The Greater Toronto and Hamilton Area carries the highest long-term care capital funding tier in Ontario (up to $750,000 eligible project cost per bed under the 2025 Capital Funding Policy) because it carries the highest land and construction costs. Terrahills delivers long-term care homes and retirement residences across the GTHA under one contract, from site plan through Ministry sign-off and first admission.
As of April 2026 Ontario has 165 long-term care projects completed, under construction or approved, representing 26,421 new and redeveloped beds, and the province has acknowledged it is unlikely to reach its 58,000-bed target by 2028. That is a pipeline that will run well past this decade, concentrated where the aging population is, and the GTHA is the largest share of it. Hamilton alone expects roughly 208 new beds in 2026, another 224 in 2028 and 438 more by 2033.
A long-term care home is Group B institutional occupancy under OBC Part 3: non-combustible construction at the building areas involved, fire-resistance-rated separations, sprinklered throughout, and the Ministry's Design Manual layered on top: resident home areas, dining, bathing, and the 800 sq ft per bed that the Capital Funding Program funds to. Our regulated-environment experience from EU-GMP pharmaceutical work translates directly: infection control, documentation in parallel with construction, and a design team coordinated under one point of accountability.
What it costs here
Ontario Ministry of Long-Term Care 2025 Capital Funding Policy: maximum eligible project cost $750,000 per bed in the Greater Toronto and Hamilton Area and $436,000 per bed across the rest of southern Ontario, funded on a maximum of 800 sq ft per bed with an eligible-cost ceiling of $1,100/sq ft. That implies roughly $545–$940/sq ft all-in eligible cost depending on tier.
Proof of delivery
EU-GMP certified pharmaceutical facility, Ramara. Regulated-environment construction with infection-control-grade finishes and documentation delivered for inspection sign-off. CBRE corporate facility management, Toronto: occupied-building construction management.