A recent evaluation of Quebec’s hospital system has uncovered concerning findings, indicating a more severe state of disrepair than previously disclosed. Updated data from Santé Québec and Radio-Canada reveals that as of early 2026, 38% of the province’s 594 hospital structures were classified as either “poor” (D grade) or “very poor” (E grade), a significant increase from the previous year.
The number of deteriorating buildings has risen sharply, from around 100 in early 2025 to 227 by early 2026, necessitating a substantial increase in funds for repairs. The maintenance deficit for hospital assets, which was approximately $900 million in the prior year, has now ballooned to over $2 billion.
In Montreal, nearly half of the most dilapidated hospitals are concentrated. Leading the list of critical cases is the Montreal General Hospital, followed closely by the Douglas Mental Health University Institute, which recently experienced burst water pipes. The Montreal General Hospital’s condition has deteriorated rapidly, dropping from a “B” rating to an “E” grade this year, indicating a dire state of infrastructure.
Colleen Timm, the executive director of the McGill University Health Centre, described the situation as critical, citing numerous water leaks that have affected patient care. The hospital faces an estimated maintenance deficit of $249 million, requiring extensive replacement of plumbing and electrical systems.
While the Montreal General Hospital exemplifies the issue, other facilities across the province are also in need of significant repairs. The Douglas Mental Health Institute in Montreal, Hôtel-Dieu de Québec in Quebec City, and the Saint-Jérôme regional hospital each require around $100 million in maintenance.
Sonia Dugas, vice-president of finance at Santé Québec, expressed concern over the rapid deterioration of the hospital network, attributing the sudden spike in poor ratings to long-overdue infrastructure assessments. She emphasized the importance of maintaining existing buildings before constructing new ones, noting that the current $1 billion maintenance budget falls short of the actual repair costs, which are estimated to be double that amount.
The situation highlights the urgent need for comprehensive infrastructure upgrades and proper budget management to ensure the safety and functionality of Quebec’s healthcare facilities.
