Poverty in Toronto costs between $4.4 billion and $5.5 billion a year, according to a groundbreaking report on what we all pay in added health care, policing and depressed economic productivity for the city’s 265,000 families living on low incomes.

“The cost of poverty reflects the massive economic burden that comes with the problems created by poverty,” says the report by social policy expert John Stapleton and research analysts Alexa Briggs and Celia Lee.

The analysis, the first of its kind for a large Canadian city, comes in the wake of reports that Toronto remains the child poverty capital of Canada and on the eve of the city’s 2017 budget launch on Dec. 6