A $1 billion to $2 billion redevelopment of Toronto’s North York General Hospital in Ontario is moving toward its next acquisition milestone, according to Infrastructure Ontario’s June market update.
The expansion centers on an 11-story patient care tower that would add approximately 100 beds and expand capacity for some of the hospital’s most high-precision services.
The update lists development of the tower under active procurement under an alliance delivery model, with an alliance development agreement expected in the third quarter of 2026 and a project alliance agreement targeted for early 2028.
Under the alliance model, the development agreement allows the project owner and team to collaboratively refine the design, scope, schedule, and cost assumptions before entering into a full project alliance agreement.
At the center of the spending is a new patient care tower that Infrastructure Ontario describes as the largest expansion of services at North York General since the hospital opened in 1968.
Once completed, the tower will include 11 floors of patient care space and two levels of underground parking and will connect to the existing hospital on six levels to facilitate the movement of patients, staff and materials between facilities.
The new tower is expected to house up to 317 private patient rooms and expand inpatient capacity by approximately 100 clean new beds.
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Clinical programs slated for expansion include critical care, emergency services, maternal-baby care, neonatal intensive care, mental health, medical-surgical units, medical imaging and surgical services.
Planned on a restricted site immediately south of the existing hospital, the redevelopment includes approximately 846,000 square feet of new construction and renovations. The work would require the demolition of about 147,000 square meters of an existing parking structure to make way for the new tower.
In addition, renovations to the existing hospital are planned to support the expansion of laboratory medicine, hospital pharmacy and medical imaging services needed to accommodate increased patient volume.
Four teams remain in contention for redevelopment following a qualification application process that began in January 2025.
The competing teams are Building Beyond Alliance, led by Bird Design-Build Construction Inc. and Graham Design Builders LP with HDR Architecture Associates; EllisDon Corporation with Parkin Architects; North York Healthcare Alliance, led by Pomerleau Inc. and Ledcor Construction Ltd. with Montgomery Sisam Architects; and PCL Constructors Canada Inc. with DIALOG Ontario Inc.
Infrastructure Ontario issued the request for proposals in August 2025; Submissions closed on March 5, 2026.
The agency said the project will incorporate sustainability goals guided by the Leadership in Energy and Environmental Design standards and the Toronto Green Standard.
