Royal Columbian Hospital is a provincial referral hospital (tertiary/trauma care centre) located in New Westminster, BC, with 422 acute beds that is a University of BC Affiliated teaching hospital that offers medical, surgical, advanced diagnostics & imaging, critical care, inpatient pediatrics, levels 1 & 3 obstetrics, outpatient clinics, level 2 & 3 neonatology, cardiac surgery, neurosciences, and tertiary programs as well as 24/7 emergency services with 75,986 visits annually.

The Royal Columbian Hospital Redevelopment is a multi-year, multi-phase project to increase the hospital's capacity, beds and services. Phase one is underway and includes multiple projects, many which prepare the hospital’s infrastructure for future expansion as well as a new 75-bed mental health and substance use wellness centre with more outpatient clinics by late 2019/early 2020. Phase two, if approved by government, proposes to add an acute care tower with more beds for intensive care, cardiac intensive care, obstetrics and medicine/surgical and a new larger emergency by late 2022. Phase three proposes to upgrade existing buildings to support areas in the Health Care Centre, such as the laboratory and pharmacy, by 2025.