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Project Horizon

We're building a new SickKids. 

Project Horizon is SickKids' campus redevelopment project.

With over three million square feet of new build, we’re not only transforming our campus, but how we deliver care to one of Canada’s most vulnerable populations: our children.

As we build an inspired hospital of the future, we aim to transform how we deliver care by enabling our staff to do their best work, and empower patients and families to be partners in their care.

Our campus redevelopment will take approximately 15 years to complete, and requires extensive consultation with patients and families, staff, architects, consultants and our project team.

“As we build a new SickKids, we are defining a new approach to paediatric medicine using precision child health to diagnose and treat our individual patients. Our renewed campus will represent our identity, who we are, and what we believe in.”

Project phases

Project Horizon consists of three major phases:

Digital rendering of a tall angular building with paneled glass walls and colourful accents

1. Patient Support Centre (2023)

The Patient Support Centre (PSC) is a new 22-storey education, training, and administrative tower and critical first step on our way to a new hospital.

  • The PSC consolidates all core administrative services together in one building
  • New simulation spaces to keep our staff on the leading edge of paediatric medicine
  • Targeted to comply with WELL Building Standards, meaning fresh air and access to natural light for all staff
  • Event/Conference spaces, including a rooftop event space and garden
  • Cross-campus connections including a pedestrian bridge to the main hospital, and a link to SickKids Research Institute
Graphic rendering of an aerial view of SickKids campus. A large section of the west side of campus is coloured in purple, to highlight the Black, Hill and Burton hospital Wings.

2. Demolition and Renovations (2025-2035)

  • Demolition of the Black and Hill Wings
  • Renovation and expansion of the Burton Wing

The Black and Hill Wings will be demolished to make way for the Peter Gilgan Family Patient Care Tower. The Burton Wing will be renovated and later expanded to accommodate outpatient services in the new Ambulatory Care Tower.

Graphic rendering of an aerial view of SickKids campus. A large section of the west side of campus is coloured in purple, to highlight the Black, Hill and Burton hospital Wings.
Rendering of an aerial view of city buildings and SickKids campus at night, including two tall modern buildings with large window paneling and a SickKids sign.

3. New Hospital (2035)

  • Peter Gilgan Family Patient Care Tower
  • Ambulatory Care Tower

Two new hospital towers will help us continue to provide some of the best paediatric care in the world. Acute care and core clinical services will be housed in the Peter Gilgan Family Patient Care Tower, while Ambulatory/Outpatient services will be consolidated in a connected tower.

  • Addition of 144 beds to meet the demands of modern, family-centred care (totalling 430 beds)
  • More (approximately 120, including the Neonatal Intensive Care Unit) critical care beds built as single-patient rooms to improve infection prevention and patient privacy for better outcomes. 
  • A new blood and marrow transplant unit with specialized ventilation systems to ensure Ontario’s sickest children are receiving the highest quality of care.
  • Approximately 19 operating suites, where space will be adaptable to accommodate new technologies and procedures – approximately three more than our current capacity. 
  • A new Emergency Department featuring 51 treatment spaces – 12 more than what we currently have. 

Latest news

Exterior of the Patient Support Centre. The front entrance is decorated with pillars of blue, purple and white balloons.

December 8, 2023

SickKids closes $100 million offering to fund major redevelopment project

The net proceeds of the offering will be used to finance a portion of the costs of a multi-year project (Project Horizon) to transform SickKids’ infrastructure landscape.

September 29, 2023

Celebrating the Patient Support Centre, a critical first step in our campus redevelopment journey

The Patient Support Centre (PSC) ribbon-cutting ceremony celebrates the end of end of major construction activities on the building. This is the latest milestone in our campus redevelopment journey.

A bridge over a city street, connected to one building on either end. The bridge is made of large panels of clear glass

October 21, 2022

The bridge is back! Progress continues on the Patient Support Centre

Over the past few months, crews worked to erect the new pedestrian bridge over Elizabeth St. that will connect the Atrium to our future Patient Support Centre.

Rendering of the exterior of Patient Support Centre showing people walking outside a glass design building with bright colours and foot traffic on bridge connecting to hospital

Why are we doing this?

Since its inception in 1875, SickKids has undergone many transformations: generating groundbreaking research, nutritional products for infants and children, pioneering life-saving paediatric surgeries and more. In 1892, SickKids graduated from six iron cots to 320 beds. Over 100 years later, in 2022, SickKids' current bed numbers remain close to this number despite massive accelerations in population growth, technology and standards of care. It’s time for our next transformation!

The redevelopment will result in the renewal or renovation of virtually all clinical care and support areas of the hospital.

Specifically, we are looking to:

Architectural rendering of the ground level exterior of a modern glass paneled building with a sign that reads SickKids. The entrance is lined with trees and pedestrians walking about.

Inpatient hospital beds and treatment spaces

Capacity for clinical supports such as laboratory, medical imaging and pharmacy

Outpatient clinic space

New spaces that will allow for the integration of emerging healthcare technologies and expand our ability to provide virtual care

The efficiency and effectiveness of our operations

The healing environment for patients and families

Air filtration/ventilation to more effectively reduce the risk of infection

Teaching, research and administrative space

Core principles

Our core principles guide us at all stages of our planning process.

Child and Family Centred Care icon

Outstanding Child & Family-centred Care

Deliver exemplary care and empower patients and their families

Innovation icon


Embrace and drive positive change through imagination, discovery and by continuously striving for excellence.

Leadership icon


Be a global leader and deliver world-class clinical outcomes, education, and research.

Workplace Learning and Environment icon

Inspired Workplace & Learning Environment

Enable our people to be their best.

Sustainability icon


Be responsible stewards of our resources and consciously support the wellbeing of present and future generations.

Patient and Family engagement

"No decisions about you, without you"

Throughout the project we've engaged patients and families to ensure that the spaces we create reflect the groups that they are created for. Over 30 indivisual Patient and Family Advisors from the Family Advisory Network have graciously committed time to Project Horizon, to provide feedback on topics like accessibility, clinical space design, respite and play spaces, and more.


Get in touch!

Follow SickKids on Twitter​ and Instagram​ for updates on the project, and join in the conversation using the hashtag #SKTransforms.​

Want to reach out to us directly? Email us at Project.Horizon@S​​

We look forward to sharing our redevelopment journey with you!

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