The future of kids' health:
precision, equity, innovation
Holland Bloorview 2025 Impact Report
Land acknowledgement
As we take stock of the past year, we reflect on of our commitment to truth and reconciliation, which is based on trust and respect for the many ways of continuous learning (and unlearning), knowing and being.
We acknowledge Tkaronto (Toronto), a Mohawk word meaning, “the place in the water where the trees are standing.” We live, work and provide care on the traditional territory of the Haudenosaunee-speaking nations, including the Huron-Wendat, Seneca and Mohawk. The legacy of this meeting place, where people have gathered for 15,000 years, informs the important work to decolonize the health-care system and value all ways of healing.
On our personal and organizational journeys toward truth and reconciliation, we continuously reflect on our role in colonization and our responsibility and commitment to decolonization. Over the past year, Holland Bloorview started building new spaces for Indigenous clients and families, including accessible smudging spaces to support inclusive, culturally and spiritually sensitive care. To deepen our staff’s, volunteers’ and researchers’ personal learning, we developed a Virtual Talking Circle (PDF) resource and a guide (PDF) to understanding the purpose of land acknowledgments in the Canadian health-care context. We recognize we have a long journey ahead of us and are committed to advancing this journey, guided by the wisdom of the communities we serve.
We are grateful, honoured and humbled to have the opportunity to, in partnership with clients and families, provide care and services for children, youth and families with disabilities and developmental differences in this city and on the territory known as Turtle Island (North America).
Chi Miigwetch, Nia:weh, Merci – Thank you.
Letter from our leaders
We are on the precipice of a new era at Holland Bloorview Kids Rehabilitation Hospital. With 125 years of care and innovation as our bedrock, we are building a bright future for kids’ health.
Over the past year, teams across the hospital have harnessed the power of data and AI to advance precision, equity and innovation, ensuring we meet the complex and evolving needs of the children, youth and families with disabilities and developmental differences.
As part of our commitment in the HB2030 strategic plan to continually improve and innovate through care, teaching and research, we are building a strong foundation for clinicians, researchers and learners to use cutting-edge technologies, advanced data analytics and co-design – all with the goal to create new solutions to personalize health care in real time.
This year, we launched three health-equity initiatives to better understand the unique social needs of the clients and families we serve and foster a healthy workforce that advances our inclusive, diverse, equitable, accessible and anti-racist environment.
We have also joined forces with KidSights, the first of many new data partnerships where we will bring together clinical and system-level data, from coast-to-coast-to-coast and beyond. These data partnerships will speed up the discovery process, improving and personalizing outcomes for children and youth with disabilities, developmental differences and rare genetic conditions. We are continuing to train the next generation of pediatric clinicians, including addressing Canada’s acute shortage of developmental pediatricians with our subspecialty program in partnership with the University of Toronto.
With guidance and direction from our executive leadership team and board of directors, and thanks to continued trust and investment from our government, research partners and donors, we are beginning the long and difficult journey of right-sizing the pediatric health-care system, ensuring all children have access to the right care, at the right time, in the right place.
Although there is much work to be done, the future is bright with our world-class team of leaders, frontline clinicians, researchers and learners leading the way in precision, equity and innovation. Together we will continue to advance a future of personalized pediatric health care that is inclusive for all.
Julia Hanigsberg
President and CEO,
Holland Bloorview Kids
Rehabilitation Hospital
Catherine Roche
Chair, Board of Directors,
Holland Bloorview Kids
Rehabilitation Hospital
Julia Hanigsberg
President and CEO,
Holland Bloorview Kids
Rehabilitation Hospital
Catherine Roche
Chair, Board of Directors,
Holland Bloorview Kids
Rehabilitation Hospital
Julia Hanigsberg
President and CEO,
Holland Bloorview Kids
Rehabilitation Hospital
Catherine Roche
Chair, Board of Directors,
Holland Bloorview Kids
Rehabilitation Hospital
Who we serve
Clinical care
Ages of clients
| 0 - 4 years | 20% |
| 5 - 9 years | 29% |
| 10 - 14 years | 23% |
| 15 - 19 years | 19% |
| 19+ years | 8% |
0 – 4 years 20%
5 – 9 years 29%
10 – 14 years 23%
15 – 19 years 19%
19+ years 8%
464
inpatient visits
39 days
average length of inpatient stay
excluding long-stay clients,
respite care and sleep studies
64,555
outpatient visits
1,600+
clients accessing inclusion programs
Top languages spoken by
families (excluding English)
Spanish, Arabic, Mandarin
Chinese, Tamil, Dari
3.5% of clients required interpreter services
Ages of clients
0 – 4 years 20%
5 – 9 years 29%
10 – 14 years 23%
15 – 19 years 19%
19+ years 8%
464
impatient visits
39 days
average length of inpatient stay
excluding long-stay clients,
respite care and sleep studies
64,555
outpatient visits
1,600+
of clients accessing inclusion programs
Top languages spoken by
families (excluding English)
Spanish, Arabic, Mandarin
Chinese, Tamil, Dari
3.5% of clients required interpreter services
Who we are
The team
1,245 staff
197 nurses
24 physicians
810 volunteers
contributed 41,072 volunteers hours
1,245 staff
197
nurses
nurses
24
physicians
physicians
810 volunteers
41,072 volunteers hours
Research
46 scientists / investigators
19 scientists
7 adjunct scientists
5 clinician scientists / investigators
15 clinician-team investigators
167 research trainees
33 clinical master’s / MD students
51 PhD
1 post doctoral
35 master’s
20 undergrad
27 others
3
Canada
research chairs
research chairs
231
peer-reviewed papers published
5
hospital university endowed chairs
11
research labs/
centres
centres
25
invited international talks, keynotes or lectures
3
Canada
research chairs
research chairs
231
peer-reviewed papers published
5
hospital university endowed chairs
11
research labs/
centres
centres
25
invited international talks, keynotes or lectures
BRI ranked 2nd in researcher and hospital intensity across the top 40 small-tier Canadian research hospitals
BRI ranked 2nd in research intensity across the top 40 small-tier Canadian research hospitals
Teaching
525 students
70 medicine
170 nursing
79 research
206 other clinical and non-clinical placements
Family and youth leadership
80 family leaders
contributed
3,170+
volunteer hours
29 Family Advisory Council members
30 Youth Advisory Council members