Since 2012, the non-profit organization Quadrilatère de la Miséricorde, supported by the Quatuor Quartier Latin and present on the Table de concertation du Faubourg Saint-Laurent, is working on a redevelopment project for the hospital site that would include several tiers: housing for families, a residence for men aged 55 and over, a museum, community spaces and artists studios. This non-profit organization is recommending that the City acquire the complex and reserve it for this purpose.
Starting in 2019, the City of Montreal is conducting a study of the site’s potential for conversion and acquisition. This study includes an audit of the building, a review of soil contamination, a statement of heritage interest, an assessment of archaeological potential and financial analyses. The objective is to identify potential new uses and an implementation strategy, including acquisition by the City. In the summer of 2021, the City presents its vision for the site: a mixed-use redevelopment project that includes a homeless shelter, student housing, public housing and the construction of a new 17-storey tower (and the demolition of part of the complex). The building, which is owned by the Quebec government, is expected to be transferred to a private developer to complete this large project.
In December 2022, it was announced that the complex would be put up for sale.
After reviewing several bids, the SQI ultimately sold the building to Alta Canada in June 2025. The developer planned to build a 30-storey residential tower while expressing openness to collaborating with the nonprofit organization Quadrilatère de la Miséricorde to integrate community uses.
However, in August 2025, Hydro-Québec announced its intention to acquire the site to install an electrical substation. Since the beginning of the year, Hydro-Québec has been searching for a vacant downtown lot to replace the outdated Berri substation. Following the controversy sparked by its proposal to build on the vacant lot next to the BAnQ, Hydro-Québec stated that the only viable option now is the Miséricorde site. Hydro-Québec also announced that it intends to launch an architectural competition to ensure the new construction’s integration into the urban fabric. In addition, the restoration and adaptive reuse of the heritage building will also be considered.