In 2016, the hospital will be vacated following the opening of the new Centre hospitalier de l’Université de Montréal (CHUM), and there are currently no concrete plans for repurposing that would ensure a meaningful continued existence for this heritage complex and preserve its emblematic status in society. Although the building is protected by virtue of its historical, architectural, urban and symbolic value, that protection does not offer sufficient safeguards as to future use. As a result, there is a very real risk that Hôtel-Dieu will stand empty. With close to $50 million having been spent in recent years to modernize its facilities, many groups are demanding that the site retain a purpose linked to health care. Uncertainty remains as to its possible transfer to private interests, and eventual privatization.

Hôtel-Dieu is just one of many now-vacant hospital complexes in Montreal, in the wake of decisions to centralize hospital services—a trend seen not only in Quebec’s largest city but in other cities around the world. Changing demographics, transformations to social policies and programs, technological advances as well as financial and regulatory considerations related to the upkeep of built heritage frequently result in the decommissioning of these large sites. Yet major hospital complexes are undeniably significant parts of cities’ built heritage, having great historical, architectural and social value.