Royal Columbian’s redevelopment is one of the largest government funded capital health care projects in B.C.’s history.


The capital health care project has an estimated $1.35 billion contribution from the Province and a substantial multi-million commitment from the Royal Columbian Hospital Foundation.

Government approval was given for phase one in May 2015. Construction started in 2016 and the new Mental Health and Substance Use Centre opened in Summer 2020. Phases two and three received government approval in April 2017. Phase two construction will start in 2021 and be complete in 2025. Phase three is projected to start in 2023 and complete in 2026.

New parking including a 450+ stall underground parkade and a temporary offsite lot for employees.

  • Phase one: New mental health facility and infrastructure (2016-2020)

    Phase one prepares the hospital’s infrastructure for the expansion in bed capacity coming in phase two and includes:

    • A new 75-bed mental health and substance use wellness centre with new and expanded outpatient clinics, Fraser Health’s first older adult psychiatric unit, and a psychiatric high acuity unit, all to replace the aging 30-bed Sherbrooke Centre 
    • A new energy centre to replace the aging power plant and tie into the city’s future district energy centre 
    • New parking including a 450+ stall underground parkade plus a temporarily expanded visitor lot onsite, and a temporary offsite lot for employees 
    • Moving the heliport to Columbia Tower’s roof, away from future construction cranes
    • An advanced IT fibre optic and utilities pathway that ties into city infrastructure and enables advanced health care technologies
  • Phase two: New tower, emergency (2020-2025)

    This phase expands the hospital’s bed capacity and will include:

    A new acute care tower with:

    • More beds for intensive care, cardiac intensive care, medicine and surgical patients, all in single-patient private rooms
    • A new, larger Emergency with a satellite medical imaging unit 
    • Three more operating rooms, three more interventional suites for cardiology, two more interventional suites for diagnostic radiology, and one more MRI all connected to interventional services in the existing Health Care Centre creating one large interventional and surgical ‘super floor’
    • More maternity beds and a maternity operating room. 
    • A 350+ stall underground parkade, a new main entrance and a rooftop helipad
    • New advanced medical equipment and technologies, building services (e.g mechanical and electrical) and energy centre equipment 
    • Replacement of the aging Sherbrooke Centre, old power plant, main entrance and laundry/maintenance buildings with site enhancements
  • Phase three: Expansion within existing buildings (2023-2026)

    Phase three will upgrade and expand areas in the existing Health Care Centre and Columbia Tower to support the beds and services added in phase two. By the end of this final phase the hospital will have added 50 per cent more beds (from 446 to 675 beds).

    This phase includes:

    • Expansion of support service areas such as the laboratory, pharmacy, food services, diagnostic services and medical imaging, and the addition of one more MRI
    • Expansion of the pediatric unit, and the neonatal intensive care unit These units will be physically linked to the maternity unit in the new acute care tower to create one large floor dedicated to families that spans across two buildings 
    • Conversion of four-bed patient rooms in Columbia Tower into single or semi-private 
    • Upgrade and move the cafeteria, administration offices and ambulatory care services, plus more
    Fraserhealth Timeline infographic horizontal

    *subject to change