Hospital Redevelopment
$1B-$2B Toronto Hospital Tower Moves Ahead in Procurement
North York General redevelopment would add 11-story patient care tower and nearly 850,000 sq ft of new and renovated space
A rendering shows the proposed North York General Hospital patient care tower in Toronto. The redevelopment would add up to 317 private patient rooms and approximately 100 net-new beds as part of a $1 billion-$2 billion expansion.
A $1 billion-$2 billion redevelopment at Toronto’s North York General Hospital in Ontario is advancing toward its next procurement milestone, according to Infrastructure Ontario's June market update.
The expansion centers on an 11-story patient care tower that would add roughly 100 beds and expand capacity for some of the hospital's highest-acuity services.
The update lists the tower development in 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 owner and project team to collaboratively refine design, scope, schedule and cost assumptions before entering a full project alliance agreement.
At the center of the expenditure 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 complete, 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 aid the movement of patients, staff and materials between the facilities.
The new tower is planned to house up to 317 private patient rooms and expand inpatient capacity by approximately 100 net-new beds.
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Clinical programs slated for expansion include critical care, emergency services, maternal-newborn care, neonatal intensive care, mental health, medical-surgical units, medical imaging and surgical services.
Planned on a constrained site immediately south of the existing hospital, the redevelopment encompasses approximately 846,000 sq ft of new construction and renovations. The work would require demolition of roughly 147,000 sq ft of an existing parking structure to make way for the new tower.
Additionally, renovations within the existing hospital are planned to support expanded laboratory medicine, inpatient pharmacy and medical imaging services needed to accommodate the increased patient volume.
Four teams remain in contention for the redevelopment following a request-for-qualifications process launched 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 March 5, 2026.
The agency said the project will incorporate sustainability objectives guided by Leadership in Energy and Environmental Design standards and the Toronto Green Standard.
Bryan Gottlieb is the online editor at Engineering News-Record (ENR).
Gottlieb is a five-time Society of Professional Journalists Excellence in Journalism award winner with more than a decade of experience covering business, construction and community issues, including finance, law and real estate. He has reported for Adweek and the San Diego Daily Transcript and led a community newsroom in Santa Monica, Calif. He served as editor-in-chief of the Detroit Metro Times and as managing editor at Roofing Contractor, where he helped shape national industry coverage. At Engineering News-Record, Gottlieb covers breaking news, large-scale infrastructure and megaprojects, regulatory developments and business trends across the U.S. and global construction sectors.
email: gottliebb@enr.com | office: (248) 786-1591
