Expenditure Estimates for the Ministry of Health (2023–24)
The 2023–2024 Expenditure Estimates set out details of the operating and capital spending requirements of the Ministry of Health for the fiscal year commencing April 1, 2023.
Summary
The Ministry of Health is working to deliver connected and convenient care to Ontarians.
The ministry's mission is to help people stay healthy, deliver high-quality care when and where they need it, and protect the health care system for future generations.
Ministry program summary
| Vote | Program | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1401 | Ministry Administration Program | $98,898,500 | $98,948,400 | ($49,900) | $87,430,276 |
| 1402 | Health Policy and Research Program | $1,085,777,100 | $1,329,373,700 | ($243,596,600) | $804,018,136 |
| 1403 | Digital Health and Information Management Program | $189,182,200 | $264,393,200 | ($75,211,000) | $184,399,469 |
| 1405 | Ontario Health Insurance Program | $25,073,958,200 | $24,192,436,500 | $881,521,700 | $22,870,219,533 |
| 1406 | Population and Public Health Program | $1,731,548,500 | $3,412,424,900 | ($1,680,876,400) | $4,155,731,854 |
| 1412 | Provincial Programs and Stewardship | $2,873,818,700 | $3,031,030,000 | ($157,211,300) | $2,641,843,861 |
| 1413 | Information Systems | $222,374,200 | $248,317,300 | ($25,943,100) | $245,037,837 |
| 1416 | Health Services and Programs | $34,670,886,100 | $34,018,206,800 | $652,679,300 | $33,658,104,086 |
| Total operating expense to be voted | $65,946,443,500 | $66,595,130,800 | ($648,687,300) | $64,646,785,052 | |
| Statutory appropriations | $397,172,365 | $89,392 | $397,082,973 | $95,194,040 | |
| Ministry total operating expense | $66,343,615,865 | $66,595,220,192 | ($251,604,327) | $64,741,979,092 | |
| Consolidation Adjustment - Hospitals | $4,278,507,300 | $4,089,709,100 | $188,798,200 | $2,383,249,476 | |
| Consolidation Adjustment - Home and Community Care Support Services | $17,816,700 | $22,645,500 | ($4,828,800) | ($38,707,414) | |
| Consolidation Adjustment - ORNGE | ($21,812,500) | ($21,388,100) | ($424,400) | ($29,053,514) | |
| Consolidation Adjustment - Funding to Colleges | ($7,339,600) | ($6,430,900) | ($908,700) | ($5,278,819) | |
| Consolidation Adjustment - Ontario Agency for Health Protection and Promotion | ($22,719,900) | ($14,576,600) | ($8,143,300) | ($86,778,284) | |
| Consolidation Adjustment - Ontario Health | $5,022,602,800 | $4,656,556,200 | $366,046,600 | $4,307,335,873 | |
| Consolidation Adjustment - School Boards | - | - | - | ($28,000,000) | |
| Consolidation Adjustment – Children Aid Societies | ($22,572,300) | - | ($22,572,300) | - | |
| Consolidation Adjustment - General Real Estate Portfolio | ($6,553,500) | ($6,326,200) | ($227,300) | ($7,973,914) | |
| Consolidation Adjustment - Ontario Infrastructure and Lands Corporation | - | - | - | ($1,330,954) | |
| Total including consolidation & other adjustments | $75,581,544,865 | $75,315,409,192 | $266,135,673 | $71,235,441,542 | |
Operating assets | |||||
| 1401 | Ministry Administration Program | $1,000 | $1,000 | - | - |
| 1402 | Health Policy and Research Program | $4,500,000 | $4,500,000 | - | - |
| 1405 | Ontario Health Insurance Program | $13,000,000 | $13,000,000 | - | $13,000,000 |
| 1406 | Population and Public Health Program | $207,751,000 | $750,000 | $207,001,000 | $1,435,418,351 |
| 1412 | Provincial Programs and Stewardship | $5,729,400 | $5,729,400 | - | $5,329,400 |
| 1416 | Health Services and Programs | $38,107,600 | $38,107,600 | - | $38,106,600 |
| Total operating assets to be voted | $269,089,000 | $62,088,000 | $207,001,000 | $1,491,854,351 | |
| Ministry total operating assets | $269,089,000 | $62,088,000 | $207,001,000 | $1,491,854,351 | |
Capital expense | |||||
| 1413 | Information Systems | $1,000 | $1,000 | - | - |
| 1416 | Health Services and Programs | $5,216,100 | $23,066,100 | ($17,850,000) | $5,000,000 |
| 1407 | Health capital Program | $2,340,819,600 | $1,711,194,000 | $629,625,600 | $1,558,925,161 |
| Total capital expense to be voted | $2,346,036,700 | $1,734,261,100 | $611,775,600 | $1,563,925,161 | |
| Statutory appropriations | $16,692,200 | $19,985,300 | ($3,293,100) | $15,593,201 | |
| Ministry total capital expense | $2,362,728,900 | $1,754,246,400 | $608,482,500 | $1,579,518,362 | |
| Consolidation Adjustment - Hospitals | ($116,167,300) | $414,886,600 | ($531,053,900) | $529,333,399 | |
| Consolidation Adjustment - Home and Community Care Support Services | $1,551,000 | $2,396,200 | ($845,200) | $2,368,295 | |
| Consolidation Adjustment - ORNGE | $17,508,400 | $15,472,400 | $2,036,000 | $12,056,650 | |
| Consolidation Adjustment - Ontario Agency for Health Protection and Promotion | $7,504,500 | $9,872,100 | ($2,367,600) | $11,654,933 | |
| Consolidation Adjustment - Ontario Health | $6,235,100 | ($4,845,200) | $11,080,300 | $16,241,000 | |
| Consolidation Adjustment - Ontario Infrastructure and Lands Corporation | - | - | - | ($31,874) | |
| Consolidation Adjustment - General Real Estate Portfolio | ($1,233,200) | ($3,189,000) | $1,955,800 | ($30,209) | |
| Total including consolidation & other adjustments | $2,278,127,400 | $2,188,839,500 | $89,287,900 | $2,151,110,556 | |
Capital assets | |||||
| 1413 | Information Systems | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 |
| Total capital assets to be voted | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 | |
| Ministry total capital assets | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 | |
| Ministry total operating and capital including consolidation and other adjustments (not including assets) | $77,859,672,265 | $77,504,248,692 | $355,423,573 | $73,386,552,098 | |
Reconciliation to previously published data
| Operating expense | Estimates | Actual |
|---|---|---|
| Total operating expense previously published | $66,635,114,392 | $64,734,966,205 |
| Government reorganization | ||
Transfer of functions from other ministries | - | $7,649,908 |
Transfer of functions to other ministries | ($39,894,200) | ($637,021) |
| Restated total operating expense | $66,595,220,192 | $64,741,979,092 |
Ministry Administration Program - Vote 1401
Ministry Administration provides support to the Minister of Health and the Minister of Long-Term Care to meet the requirements of the ministries' portfolios, ministry management, accountability, controllership and risk management frameworks to ensure the cost effective/efficient use of resources to achieve business results.
A broad range of strategic and operational services are provided to support the effective delivery of all ministry programs and services, including: business and fiscal planning; health system investment and funding policies and decisions; procurement; accommodations planning; government pharmacy; strategic human resources including: organizational change strategies and implementation; talent, performance and succession management; workforce planning and resource management; engagement and equity; diversity and inclusion; health, safety and wellness strategies; strategic labour relations and contingency planning; records management, freedom of information, protection of privacy, and personal health information protection; public appointments process; agency liaison and oversight; legal; communications; financial management including: delivering and providing financial services, support and advice to other stakeholders to support the successful attainment of ministry goals and objectives using modern controllership practices through forecasting, reporting and in-year management expense control, and reporting corporately to central agencies for internal and published financial documents.
Also, funding is provided for administrative support to the Ontario Review Board, Consent and Capacity Board, Health Services Appeal and Review Board, Health Professions Appeal and Review Board, and the Ontario Hepatitis C Assistance Plan Review Committee.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Ministry Administration | $98,898,500 | $98,948,400 | ($49,900) | $87,430,276 |
| Total operating expense to be voted | $98,898,500 | $98,948,400 | ($49,900) | $87,430,276 | |
| S | Minister's Salary, the Executive Council Act | $47,841 | $47,841 | - | $49,301 |
| S | Minister without Portfolio's Salary, the Executive Council Act | $22,378 | $22,378 | - | $22,378 |
| S | Parliamentary Assistants' Salaries, the Executive Council Act | $32,346 | $16,173 | $16,173 | $16,667 |
| S | Government Pharmacy, the Financial Administration Act | - | - | - | $57,539,848 |
| Total statutory appropriations | $102,565 | $86,392 | $16,173 | $57,628,194 | |
| Total operating expense | $99,001,065 | $99,034,792 | ($33,727) | $145,058,470 | |
Operating assets | |||||
| 6 | Ontario Government Pharmaceutical and Medical Supply Service | $1,000 | $1,000 | - | - |
| Total operating assets to be voted | $1,000 | $1,000 | - | - | |
| Total operating assets | $1,000 | $1,000 | - | - | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1401-1 | Ministry Administration | |||
Salaries and wages | $43,864,100 | |||
Employee benefits | $12,076,100 | |||
Transportation and communication | $3,967,500 | |||
Services | $38,379,300 | |||
Supplies and equipment | $688,200 | |||
| Subtotal | $98,975,200 | |||
| Less: Recoveries | $76,700 | |||
| Total operating expense to be voted | $98,898,500 | |||
| Sub-Items: | ||||
| Main Office | ||||
Salaries and wages | $5,007,600 | |||
Employee benefits | $622,200 | |||
Transportation and communication | $231,100 | |||
Services | $475,800 | |||
Supplies and equipment | $10,500 | $6,347,200 | ||
| Financial and Administrative Services | ||||
Salaries and wages | $29,242,200 | |||
Employee benefits | $10,027,000 | |||
Transportation and communication | $3,147,600 | |||
Services | $30,438,400 | |||
Supplies and equipment | $533,000 | |||
Subtotal | $73,388,200 | |||
Less: Recoveries | $76,700 | $73,311,500 | ||
| Human Resources | ||||
Salaries and wages | $2,815,600 | |||
Employee benefits | $408,300 | |||
Transportation and communication | $57,300 | |||
Services | $411,000 | |||
Supplies and equipment | $10,700 | $3,702,900 | ||
| Communications Services | ||||
Salaries and wages | $6,798,700 | |||
Employee benefits | $1,018,600 | |||
Transportation and communication | $476,000 | |||
Services | $4,314,600 | |||
Supplies and equipment | $89,200 | $12,697,100 | ||
| Legal Services | ||||
Transportation and communication | $55,500 | |||
Services | $2,739,500 | |||
Supplies and equipment | $44,800 | $2,839,800 | ||
| Total operating expense to be voted | $98,898,500 | |||
| Statutory appropriations | ||||
| Statutory | Minister's Salary, the Executive Council Act | $47,841 | ||
| Statutory | Minister without Portfolio's Salary, the Executive Council Act | $22,378 | ||
| Statutory | Parliamentary Assistants' Salaries, the Executive Council Act | $32,346 | ||
| Total operating expense for Ministry Administration Program | $99,001,065 | |||
Operating assets | ||||
| 1401-6 | Ontario Government Pharmaceutical and Medical Supply Service | |||
Deposits and prepaid expenses | $1,000 | |||
| Total operating assets to be voted | $1,000 | |||
| Total operating assets for Ministry Administration Program | $1,000 | |||
Health Policy and Research Program - Vote 1402
The Health Policy and Research Program integrates health system research evidence, innovation, strategy, and program policy in support of policy and planning priorities across the ministry including health workforce planning and regulatory oversight in Ontario. System-wide planning allows the ministry to: support legislation and policy development; monitor alignment with the strategic directions; select and manage portfolios, strategy and other initiatives within the ministry to further objectives and priorities across the ministry including those in relation to Ontario's health workforce and the regulatory framework that governs Ontario's workforce (regulated health professions and other providers within the system). The work includes targeted investment, administration of funding programs, applied health evidence supports, integrated knowledge translation, oversight and synthesis of health services/population health research, health system innovation, strategic policy and planning relating to the supply, mix, distribution, recruitment, retention, scope of practice and education/training of health providers. The work also includes the Indigenous Health Engagement Fund which is dedicated to improving health outcomes for First Nations, Inuit, Métis, and urban Indigenous people in Ontario, and includes ongoing support for ministry engagement with Indigenous partners, as well as enhanced life promotion and crisis support services.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Health Policy and Research | $1,085,777,100 | $1,329,373,700 | ($243,596,600) | $804,018,136 |
| Total operating expense to be voted | $1,085,777,100 | $1,329,373,700 | ($243,596,600) | $804,018,136 | |
| Total operating expense | $1,085,777,100 | $1,329,373,700 | ($243,596,600) | $804,018,136 | |
Operating assets | |||||
| 2 | Health Policy and Research | $4,500,000 | $4,500,000 | - | - |
| Total operating assets to be voted | $4,500,000 | $4,500,000 | - | - | |
| Total operating assets | $4,500,000 | $4,500,000 | - | - | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1402-1 | Health Policy and Research | |||
Salaries and wages | $17,485,100 | |||
Employee benefits | $2,735,500 | |||
Transportation and communication | $525,400 | |||
Services | $9,612,300 | |||
Supplies and equipment | $127,800 | |||
Transfer payments | ||||
Clinical Education | $1,022,875,500 | |||
Applied Health Evidence Program | $32,415,500 | $1,055,291,000 | ||
| Total operating expense to be voted | $1,085,777,100 | |||
| Total operating expense for Health Policy and Research Program | $1,085,777,100 | |||
Operating assets | ||||
| 1402-2 | Health Policy and Research | |||
Advances and recoverable amounts | ||||
Clinical Education | $4,500,000 | |||
| Total operating assets to be voted | $4,500,000 | |||
| Total operating assets for Health Policy and Research Program | $4,500,000 | |||
Digital Health and Information Management Program - Vote 1403
Digital Health and Information Management leverages Ontario's digital health technology to deliver a more modern, integrated and digitally enabled health system experience for patients.
Digital Health enables innovative, integrated health care delivery through standards-based supports for improving health system interoperability and reducing fragmentation and redundancy. The Ontario's Digital First for Health (DFfH) strategy will bring the patient health experience into the 21st century by offering more choices and making access to health care simpler, easier and more convenient for patients. The DFfH strategy builds on Ontario's digital health foundations and leverages health technology to provide patients with more choice and providers with more tools to deliver the best possible care. DFfH is central to the Ministry of Health's efforts to deliver on its priorities, in particular, the ministry's commitments to end hallway health care and deliver a more integrated health system. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.
Information Management Strategy and Policy develops vision and strategy for a more frictionless health data ecosystem. This workstream supports strategic system planning, policy development, legislation and regulation related to Ontario's health data, including ensuring privacy protection to enable a person-centred learning health system. It enables greater consistency in data management to improve care delivery across the province in continued support of the ministry's health system transformation initiatives. It also ensures effective access and privacy measures are in place for data and digital initiatives. Work includes the design, development, and operations of big data analytics programs to meet the Data Integration and Predictive Analytics goals of the DFfH strategy, including supports for the province as it recovers from the COVID-19 pandemic.
Digital Health and Information Management Program is also the authoritative source of data and analytics for the ministry and provides tools, products and methodological expertise for supporting evidence-based planning and decision-making for the Ministry of Health, Ministry of Long-Term Care, and system partners. It also supports ministry decision making by providing innovative, state of the art analytics and predictive analytics based on the cutting age research from epidemiology, statistics, data science and machine learning.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Digital Health and Information Management | $189,182,200 | $264,393,200 | ($75,211,000) | $184,399,469 |
| Total operating expense to be voted | $189,182,200 | $264,393,200 | ($75,211,000) | $184,399,469 | |
| Total operating expense | $189,182,200 | $264,393,200 | ($75,211,000) | $184,399,469 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1403-1 | Digital Health and Information Management | |||
Salaries and wages | $17,611,500 | |||
Employee benefits | $2,555,300 | |||
Transportation and communication | $246,600 | |||
Services | $10,580,900 | |||
Supplies and equipment | $261,200 | |||
Transfer payments | ||||
Digital Health Strategy and Programs | $149,444,400 | |||
Health System Information Management | $8,482,300 | $157,926,700 | ||
| Total operating expense to be voted | $189,182,200 | |||
| Total operating expense for Digital Health and Information Management Program | $189,182,200 | |||
Ontario Health Insurance Program - Vote 1405
The Ontario Health Insurance Program includes key elements of Ontario's health care system: client eligibility and health card policies, physicians' payments for services that are insured under the Health Insurance Act, other practitioners' payments, out-of-province/out-of-country services, Family Health Teams, Indigenous Primary Health Care Organizations, Nurse Practitioner Led Clinics, Midwifery Services, Underserviced Area Programs, Northern Health Travel Grant, Disease prevention, Health quality, Drugs, Community Laboratories, Laboratory and Diagnostic testing services (including Genetic testing services and COVID-19 testing), X-ray services, Psychiatric Patient Advocacy and rights advice, Assistive devices including home oxygen, Protection/Risk management of both provider and subscriber fraudulent activity, as well as integrated models of service delivery through Ontario Health Teams (OHTs).
The Ontario Public Drug Programs is committed to maintaining a sustainable and efficient public drug system that will support re-investment and economic recovery to provide Ontarians with access to new and innovative drug therapies.
Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres and hospitals. Government-funded services are available to Ontarians who have registered, and who are eligible for the Ontario Health Insurance Plan. The Underserviced Area Program helps rural, remote and northern communities recruit and retain health care professionals, as well as ensure access to health care services in these communities. The Northern Health Travel Grant Program helps defray medical related travel costs northern Ontario residents incur to access medical specialists, or health care facility services unavailable in their local communities.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Ontario Health Insurance | $18,751,840,900 | $17,836,528,200 | $915,312,700 | $17,021,069,215 |
| 2 | Drug Programs | $5,747,085,400 | $5,800,876,400 | ($53,791,000) | $5,337,088,963 |
| 4 | Assistive Devices Program | $575,031,900 | $555,031,900 | $20,000,000 | $512,061,355 |
| Total operating expense to be voted | $25,073,958,200 | $24,192,436,500 | $881,521,700 | $22,870,219,533 | |
| S | Bad Debt expense, the Financial Administration Act | $1,000 | $1,000 | - | $42,686 |
| S | Bad Debt expense, the Financial Administration Act | $1,000 | $1,000 | - | $24,306 |
| Total statutory appropriations | $2,000 | $2,000 | - | $66,992 | |
| Total operating expense | $25,073,960,200 | $24,192,438,500 | $881,521,700 | $22,870,286,525 | |
Operating assets | |||||
| 5 | Ontario Health Insurance Program | $13,000,000 | $13,000,000 | - | $13,000,000 |
| Total operating assets to be voted | $13,000,000 | $13,000,000 | - | $13,000,000 | |
| Total operating assets | $13,000,000 | $13,000,000 | - | $13,000,000 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1405-1 | Ontario Health Insurance | |||
Salaries and wages | $45,392,400 | |||
Employee benefits | $7,982,200 | |||
Transportation and communication | $3,152,200 | |||
Services | $22,750,000 | |||
Supplies and equipment | $502,700 | |||
Transfer payments | ||||
Payments made for services and for care provided by physicians and practitioners | $18,201,210,700 | |||
Independent Health Facilities | $120,693,100 | |||
Underserviced Area Plan | $30,706,100 | |||
Northern Travel Program | $48,181,600 | |||
Quality Management Program - Laboratory Services | $4,748,900 | |||
Midwifery Services | $204,404,400 | |||
Disease Prevention Strategy | $2,708,000 | |||
Quality Health Initiatives | $59,408,600 | $18,672,061,400 | ||
| Total operating expense to be voted | $18,751,840,900 | |||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Bad Debt expense, the Financial Administration Act | $1,000 | ||
| 1405-2 | Drug Programs | |||
Salaries and wages | $11,125,900 | |||
Employee benefits | $1,613,300 | |||
Transportation and communication | $806,800 | |||
Services | $13,363,700 | |||
Supplies and equipment | $105,100 | |||
Transfer payments | ||||
Ontario Drug Programs | $5,720,070,600 | |||
| Total operating expense to be voted | $5,747,085,400 | |||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Bad Debt expense, the Financial Administration Act | $1,000 | ||
| 1405-4 | Assistive Devices Program | |||
Salaries and wages | $3,180,500 | |||
Employee benefits | $461,200 | |||
Transportation and communication | $579,000 | |||
Services | $945,800 | |||
Supplies and equipment | $29,000 | |||
Transfer payments | ||||
Assistive Devices and Supplies Program | $569,836,400 | |||
| Total operating expense to be voted | $575,031,900 | |||
| Total operating expense for Ontario Health Insurance Program | $25,073,960,200 | |||
Operating assets | ||||
| 1405-5 | Ontario Health Insurance Program | |||
Advances and recoverable amounts | ||||
Payments made for services and for care provided by physicians and practitioners | $10,000,000 | |||
Midwifery Services | $3,000,000 | $13,000,000 | ||
| Total operating assets to be voted | $13,000,000 | |||
| Total operating assets for Ontario Health Insurance Program | $13,000,000 | |||
Population and Public Health Program - Vote 1406
The Chief Medical Officer of Health (CMOH) has a unique and distinct role in protecting the health of Ontarians. The CMOH plays a critical role in leading the public health system as a whole through a statutory role and powers under the Health Protection and Promotion Act, providing public health advice within and beyond government and raising public health issues that have significant impacts on the health of Ontarians.
The mandate of Population and Public Health is to provide direction and leadership to support the ministry's public health agenda including COVID-19 response and recovery efforts and commitment to improving population health outcomes and ensuring the delivery of quality services through efficient and effective coordination across Ontario's public health and associated sectors.
The programs and services are aimed at improving health outcomes at all life stages by planning and developing legislation, regulation, standards and performance measures; developing, implementing and evaluating policies and programs that support disease prevention, health protection and healthy living; and leading, engaging and collaborating with our partners at all levels, ensuring effective program delivery, fiscal management, accountability, transparency and fostering a health system that is ready and prepared to respond to incidents and emergencies.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 4 | Population and Public Health | $1,731,548,500 | $3,412,424,900 | ($1,680,876,400) | $4,155,731,854 |
| Total operating expense to be voted | $1,731,548,500 | $3,412,424,900 | ($1,680,876,400) | $4,155,731,854 | |
| S | Inventory Write-off, the Financial Administration Act | $105,241,400 | - | $105,241,400 | $36,182,077 |
| S | Personal Protective Equipment and Supplies, the Financial Administration Act | $291,825,400 | - | $291,825,400 | - |
| Total statutory appropriations | $397,066,800 | - | $397,066,800 | $36,182,077 | |
| Total operating expense | $2,128,615,300 | $3,412,424,900 | ($1,283,809,600) | $4,191,913,931 | |
Operating assets | |||||
| 6 | Population and Public Health | $207,751,000 | $750,000 | $207,001,000 | $1,435,418,351 |
| Total operating assets to be voted | $207,751,000 | $750,000 | $207,001,000 | $1,435,418,351 | |
| Total operating assets | $207,751,000 | $750,000 | $207,001,000 | $1,435,418,351 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1406-4 | Population and Public Health | |||
Salaries and wages | $16,221,500 | |||
Employee benefits | $2,312,900 | |||
Transportation and communication | $912,400 | |||
Services | $26,063,200 | |||
Supplies and equipment | $1,001,300 | |||
Transfer payments | ||||
Official Local Health Agencies | $939,443,900 | |||
Outbreaks of Diseases | $444,793,500 | |||
Tuberculosis Prevention | $9,113,900 | |||
Sexually Transmitted Diseases Control | $2,062,400 | |||
Ontario Agency for Health Protection and Promotion | $206,892,900 | |||
Prevent Disease, Injury and Addiction | $63,935,200 | |||
Smoke-Free Ontario | $18,795,400 | $1,685,037,200 | ||
| Total operating expense to be voted | $1,731,548,500 | |||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Inventory Write-off, the Financial Administration Act | $105,241,400 | ||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Personal Protective Equipment and Supplies, the Financial Administration Act | $291,825,400 | ||
| Total operating expense for Population and Public Health Program | $2,128,615,300 | |||
Operating assets | ||||
| 1406-6 | Population and Public Health | |||
Inventory | ||||
Personal Protective Equipment and Supplies | $207,001,000 | |||
Advances and recoverable amounts | ||||
Official Local Health Agencies | $750,000 | |||
| Total operating assets to be voted | $207,751,000 | |||
| Total operating assets for Population and Public Health Program | $207,751,000 | |||
Provincial Programs and Stewardship - Vote 1412
This Vote includes Provincial Programs, Emergency Health Services and Stewardship. This program is responsible for transfer payment accountability, and operational policy development, including the planning and funding of a wide span of specialized programs. Examples of these transfer payment programs include: Community and Priority Services, Operation of Related Facilities and HIV/AIDS and Hepatitis C Programs. The program provides Ontario's share of funding to Canadian Blood Services and also supports a blood utilization management strategy for Ontario. This Vote also includes ministry-managed Mental Health and Addictions programs such as supportive housing and provides implementation support, knowledge exchange and training, quality improvement, and information management in support of direct service mental health and addictions providers.
Provincial Programs and Stewardship also supports health capital planning and oversight administration of Ontario Health and related programs.
Emergency Health Services (EHS) ensures the existence of a balanced and integrated system of emergency health services throughout Ontario. The ministry is modernizing EHS by building a more updated, integrated and efficient dispatch and communication system that will more effectively meet the needs of communities. The system consists of a series of inter-related programs and services including municipally operated/contracted land ambulance services, the not-for-profit air ambulance organization called Ornge, eight base hospitals that provide medical oversight, and ambulance communications services. Through EHS, the ministry oversees, certifies, and regulates Ontario's paramedics, and land and air-ambulance services through the Ambulance Act. EHS manages province-wide operations in 11 directly-operated Central Ambulance Communications Centres (CACCs), provides oversight and transfer payment functions for 11 transfer payment CACCs; and ensures strong operational alignment between all land and air ambulance services providers, healthcare services providers, municipal partners, and First Nations communities.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Provincial Programs | $1,503,286,800 | $1,812,506,200 | ($309,219,400) | $1,316,163,686 |
| 2 | Emergency Health Services | $1,322,850,400 | $1,170,808,100 | $152,042,300 | $1,276,568,906 |
| 4 | Stewardship | $47,681,500 | $47,715,700 | ($34,200) | $49,111,269 |
| Total operating expense to be voted | $2,873,818,700 | $3,031,030,000 | ($157,211,300) | $2,641,843,861 | |
| S | Bad Debt expense, the Financial Administration Act | $1,000 | $1,000 | - | $302,000 |
| Total statutory appropriations | $1,000 | $1,000 | - | $302,000 | |
| Total operating expense | $2,873,819,700 | $3,031,031,000 | ($157,211,300) | $2,642,145,861 | |
Operating assets | |||||
| 5 | Provincial Programs and Stewardship | $5,729,400 | $5,729,400 | - | $5,329,400 |
| Total operating assets to be voted | $5,729,400 | $5,729,400 | - | $5,329,400 | |
| Total operating assets | $5,729,400 | $5,729,400 | - | $5,329,400 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Operating expense | ||||
| 1412-1 | Provincial Programs | |||
Transfer payments | ||||
Operation of Related Facilities | $19,608,900 | |||
Canadian Blood Services | $720,808,200 | |||
HIV/AIDS and Hepatitis C Programs | $104,674,200 | |||
Community and Priority Services | $658,195,500 | $1,503,286,800 | ||
| Total operating expense to be voted | $1,503,286,800 | |||
| Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Bad Debt expense, the Financial Administration Act | $1,000 | ||
| 1412-2 | Emergency Health Services | |||
Salaries and wages | $48,501,400 | |||
Employee benefits | $8,786,400 | |||
Transportation and communication | $2,746,800 | |||
Services | $10,497,800 | |||
Supplies and equipment | $578,800 | |||
Transfer payments | ||||
Payments for Ambulance and related Emergency Services: Municipal Ambulance | $911,706,900 | |||
Payments for Ambulance and related Emergency Services: other Ambulance Operations and Related Emergency Services | $78,258,900 | |||
Air Ambulance | $261,773,400 | $1,251,739,200 | ||
| Total operating expense to be voted | $1,322,850,400 | |||
| 1412-4 | Stewardship | |||
Salaries and wages | $33,944,100 | |||
Employee benefits | $4,472,600 | |||
Transportation and communication | $2,582,100 | |||
Services | $6,548,900 | |||
Supplies and equipment | $133,800 | |||
| Total operating expense to be voted | $47,681,500 | |||
| Total operating expense for Provincial Programs and Stewardship | $2,873,819,700 | |||
Operating assets | ||||
| 1412-5 | Provincial Programs and Stewardship | |||
Advances and recoverable amounts | ||||
Payments for Ambulance and Related Emergency Services: Municipal Ambulance | $500,000 | |||
HIV/AIDS and Hepatitis C Programs | $375,000 | |||
Community and Priority Services | $4,393,400 | |||
Payments for Ambulance and related Emergency Services: other Ambulance Operations and Related Emergency Services | $461,000 | $5,729,400 | ||
| Total operating assets to be voted | $5,729,400 | |||
| Total operating assets for Provincial Programs and Stewardship | $5,729,400 | |||
Information Systems - Vote 1413
Information Systems enables the business outcomes of the Ministry of Health and Ministry of Long-Term Care by providing cost-effective and efficient I&IT and digital solutions and services.
The program offers a broad range of strategic and operational services essential to the delivery of ministry programs.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Information Technology Services – Health Cluster | $222,374,200 | $248,317,300 | ($25,943,100) | $245,037,837 |
| Total operating expense to be voted | $222,374,200 | $248,317,300 | ($25,943,100) | $245,037,837 | |
| S | Bad Debt expense, the Financial Administration Act | - | - | - | $1,014,777 |
| Total statutory appropriations | - | - | - | $1,014,777 | |
| Total operating expense | $222,374,200 | $248,317,300 | ($25,943,100) | $246,052,614 | |
Capital expense | |||||
| 3 | Information Systems | $1,000 | $1,000 | - | - |
| Total capital expense to be voted | $1,000 | $1,000 | - | - | |
| S | Amortization, the Financial Administration Act | $16,279,200 | $19,572,300 | ($3,293,100) | $15,593,201 |
| Total statutory appropriations | $16,279,200 | $19,572,300 | ($3,293,100) | $15,593,201 | |
| Total capital expense | $16,280,200 | $19,573,300 | ($3,293,100) | $15,593,201 | |
Capital assets | |||||
| 4 | Information Systems | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 |
| Total capital assets to be voted | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 | |
| Total capital assets | $20,045,700 | $18,121,400 | $1,924,300 | $10,831,035 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | |
|---|---|---|---|
Operating expense | |||
| 1413-1 | Information Technology Services – Health Cluster | ||
Salaries and wages | $52,319,400 | ||
Employee benefits | $7,925,600 | ||
Transportation and communication | $2,455,700 | ||
Services | $156,678,700 | ||
Supplies and equipment | $2,994,800 | ||
| Total operating expense to be voted | $222,374,200 | ||
| Total operating expense for Information Systems | $222,374,200 | ||
Capital expense | |||
| 1413-3 | Information Systems | ||
Other transactions | $1,000 | ||
| Total capital expense to be voted | $1,000 | ||
| Statutory appropriations | |||
Other transactions | |||
| Statutory | Amortization, the Financial Administration Act | $16,279,200 | |
| Total capital expense for Information Systems | $16,280,200 | ||
Capital assets | |||
| 1413-4 | Information Systems | ||
Information technology hardware | $3,687,800 | ||
Business application software - asset costs | $16,357,900 | ||
| Total capital assets to be voted | $20,045,700 | ||
| Total capital assets for Information Systems | $20,045,700 | ||
Health Services and Programs - Vote 1416
The Ministry of Health collaborates with Ontario Health and Home and Community Care Support Services to implement the ministry's health system strategies for improving and connecting home and community care and other health care services.
Under the Connecting Care Act, 2019, Ontario Health's responsibilities include health care system planning and integration, as well as the funding of health service providers and Ontario Health Teams to deliver health care services, including home and community care services. Ontario Health funds hospitals, long-term care homes, community health centres, community mental health and addictions services providers, family health teams, nurse practitioner-led clinics, Aboriginal Health Access Centres, hospices, and providers of primary care nursing services, maternal care or inter-professional primary care programs and services, acute and outpatient eating disorders services, among others. Ontario Health is also responsible for the delivery of programs related to cancer care, cancer screening, renal, digital health, health quality (including the Office of the Patient Ombudsman), organ and tissue donation and transplantation services, health workforce programs, Ontario telemedicine, Ontario Health Teams, regional coordination operations support and provide clinical advice and recommendations on programs and services relating to cardiovascular and stroke care.
Home and Community Care Support Services (HCCSS) (14 organizations under a cross-appointed leadership) exercises its authority under the Local Health System Integration Act, 2006 to provide province-wide access to home care for Ontario residents, coordinate admission to long-term care homes, as well as make referrals to health, social and community services. HCCSS provides nursing, rehabilitation therapies, and other professional services, and personal support services, in people's homes, in schools, and in group or congregate settings, including hospices. HCCSS is also responsible for referring patients and families to providers of other home and community care services, and for managing placements in adult day programs and assisted living programs.
This Vote also includes the ministry-managed Child and Youth Mental Health (CYMH) program. The CYMH program consists of a variety of community-based services that address the mental health needs of children and youth up to their 18th birthday who are at risk of, or have developed social, emotional and behavioural difficulties.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
| 1 | Health Services | $31,649,159,700 | $31,103,598,800 | $545,560,900 | $30,681,565,181 |
| 2 | Programs and Administration | $3,021,726,400 | $2,914,608,000 | $107,118,400 | $2,976,538,905 |
| Total operating expense to be voted | $34,670,886,100 | $34,018,206,800 | $652,679,300 | $33,658,104,086 | |
| Total operating expense | $34,670,886,100 | $34,018,206,800 | $652,679,300 | $33,658,104,086 | |
Operating assets | |||||
| 10 | Health Services and Programs | $38,107,600 | $38,107,600 | - | $38,106,600 |
| Total operating assets to be voted | $38,107,600 | $38,107,600 | - | $38,106,600 | |
| Total operating assets | $38,107,600 | $38,107,600 | - | $38,106,600 | |
Capital expense | |||||
| 3 | Digital Health capital | $5,216,100 | $23,066,100 | ($17,850,000) | $5,000,000 |
| Total capital expense to be voted | $5,216,100 | $23,066,100 | ($17,850,000) | $5,000,000 | |
| S | Amortization, the Financial Administration Act | $413,000 | $413,000 | - | - |
| Total statutory appropriations | $413,000 | $413,000 | - | - | |
| Total capital expense | $5,629,100 | $23,479,100 | ($17,850,000) | $5,000,000 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | Amount | |
|---|---|---|---|---|---|
Operating expense | |||||
| 1416-1 | Health Services | ||||
Transfer payments | |||||
Operation of Hospitals | $23,010,456,400 | ||||
Grants to Compensate for Municipal Taxation - Hospitals | $3,783,000 | ||||
Specialty Psychiatric Hospitals | $758,680,300 | ||||
Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals | $174,100 | ||||
Home Care | $4,112,236,600 | ||||
Community Support Services | $805,230,300 | ||||
Assisted Living Services | $355,126,000 | ||||
Community Health Centres | $488,187,800 | ||||
Acquired Brain Injury | $65,836,900 | ||||
Community Mental Health | $1,218,989,200 | ||||
Addiction Program | $345,804,700 | ||||
Child and Youth Mental Health | $484,654,400 | $31,649,159,700 | |||
| Total operating expense to be voted | $31,649,159,700 | ||||
| Sub-Items: | |||||
| Hospitals | |||||
Transfer payments | |||||
Operation of Hospitals | $23,010,456,400 | ||||
Grants to Compensate for Municipal Taxation - Hospitals | $3,783,000 | ||||
Specialty Psychiatric Hospitals | $758,680,300 | ||||
Grants to Compensate for Municipal Taxation – Specialty Psychiatric Hospitals | $174,100 | $23,773,093,800 | $23,773,093,800 | ||
| Community | |||||
Transfer payments | |||||
Home Care | $4,112,236,600 | ||||
Community Support Services | $805,230,300 | ||||
Assisted Living Services | $355,126,000 | ||||
Community Health Centres | $488,187,800 | ||||
Acquired Brain Injury | $65,836,900 | $5,826,617,600 | $5,826,617,600 | ||
| Mental Health and Addictions | |||||
Transfer payments | |||||
Community Mental Health | $1,218,989,200 | ||||
Addiction Program | $345,804,700 | ||||
Child and Youth Mental Health | $484,654,400 | $2,049,448,300 | $2,049,448,300 | ||
| Total operating expense to be voted | $31,649,159,700 | ||||
| 1416-2 | Programs and Administration | ||||
Transfer payments | |||||
Health Workforce Programs | $5,666,900 | ||||
Regional Coordination Operations Support | $225,567,500 | ||||
Digital Health | $366,020,100 | ||||
Health Quality Programs | $31,909,500 | ||||
Cancer Screening Programs | $91,294,700 | ||||
Cancer Treatment Services | $1,498,892,600 | ||||
Renal Services | $727,477,100 | ||||
Organ and Tissue Donation, Transplantation, and Cardiovascular Services | $74,898,000 | $3,021,726,400 | |||
| Total operating expense to be voted | $3,021,726,400 | ||||
| Total operating expense for Health Services and Programs | $34,670,886,100 | ||||
Operating assets | |||||
| 1416-10 | Health Services and Programs | ||||
Advances and recoverable amounts | |||||
Operation of Hospitals | $24,000,000 | ||||
Home Care | $700,000 | ||||
Community Support Services | $2,966,800 | ||||
Assisted Living Services | $793,500 | ||||
Community Health Centres | $3,000,000 | ||||
Acquired Brain Injury | $246,300 | ||||
Community Mental Health | $5,500,000 | ||||
Addiction Program | $900,000 | ||||
Cancer Treatment Services | $1,000 | $38,107,600 | |||
| Total operating assets to be voted | $38,107,600 | ||||
| Total operating assets for Health Services and Programs | $38,107,600 | ||||
Capital expense | |||||
| 1416-3 | Digital Health capital | ||||
Transfer payments | |||||
Digital Health capital | $5,215,100 | ||||
Other transactions | $1,000 | ||||
| Total capital expense to be voted | $5,216,100 | ||||
| Statutory appropriations | |||||
Other transactions | |||||
| Statutory | Amortization, the Financial Administration Act | $413,000 | |||
| Total capital expense for Health Services and Programs | $5,629,100 | ||||
Health capital Program - Vote 1407
Health capital is responsible for the provision of capital funding to health care facilities including public hospitals, integrated health facilities and community sector health service providers.
Vote summary
| Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Capital expense | |||||
| 1 | Health capital | $2,340,819,600 | $1,711,194,000 | $629,625,600 | $1,558,925,161 |
| Total capital expense to be voted | $2,340,819,600 | $1,711,194,000 | $629,625,600 | $1,558,925,161 | |
| Total capital expense | $2,340,819,600 | $1,711,194,000 | $629,625,600 | $1,558,925,161 | |
Standard account by item and sub-items
| Vote- Item number | Standard account by item and sub-items | Amount | Amount | |
|---|---|---|---|---|
Capital expense | ||||
| 1407-1 | Health capital | |||
Transfer payments | ||||
Major Hospital Projects | $1,965,080,700 | |||
Health Infrastructure Renewal Fund | $200,000,000 | |||
Small Hospital Projects | $40,000,000 | |||
Medical and Diagnostic Equipment Fund | $40,600,000 | |||
Community Health Programs | $68,000,000 | |||
Public Health Laboratories | $4,715,700 | |||
Integrated Health Facility Programs | $20,000,000 | $2,338,396,400 | ||
Other transactions | ||||
Provincial Psychiatric Hospitals Divestment | $1,223,200 | |||
Health Infrastructure Information Systems | $1,200,000 | $2,423,200 | ||
| Total capital expense to be voted | $2,340,819,600 | |||
| Total capital expense for Health capital Program | $2,340,819,600 | |||
Footnotes
- footnote[1] Back to paragraph Total operating expense includes statutory appropriations, special warrants and total operating expense to be voted.