Objectives: In Canada, provincial and territorial health insurance schemes cover hospital-based abortion care. However, a 2006 study found that only one in six Canadian hospitals provided abortion services. We aimed to assess the current availability of this medically necessary service. Methods: In late 2016, we contacted all 637 non-specialty Canadian hospitals. In a targeted telephone interview conducted in either English or French we asked an appropriately positioned hospital representative to report on the provision of abortion at the facility. For providing hospitals we documented the gestational age range, the types of procedures offered, and whether or not a referral was required. We analyzed our data using descriptive statistics and mapped the location of providing facilities with Google Maps. Results: Only 10.4% of facilities (n=66) reported offering induced abortion care. Respondents from 545 hospitals (85.5%) explicitly reported that the facility did not offer abortion services. Eighteen facilities (27.3% of providing hospitals, 2.8% of all hospitals) offer medication abortion with methotrexate and misoprostol. Only seven facilities (10.6% of providing hospitals, 1.1% of all hospitals) provide abortion care at or after 20 weeks’ gestation. At least a quarter of providing facilities require that patients obtain a referral. Conclusions: The number and proportion of Canadian hospitals that provide abortion care has decreased over the last decade and few providing facilities are located in rural areas. Our findings suggest that supporting efforts to establish or re-establish hospital-based abortion provision could alleviate some of the geographic disparities that currently characterize the abortion landscape in Canada.