2023. Construction will start in Q3 2023.

Halifax Infirmary Expansion – $2bn+ P3 DBF

The plan includes the expansion and renovation of the infirmary site and a new outpatient centre in Bayers Lake.

Status: Contract awarded in May 2023

Weeneebayko Area Health Authority Redevelopment – >$1bn DBFM

Design and construction of a new health care campus in Moosonee and a new Ambulatory Care Centre on Moose Factory Island

Status: Preferred proponent selected.

South Niagara Hospital – >$1bn DBFM

Construction of the 108,000 square meter hospital could begin in early 2023, with possible completion in 2026.

Status: Construction is expected to begin in July 2023, and end in early 2028.

Weeneebayko Area Health Authority Redevelopment – >$1bn DBFM

Construction of the 108,000 square meter hospital could begin in early 2023, with possible completion in 2026.

Status: Construction is expected to begin in July 2023, and end in early 2028.

South Niagara Hospital – >$1bn DBFM

Construction of the 108,000 square meter hospital could begin in early 2023, with possible completion in 2026.

Status: Construction is expected to begin in July 2023, and end in early 2028.

Vaudreuil-Soulanges Hospital, Montreal, QC – $2.5bn

The project, worth $2.5 billion, will add 404 beds to the health network, and will include 41 stretchers in the emergency room and 11 surgical rooms.

Status: Awarded in Oct 2022.

Dawson Creek Hospital Redevelopment – $590m

A new 70-bed hospital with a larger emergency room to replace their decades-old facility. The new hospital will be approximately 19,400 square metres (209,000 square feet) and will have 70 beds, an increase of 24, all of which will be in single rooms with ensuite washrooms. It will provide a range of surgical services as well as chemotherapy, ambulatory care, radiology, clinical support and pharmacy services.

Status: Awarded. Construction due to start by end of 2021. Scheduled to open fall 2025.

Cowichan Hospital, BC – $877m

Replacement hospital which is set to triple the capacity of the existing hospital. Project will be delivered under Alliance model

Status: Awarded in June 2022. Construction will start by Q3 2022.

Cape Breton Regional Hospital, NS – $500m

New building will house enlarged cancer centre, critical care units and emergency department

Status: Awarded in June 2022. Construction will start by Q3 2022.

West Lincoln Memorial Hospital Redevelopment, Greater Toronto Area – DBF $224m

Scope involves constructing a new, larger hospital on the property behind the existing facility. 

Status: Project awarded in May 2022. Due for completion by 2025.

Burnaby Hospital, Vancouver – $205m DBF / $185m CM

The design and construction of a new 6-level Inpatient/Outpatient Tower, a new 5-level expansion to the south side of the existing Support Facilities Building, renovations to levels 2-4 of the Support Facilities Building, and levels 0 and 1 of the Nursing Tower, including select mechanical and electrical elements and demolition of the Cascade and West Wing Buildings.

The construction cost of the Project is estimated to be approximately $390 million. The DBF Scope construction value is anticipated to be approximately $205 million and the CM construction value approximately $185 million.

Status: RFP issued in June 2020. Contract award in May 2021.

Mills Memorial Hospital Redevelopment, Terrace, BC – $500m DBF

Development of a new, approximately 26,440 square-metres (284,500 square-feet) acute care hospital and integrated services facility. The hospital will be a centre for trauma services, orthopedic surgeries, pathology, radiology, clinical support and pharmacy services, as well as a training site for medical students in the Northern Medical Program.

Status: RFP issued in Feb 2020. 

Cariboo Memorial Hospital Redevelopment, Williams Lake, BC $147m

Development of new clinical and support spaces that will be constructed in a new expansion and in renovated space on the existing Cariboo Memorial Hospital site. This includes the emergency department, medical/surgical inpatient units, maternal care and women’s health, mental health and substance use inpatient unit, pharmacy services and University of British Columbia faculty of medicine academic space.

Status: Project awarded in April 2021. Due for completion by 2025

Lions Gate Hospital, Vancouver – $190m DB

Phase 3 of the Lions Gate Hospital Redevelopment Project. The scope of the project includes the design and construction of a new six-story acute care facility and minor renovations on Levels 0-2 in the adjacent Paul Myers South Tower and Northern Expansion buildings.

Status: Project awarded in April 2021. 

New Marksdale Hospital, Marksdale, ON – DB – $70m

The new hospital will include 68,000 square feet of space and will include inpatient beds, a palliative care room, 24/7 emergency room with four exam and treatment areas, laboratory, diagnostic imaging services, physiotherapy, space for ambulatory care clinics, and two ambulance bays.

Status: Project awarded in Feb 2021. Construction to begin in Q2 2021

St Paul’s Hospital, Vancouver – DB – $2.2bn

The new hospital and health campus to be constructed at a new greenfield site will have capacity for up to 548 beds, which includes 115 net new beds. The site will be the home of several leading provincial programs and referral centres, including for heart and lung care, renal, eating disorders and specialty surgeries and transplants.

Status: Project awarded in Jan 2021. Due to open by 2026.

Stuart Lake Hospital Redevelopment, Fort St. James, Northern BC – $116m DBF

Development of a new Stuart Lake Hospital to serve Fort St. James and the surrounding area. Design and construction of a new hospital with 9 in-patient acute beds, 18 long-term care beds, emergency care, medical imaging, laboratory, and supporting services and Primary Care Clinic. Includes the demolition of the existing hospital, construction of surface parking, landscaping, and redundant emergency access.

Status: Project awarded in April 2021.

Royal Columbian Hospital Redevelopment Phase 2&3, Greater Vancouver – $1.2bn DBF

Phase two will include a new 350-bed acute care tower on the north side of the hospital with multiple floors for acute and critical care patients, an Emergency Department with a satellite medical imaging unit, an interventional floor with operating rooms, interventional radiology and cardiology suites, recovery suites, an underground parkade, main entrance, and rooftop heliport. Phase two will also incorporate energy centre equipment, information management/information technology infrastructure, and demolition of some existing buildings.

Phase three will include expansion of support areas such as the laboratory, pharmacy, medical imaging, cafeteria, administration offices and ambulatory care. It will also include expansion of pediatric and neonatal intensive care units, and conversion of some four-bed patient rooms into single or semi-private rooms.

Construction on phase two is expected to run 2020 to 2024, and phase three is expected to complete in 2026. The hospital will remain fully operational throughout construction.

Status: Awarded in Jan 2021. Planning and design phase has commenced.


Hospital for Sick Kids, Toronto – $2.4bn DBFM

There are three phases to the project, which are expected to take a total of 10 years to complete:

A new 22-storey Patient Support Centre (ground was broken on this project in October 2019), the Peter Gilgan Family Patient Care Tower, and renovations to the existing campus.

Status: Patient Support Center due for completion by 2022. Remaining aspects due by 2030.


Quebec City University Hospital, Quebec, QB – $2bn

The first phase of the multi-phase project includes the construction of the Integrated Cancer Centre, along with a new generator building, power plant, and parking. As of September, Phase 1 had reached 60 percent completion. The Integrated Cancer Centre is currently on schedule to welcome its first patient in December 2020.

Status: Completion of all phases by 2025.

Centre hospitalier de l’Université de Montréal (CHUM), Montreal, QB – $3.6bn P3

This next phase consists of outpatient services, clinical and administrative offices, as well as an amphitheatre and parking lots. The new 772-room, 21-storey hospital is intended to consolidate the activities of the CHUM in one location.

Phase 1 delivered by OHL and Laing O’Rourke. Phase 2 performance was taken over by a local contractor.

Status: Ongoing.

BC Cancer Centre – Royal Inland Hospital Kamloops, BC – $359m

The five-storey facility will be built on the Westlands site on the RIH campus. There will be space for radiation treatment, radiation-therapy planning, including a CT Simulator, an outpatient ambulatory-care unit, including 10 exam rooms, and two consultation rooms for radiation-therapy services, an additional MRI suite, and patient arrival and check-in areas..

Status: Procurement ongoing. Construction is expected to begin in 2025 and complete in 2028. 

Vancouver General Hospital – Surgical Centre / Upgrades, Vancouver, BC – $102.4m

Expansion of the surgical centre and upgrading a number of other areas in and around the hospital to help serve patients and families better. The project includes 16 new state-of-the-art operating rooms at the Jim Pattison Pavilion, a 40-bed hospital unit for care before and after surgery, new communication systems to manage activities for health professionals across two operating floors, upgraded infrastructure and additional storage and new administrative spaces.

Status: Completion by 2021.

Peach Arch Hospital Expansion – Emergency Department / Upgrades, Surrey, BC – $83.7m

Undergoing an emergency department expansion and upgrades to better serve the growing populations in White Rock and South Surrey. The project will be completed in two phases, featuring an expanded emergency department, five upgraded perioperative suites (operating rooms), and an expansion and renovation of the medical device reprocessing department. The expansion and upgrades are part of Fraser Health’s commitment across the region to modernize the health care network, build capacity and improve timely access to quality, patient-centred care closer to home.

Status: Ongoing.

St. John’s Mental Health and Addictions Facility, St John’s, NF – $330m

Six story, 102-bed hospital with 60-bed hostel to replace the Agnes Cowan Hostel, Parking garage for 1,000 vehicles, Modern features, like an art studio and a therapeutic mall terrace.

Status: Construction starts in Spring 2021 and completion by 2024.

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