This study updates the state of knowledge regarding hospital psychology in Canada. Since 1982, two surveys have examined psychology and the role of psychologists within Canadian hospital settings; the most recent information was collected in 1999. Since 1999, the structure of Canadian health care has continued to change and develop, and the resulting impact on the status of hospital psychology remains unknown. This article presents information collected from 76 acute care facilities across Canada with respect to the provision of psychological services within the hospital setting, education levels, scope of practice, salary range, organisational structure, and criteria for hiring employees and accepting residents. Results indicate that the range of services offered by hospital psychologists has not undergone significant expansion since 1999, although changes in employee remuneration, theoretical orientation, and administrative models are evident.