Cowichan Hospital Replacement Project
Province: British Columbia
City/Region: Municipality of North Cowichan
Image Credit: Island Health
62
Project Rank
Project End: 2026
Project Type: Health Care
Industry Sector: Buildings
Project Amount: 1.45 billion
Date of Completion: 2026
Funding Source: Public
LEED Status: Certified
Previous Rankings
| 2025 | 59 |
| 2024 | 54 |
| 2023 | 69 |
| 2022 | 65 |
| 2026 | 62 |
About The Project
The Project consists of a replacement community-level acute care hospital, with capacity for 204 inpatient beds. The facility will provide patient care and programs to address future service needs for the region while including the following: total building area of approximately 56,448 square metres; capacity for core inpatient and ambulatory services, including seven operating rooms, and additional procedure rooms and outpatient/ambulatory clinic capacity, expanded diagnostic imaging, and expanded emergency department capacity.
Project Owner: Island Health
P3 Team Members/Project Team: Alliance Team: EllisDon, Parkin Architects, BC Infrastructure Benefits and Infrastructure BC
Other Key Players: Entuitive, WSP; Bird Construction; Hanscomb (cost consultant); Mulvey & Banani; Victaulic (supplier); EY (management consultant); H.H. Angus & Associates Limited Consulting Engineers (engineer-design); Marsh Canada (risk advisor)
Legal: Borden Ladner Gervais (legal advisor-designers); Norton Rose Fulbright (owner’s advisor)
Key Players
Key Players’ recognize the organizations whose work, knowledge, and expertise go into constructing and delivering the significant projects that make our annual list.
Gold (15-19 Projects)
Silver (10-14 Projects)
Bronze (5-9 Projects)
- ACCIONA Infrastructure Canada
- Accuracy
- Alstom
- Associated Engineering
- Black & McDonald
- Blake, Cassels & Graydon
- Cartel Communication Systems
- COWI
- Davies Ward Phillips & Vineberg
- DECAST Ltd.
- DIALOG
- EBC Inc.
- FlatironDragados
- GeoVerra
- HDR
- Hemmera
- Infrata
- Kasian
- Lakeland Consulting Inc.
- Lavery, de Billy
- LRI Engineering
- McMillan LLP
- Montrose Environmental
- Mott MacDonald
- Mulvey & Banani
- NORR Architects & Engineers Ltd.
- Osler
- Parkin Architects Ltd.
- Plenary Americas
- R.V. Anderson
- STRABAG Inc.
- Tiree
- Torys

