Holland Bloorview Kids Rehabilitation Hospital Foundation is a 3-star charity. It has above average disclosure with an A- results reporting grade. It holds reserves outside Ci’s reasonable range. For every dollar donated to Holland Bloorview, 68 cents are available to go to the cause.

Founded in 1996, Holland Bloorview Kids Rehabilitation Hospital Foundation (HBF) raises funds for Holland Bloorview Kids Rehabilitation Hospital (the hospital), a Toronto teaching hospital that provides clinical care, research, and education for children and youth with disabilities and developmental differences. The Foundation funds the hospital's inpatient and outpatient rehabilitation programs, specialized clinics, research, and clinical training. It serves children and youths aged 0-19+ with conditions including cerebral palsy, acquired brain injury, muscular dystrophy, amputation, epilepsy, spina bifida, arthritis, cleft-lip and palate, autism and other developmental disabilities. In the fiscal year ending March 2026 (F2026), HBF served 9,740 clients, the largest share (31%) aged 5-9. 

HBF grants funds to the hospital through four streams: Access, Excellence, Inclusion, and Enablers. In F2025, HBF granted $13.4m to the hospital. The charity's F2026 financial statements were not yet available at the time of this update, but its F2026 impact report is. The figures below reflect F2026 results from that report. 

Access accounted for 62% of grant disbursements in F2026. This stream funds efforts to expand access to care, including hospital capacity, wait times, and specialized programs, as well as extending the hospital's expertise to families beyond Toronto. In F2026, HBF supported 452 inpatient visits and 64,700 outpatient visits.

Excellence accounted for 24% of grant disbursements in F2026. This stream funds work to shape a new standard of excellence in pediatric disability care, supporting research, clinical programs, and innovations that improve the quality of care delivered. In F2026, HBF supported five hospital-university endowed chairs, three Canada Research Chairs, and 11 research labs and centres. HBF also supported 191 research trainees, including 52 PhD students and 38 master's students. 

Inclusion accounted for 12% of grant disbursements in F2026. This stream funds efforts to accelerate disability inclusion and health equity, supporting programs that address barriers and disparities faced by clients and families. In F2026, 3,295 clients accessed inclusion programs, including 1,013 in music therapy, 256 in art programs, and 880 in inpatient therapeutic recreation. 

Enablers accounted for 2% of grant disbursements in F2026. This stream funds work to empower healthy hospital teams and advance sustainability, supporting the people and infrastructure behind the hospital's care and programs.

HBF’s audited financial statements follow activity-based costing, meaning program, administrative and fundraising costs are clearly separated. This is a best practice.  

In F2025, HBF earned $25.9m in revenue. It received $17.3m in donations and special events revenue (67% of total revenue) and $8.6m in investment income (33% of total revenue).  

Combined administrative and fundraising costs are 32% of revenues (less investment income). For every dollar donated to HBF, 68 cents are available for programs. This is within Ci's reasonable range. 

In F2025, HBF disbursed $13.4m in grants to the hospital (52% of total revenue). It recorded a $6.9m surplus and spent $43k on capital projects.  

HBF has $118.0m in reserve funds (cash and investments). The reserves can cover 883%, or roughly eight years and ten months of program costs. This is outside Ci’s reasonable range of 350%. HBF's program cost coverage ratio has increased 289 percentage points since 2021, from 594% in 2021 to 883% in F2025.  

In F2025, HBF's cash and investments, which stood at $111.4m at the start of the year, returned $8.6m, or 8%. Over the past five years, the charity's cash and investments returned an average of 10%. HBF’s investment portfolio includes 21% in infrastructure and real estate. 

According to its annual CRA filing, HBF used external fundraisers in F2025. It paid $66k to external fundraisers but does not disclose how much they raised. This is a mandatory filing. 

This charity update has been sent to HBF for review. Changes and edits may be forthcoming. Updated by Nick Reszetnik on August 13, 2026.