Biggest B.C. construction project starts in 2021


Ranked by estimated cost of project

Published April 11, 2022. Sources: B.C. government's Major Projects Inventory and BIV research.

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Rank '22 Project name, municipality Project type Description Developer/owner Website Start date Completion date Estimated cost


St Paul's Hospital Replacement, Vancouver

Health care

A new acute-care hospital and integrated health campus with capacity for up to 548 beds, including emergency and critical care, mental health and addictions beds and programs, ambulatory services and outpatient clinics, and a variety of general and specialized care programs. Phase 2 includes the Clinical Support and Research Centre (CSRC), which will accommodate clinicians and researchers on the campus

Providence Health Care


Q3 2027

$2.2 billion


Oakridge Centre Redevelopment, Vancouver


Expansion of the mall increasing retail space by 300,000 square feet and office space by 400,000 square feet. 2,900 units of residential space in 13 six-to-45-storey towers will also be added on the 11-hectare site


Q1 2021

Q4 2026

$1.5 billion


Burnaby Hospital Renewal, Burnaby

Health care

Renewal project will include a new energy centre and renovations to support buildings. Phase 1: a six-storey patient care tower with 83 beds in mental health and maternity units. Phase 2: a 160-bed patient care tower with a new cancer centre and expanded emergency unit

Fraser Health Authority

Summer 2021


$1.4 billion


Royal Columbian Hospital Redevelopment Phase 2 & 3, New Westminster

Health care

Phase 2: a new 350-bed Acute Care Tower to house a new emergency department and combined surgical/interventional suite. Phase 3: a major renovation of the Health Care Centre and Columbia Tower to link with the new Tower programs and upgrade support services

Fraser Health Authority


Q1 2026

$1.2 billion


Mills Memorial Hospital, Terrace

Health care

Project will include a 284,500 square feet new acute care hospital and integrated services facility

Northern Health Authority


Q1 2025

$622.6 million

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