SMITHS FALLS — Perth and Smiths Falls District Hospital CEO Michael Cohen is asking the town to renew its annual capital contribution of $174,341 for the 2026–27 fiscal year and to allow the funds to be used more broadly to support hospital redevelopment and clinical equipment needs.
“Municipal support is crucial,” Cohen said. “There is a gap in what the province funds. Equipment and capital cannot happen without community partners.”
Cohen delivered his annual update to Smiths Falls council Monday, outlining persistent capacity pressures and progress on the hospital’s long term redevelopment plan. He said the hospital remains over capacity most days due to the number of patients waiting for long term care or assisted living beds.

To help improve patient flow and consistency in care, a new nursing model is rolling out across the hospital.
“By standardizing how nurses round and interact with patients, we can make care more consistent and more personal,” Cohen said.
Recent improvements include a rebuilt resuscitation area in Smiths Falls, a renovated nursing station in Perth, and expanded MRI hours to sixteen hours a day, five days a week. Permanent frontline recruitment has improved, though temporary and part time roles remain difficult to fill.
Cohen said the hospital balanced its budget last year, supported by seventeen million dollars in one-time provincial funding.
“We are working with the ministry to make sure those revenues become part of our base funding so we can maintain stability.”
The hospital has completed its pre capital submission and will begin the Master Plan and Master Program stage in spring 2026. The plan keeps both sites operating, with a potential new build in Perth and renovations in Smiths Falls.
“In a best-case scenario, it is six years from where we are today. On average, seven to nine years.”
Coun. Peter McKenna emphasized the importance of the town’s contribution.
“The municipality’s support is much needed and very valuable.”
Coun. Dawn Quinn praised hospital security staff for their professionalism. Cohen confirmed 24-hour coverage is now standard to support staff and patient safety.
Mayor Shawn Pankow said the annual contribution represents good value for taxpayers.
“It is very good use of our tax dollars,” he said, at about $20 per person.
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