Island Health | Infrastructure BC

Cowichan District Hospital Replacement


Three times the size of the existing facility, the new Cowichan District Hospital on Vancouver Island will reflect BC’s new model for integrated healthcare by placing patients, families and communities at the centre of care decisions throughout the continuum of care. The goal is to reduce wait times, improve care and outcomes, and provide better value for healthcare expenditures.


HH Angus is part of the design team under The EllisDon Healthcare Infrastructure Consortium, and is providing mechanical and electrical consulting engineering to the 607,000+ ft2 project. The new facility, with an estimated budget of $1.44 Billion, will have 204 private or semi-private beds to support best practices for infection prevention and control, with the capacity for increased beds as population growth warrants. The emergency department will be three times the size of the current ER and is expected to accommodate 42,000 visits by 2035.  Additional services include mental health facilities featuring a 20-bed inpatient unit and dedicated ICU, culturally safe services and spaces, 7 operating rooms, increased CT scanning capacity, and built-in MRI facilities.

Island Health specified a low energy, low carbon design solution. HH Angus, working with the rest of the design team, devised a number of innovative solutions and the project is now aiming to be Canada’s first CaGBC Net Zero Carbon hospital and first fully electric hospital. As well, the project is targeting LEED Gold certification.

This is the first Alliance Project Delivery for HH Angus, with many differences from a conventional project delivery model. It is a far more collaborative process, where the owner, contractor and design team act as one entity. Both the quality of the submitted design and the ability of the team to work together were key factors in the proponent evaluation.

Mechanical Engineering | Electrical Engineering

Alliance project delivery model | Status: Construction completion estimated for end of 2026, and opening for patients in 2027 | 607,000+ ft2 | 204 private or semi-private beds | Mental health services with a 20-bed inpatient psychiatry unit | Culturally safe spaces and services

The unceded traditional territory of Cowichan Tribes, North Cowichan, British Columbia

Targeting to be the first fully electric hospital in BC | Targeting LEED Gold | New hospital will be 30% more energy efficient and 60% more water efficient than the current hospital, with a 75% reduction in greenhouse gas emissions