Expenditure Estimates for the Ministry of Health and Long Term Care (2019-20)
The 2019-2020 Expenditure Estimates set out details of the operating and capital spending requirements of the Ministry of Health and Long Term Care for the fiscal year commencing April 1, 2019.
Summary
The Ministry of Health and Long-Term Care is working to establish a patient-focused, results-driven, integrated and sustainable publicly funded health care system. The ministry is building a health care system that is centred on the patient as it redirects resources to front-line services through system-wide administrative consolidation and the legislation to create Ontario Health.
The ministry works to help people stay healthy, deliver high-quality care when and where they need it, and protect the sustainability of the health care system for future generations. The ministry provides overall direction and leadership, focusing on planning and guiding resources to bring value to the system.
Ministry program summary
Vote | Program | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
Operating expense | |||||
1401 | $117,448,400 | $117,302,200 | $146,200 | $106,545,421 | |
1402 | $793,072,900 | $844,769,000 | ($51,696,100) | $777,027,336 | |
1403 | $421,238,700 | $491,751,500 | ($70,512,800) | $443,519,264 | |
1405 | $21,512,860,200 | $20,357,355,900 | $1,155,504,300 | $20,134,675,473 | |
1406 | $1,289,059,000 | $1,270,494,800 | $18,564,200 | $1,240,014,917 | |
1411 | Local Health Integration Networks and Related Health Service Providers | $29,470,708,000 | $28,855,807,800 | $614,900,200 | $27,531,105,976 |
1412 | $4,374,448,100 | $4,296,824,900 | $77,623,200 | $4,199,711,665 | |
1413 | $142,931,800 | $137,492,600 | $5,439,200 | $137,237,094 | |
Health Benefit Program | - | $8,600,000 | ($8,600,000) | - | |
Total operating expense to be voted | $58,121,767,100 | $56,380,398,700 | $1,741,368,400 | $54,569,837,146 | |
Statutory appropriations | $1,084,687 | $489,360 | $595,327 | $18,536,170 | |
Ministry total operating expense | $58,122,851,787 | $56,380,888,060 | $1,741,963,727 | $54,588,373,316 | |
Consolidation adjustment - Cancer Care Ontario | $37,726,400 | $49,376,100 | ($11,649,700) | $37,711,275 | |
Consolidation adjustment - eHealth Ontario | $19,345,600 | $29,759,600 | ($10,414,000) | $13,293,100 | |
Consolidation adjustment - Hospitals | $3,449,760,200 | $3,399,439,500 | $50,320,700 | $2,830,878,966 | |
Consolidation adjustment - Local Health Integration Networks | $24,056,200 | $26,080,200 | ($2,024,000) | $12,393,042 | |
Consolidation adjustment - ORNGE | ($39,406,900) | ($23,467,900) | ($15,939,000) | ($20,332,565) | |
Consolidation adjustment - Funding to Colleges | ($2,112,300) | ($3,260,200) | $1,147,900 | ($2,522,636) | |
Consolidation adjustment - Ontario Agency for Health Protection and Promotion | $500,800 | $206,300 | $294,500 | $3,053,323 | |
Operating expense adjustment – Cap and Trade Wind Down Account Reclassification | - | $500,000 | ($500,000) | $23,453 | |
Total including consolidation & other adjustments | $61,612,721,787 | $59,859,521,660 | $1,753,200,127 | $57,462,871,274 | |
Operating assets | |||||
1401 | $1,000 | $1,000 | - | - | |
1402 | $4,500,000 | $4,500,000 | - | $4,500,000 | |
1405 | $13,000,000 | $13,000,000 | - | $13,000,000 | |
1406 | $750,000 | $750,000 | - | $453,102 | |
1411 | Local Health Integration Networks and Related Health Service Providers | $58,537,600 | $58,537,600 | - | $58,537,559 |
1412 | $5,730,400 | $5,730,400 | - | $5,606,068 | |
Total operating assets to be voted | $82,519,000 | $82,519,000 | - | $82,096,729 | |
Ministry total operating assets | $82,519,000 | $82,519,000 | - | $82,096,729 | |
Capital expense | |||||
1403 | $26,716,100 | $37,130,100 | ($10,414,000) | $21,244,100 | |
1413 | $1,000 | $1,000 | - | - | |
1407 | $1,809,052,400 | $1,697,475,600 | $111,576,800 | $1,389,340,201 | |
Total capital expense to be voted | $1,835,769,500 | $1,734,606,700 | $101,162,800 | $1,410,584,301 | |
Statutory appropriations | $14,538,500 | $14,893,200 | ($354,700) | $14,489,091 | |
Ministry total capital expense | $1,850,308,000 | $1,749,499,900 | $100,808,100 | $1,425,073,392 | |
Consolidation adjustment - Cancer Care Ontario | ($30,852,100) | ($30,424,400) | ($427,700) | ($32,902,000) | |
Consolidation adjustment - eHealth Ontario | ($4,245,300) | ($6,063,600) | $1,818,300 | ($3,188,100) | |
Consolidation adjustment - Hospitals | $86,956,400 | $29,635,500 | $57,320,900 | $318,220,472 | |
Consolidation adjustment - Local Health Integration Networks | $4,497,100 | $4,695,700 | ($198,600) | $8,111,505 | |
Consolidation adjustment - ORNGE | $13,821,300 | $13,329,200 | $492,100 | $11,339,786 | |
Consolidation adjustment - Ontario Agency for Health Protection and Promotion | ($22,740,400) | ($20,651,700) | ($2,088,700) | $6,951,391 | |
Capital expense adjustment – Cap and Trade Wind Down Account Reclassification | - | $118,330,600 | ($118,330,600) | $63,564,925 | |
Total including consolidation & other adjustments | $1,897,745,000 | $1,858,351,200 | $39,393,800 | $1,797,171,371 | |
Capital assets | |||||
1413 | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 | |
Total capital assets to be voted | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 | |
Ministry total capital assets | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 | |
Ministry total operating and capital including consolidation and other adjustments (not including assets) | $63,510,466,787 | $61,717,872,860 | $1,792,593,927 | $59,260,042,645 |
Operating expense | 2018-19 | 2017-18 |
|---|---|---|
| Total operating expense previously published | $55,903,071,760 | $54,210,526,760 |
| Government reorganization | ||
Transfer of functions from other Ministries | $480,716,300 | $402,148,756 |
Transfer of functions to other Ministries | ($2,900,000) | ($24,302,200) |
| Restated total operating expense | $56,380,888,060 | $54,588,373,316 |
Capital expense | 2018-19 | 2017-18 |
|---|---|---|
| Total capital expense previously published | $1,749,131,300 | $1,425,073,392 |
| Government reorganization | ||
Transfer of functions from other Ministries | $368,600 | - |
| Restated total capital expense | $1,749,499,900 | $1,425,073,392 |
Capital assets | 2018-19 | 2017-18 |
|---|---|---|
| Total capital assets previously published | $25,235,300 | $12,153,351 |
| Government reorganization | ||
Transfer of functions from other Ministries | - | $2,495,800 |
| Restated total capital assets | $25,235,300 | $14,649,151 |
Ministry Administration Program - vote 1401
Ministry Administration provides support to the Minister of Health and Long-Term Care to meet the requirements of the ministry’s portfolio, 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; audit; supply chain and contract management; facilities; government pharmacy; subrogation; strategic human resources including: organizational change strategies and implementation; talent, performance and succession management; workforce planning and resource management; engagement 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 and marketing; business innovation and program redesign to achieve improved quality, efficiency and effectiveness; financial management including: payments, financial analysis, forecasting, settlements and internal reporting of the overall ministry expenditure and revenue forecast in accordance with controllership standards.
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, Physician Payment Review Board, Medical Eligibility Committee, and the Ontario Hepatitis C Assistance Plan Review Committee.
Vote summary
Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| 1 | Ministry administration | $110,073,000 | $109,926,800 | $146,200 | $99,735,426 |
| 2 | Ontario Review Board | $7,375,400 | $7,375,400 | - | $6,809,995 |
Total operating expense to be voted | $117,448,400 | $117,302,200 | $146,200 | $106,545,421 | |
| S | Minister’s salary, the Executive Council Act | $47,841 | $47,841 | - | $49,301 |
| S | Parliamentary assistants' salaries, the Executive Council Act | $32,346 | $48,519 | ($16,173) | $16,667 |
| S | Government Pharmacy, the Financial Administration Act | - | - | - | $18,470,202 |
Total statutory appropriations | $80,187 | $96,360 | ($16,173) | $18,536,170 | |
Total operating expense | $117,528,587 | $117,398,560 | $130,027 | $125,081,591 | |
| 10 | Accounts receivable | $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- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1401-1 | Ministry administration | ||
Salaries and wages | $50,518,900 | ||
Employee benefits | $13,038,700 | ||
Transportation and communication | $3,359,700 | ||
Services | $42,600,800 | ||
Supplies and equipment | $631,600 | ||
Subtotal | $110,149,700 | ||
Less: recoveries | $76,700 | ||
Total operating expense to be voted | $110,073,000 | ||
Sub-Items: | |||
Main Office | |||
Salaries and wages | $5,007,600 | ||
Employee benefits | $622,200 | ||
Transportation and communication | $231,100 | ||
Services | $794,200 | ||
Supplies and equipment | $10,500 | $6,665,600 | |
Financial and Administrative Services | |||
Salaries and wages | $35,032,600 | ||
Employee benefits | $10,890,400 | ||
Transportation and communication | $2,539,800 | ||
Services | $29,907,500 | ||
Supplies and equipment | $476,400 | ||
Subtotal | $78,846,700 | ||
Less: recoveries | $76,700 | $78,770,000 | |
Human Resources | |||
Salaries and wages | $2,815,600 | ||
Employee benefits | $408,300 | ||
Transportation and communication | $57,300 | ||
Services | $787,100 | ||
Supplies and equipment | $10,700 | $4,079,000 | |
Communications Services | |||
Salaries and wages | $7,542,400 | ||
Employee benefits | $1,115,300 | ||
Transportation and communication | $476,000 | ||
Services | $4,872,700 | ||
Supplies and equipment | $89,200 | $14,095,600 | |
Legal Services | |||
Salaries and wages | $120,700 | ||
Employee benefits | $2,500 | ||
Transportation and communication | $55,500 | ||
Services | $2,973,500 | ||
Supplies and equipment | $44,800 | $3,197,000 | |
Audit Services | |||
Services | $3,265,800 | $3,265,800 | |
Total operating expense to be voted | $110,073,000 | ||
Statutory appropriations | |||
| Statutory | Minister’s salary, the Executive Council Act | $47,841 | |
| Statutory | Parliamentary assistants' salaries, the Executive Council Act | $32,346 | |
1401-2 | Ontario Review Board | ||
Salaries and wages | $1,280,100 | ||
Employee benefits | $204,100 | ||
Transportation and communication | $607,800 | ||
Services | $5,226,800 | ||
Supplies and equipment | $56,600 | ||
Total operating expense to be voted | $7,375,400 | ||
Total operating expense for Ministry Administration Program | $117,528,587 | ||
Operating assets | |||
1401-10 | Accounts receivable | ||
Advances and recoverable amounts | |||
Advances and recoverable - in-year recoveries | $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; drive health system innovation with new health technologies and processes; 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, 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 Indigenous people in Ontario, and includes ongoing support for ministry engagement with Indigenous partners, collaboration and participatory research, as well as enhanced life promotion and crisis support services.
Vote summary
Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| 1 | Health Policy and Research | $793,072,900 | $844,769,000 | ($51,696,100) | $777,027,336 |
Total operating expense to be voted | $793,072,900 | $844,769,000 | ($51,696,100) | $777,027,336 | |
| S | Bad debt expense, the Financial Administration Act | $131,500 | - | $131,500 | - |
Total statutory appropriations | $131,500 | - | $131,500 | - | |
Total operating expense | $793,204,400 | $844,769,000 | ($51,564,600) | $777,027,336 | |
| 2 | Health Policy and Research | $4,500,000 | $4,500,000 | - | $4,500,000 |
Total operating assets to be voted | $4,500,000 | $4,500,000 | - | $4,500,000 | |
Total operating assets | $4,500,000 | $4,500,000 | - | $4,500,000 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1402-1 | Health Policy and Research | ||
Salaries and wages | $20,268,500 | ||
Employee benefits | $3,139,100 | ||
Transportation and communication | $525,400 | ||
Services | $10,861,400 | ||
Supplies and equipment | $127,800 | ||
Transfer payments | |||
Clinical Education | $735,864,500 | ||
Health System Research Fund | $22,286,200 | $758,150,700 | |
Total operating expense to be voted | $793,072,900 | ||
Statutory appropriations | |||
| Statutory | Bad debt expense, the Financial Administration Act | ||
Other transactions | $131,500 | ||
Total operating expense for Health Policy and Research Program | $793,204,400 | ||
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 |
eHealth and Information Management Program - vote 1403
eHealth and Information Management is transforming Ontario’s health care system into one that is more modern, integrated and truly patient-centred. Through administrative consolidation, the ministry is ensuring resources are spent responsibly on effective outcomes.
Digital health builds on Ontario’s digital health foundations and leverages health technology to provide patients with more choice, providers with more tools to deliver the best possible care, and the health system with more transparency and accountability for today and sustainability for the future.
Information Management, Data and Analytics supports policy development, program design, quality improvement, and accountability by governing, capturing, and transforming data into insights, and insights into strategic guidance to keep our healthcare system and 14+ million Ontarians healthy.
Vote summary
Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| 1 | eHealth and Information Management | $421,238,700 | $491,751,500 | ($70,512,800) | $443,519,264 |
Total operating expense to be voted | $421,238,700 | $491,751,500 | ($70,512,800) | $443,519,264 | |
Total operating expense | $421,238,700 | $491,751,500 | ($70,512,800) | $443,519,264 | |
| 2 | eHealth and Information Management | $26,716,100 | $37,130,100 | ($10,414,000) | $21,244,100 |
Total capital expense to be voted | $26,716,100 | $37,130,100 | ($10,414,000) | $21,244,100 | |
| S | Amortization, the Financial Administration Act | $413,000 | $413,000 | - | $358,315 |
Total statutory appropriations | $413,000 | $413,000 | - | $358,315 | |
Total capital expense | $27,129,100 | $37,543,100 | ($10,414,000) | $21,602,415 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1403-1 | eHealth and Information Management | ||
Salaries and wages | $18,647,200 | ||
Employee benefits | $2,705,500 | ||
Transportation and communication | $246,600 | ||
Services | $27,326,100 | ||
Supplies and equipment | $261,200 | ||
Transfer payments | |||
eHealth Ontario | $248,624,100 | ||
Information Technology Programs | $111,647,600 | ||
Health System Information Management | $11,780,400 | $372,052,100 | |
Total operating expense to be voted | $421,238,700 | ||
Total operating expense for eHealth and Information Management Program | $421,238,700 | ||
Capital expense | |||
1403-2 | eHealth and Information Management | ||
Transfer payments | |||
eHealth Ontario Capital | $26,715,100 | ||
Other transactions | $1,000 | ||
Total capital expense to be voted | $26,716,100 | ||
Statutory appropriations | |||
Other transactions | |||
| Statutory | Amortization, the Financial Administration Act | $413,000 | |
Total capital expense for eHealth and Information Management Program | $27,129,100 |
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, Aboriginal Health Access Centers, Nurse Practitioner Led Clinics, midwifery services, underserviced areas, northern health travel grants, tele triage services, disease prevention, health quality, drugs, community laboratories, psychiatric patient advocacy and rights advice, assistive devices including home oxygen, and protection/risk management of both provider and subscriber fraudulent activity.
The Ontario Drug Benefit program continues to be reviewed with the objectives of creating an easier-to-understand, more consistent and sustainable program.
Publicly funded health services are available from health professionals in various settings from family doctors' offices to academic health science centres, to hospitals, to Telehealth Ontario and Telephone Health Advisory Service where triage advice and health information are provided. 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 specialist, or health care facility services unavailable in their local communities.
Health Quality Ontario (HQO) is an agency of the province of Ontario and, is a provincial advisor to the Ministry of Health and Long-Term Care on health system quality. HQO works with front-line health care providers and health care organizations, and engages directly with patients and caregivers, to help initiate sustainable changes to the health care system.
Vote summary
Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| 1 | Ontario Health Insurance | $16,311,652,900 | $15,104,851,800 | $1,206,801,100 | $15,382,567,667 |
| 2 | Drug Programs | $4,672,111,500 | $4,768,665,300 | ($96,553,800) | $4,233,464,719 |
| 4 | Assistive Devices Program | $529,095,800 | $483,838,800 | $45,257,000 | $518,643,087 |
Total operating expense to be voted | $21,512,860,200 | $20,357,355,900 | $1,155,504,300 | $20,134,675,473 | |
| S | Bad debt expense, the Financial Administration Act | $501,000 | $1,000 | $500,000 | - |
| S | Bad debt expense, the Financial Administration Act | $1,000 | $1,000 | - | - |
Total statutory appropriations | $502,000 | $2,000 | $500,000 | - | |
Total operating expense | $21,513,362,200 | $20,357,357,900 | $1,156,004,300 | $20,134,675,473 | |
| 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- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1405-1 | Ontario Health Insurance | ||
Salaries and wages | $51,021,100 | ||
Employee benefits | $8,798,200 | ||
Transportation and communication | $3,402,200 | ||
Services | $23,676,900 | ||
Supplies and equipment | $502,700 | ||
Transfer payments | |||
Payments made for services and for care provided by physicians and practitioners | $15,820,012,400 | ||
Independent Health Facilities | $52,177,900 | ||
Underserviced Area Plan | $30,759,600 | ||
Northern Travel Program | $54,081,600 | ||
Teletriage Services | $24,222,200 | ||
Quality Management Program - Laboratory Services | $4,748,900 | ||
Midwifery Services | $172,711,600 | ||
Disease Prevention Strategy | $2,524,600 | ||
Health Quality Ontario | $35,818,100 | ||
Quality Health Initiatives | $27,194,900 | $16,224,251,800 | |
Total operating expense to be voted | $16,311,652,900 | ||
Statutory appropriations | |||
Other transactions | |||
| Statutory | Bad debt expense, the Financial Administration Act | $501,000 | |
1405-2 | Drug Programs | ||
Salaries and wages | $9,155,900 | ||
Employee benefits | $1,298,600 | ||
Transportation and communication | $806,800 | ||
Services | $21,773,700 | ||
Supplies and equipment | $105,100 | ||
Transfer payments | |||
Ontario Drug Programs | $4,638,971,400 | ||
Total operating expense to be voted | $4,672,111,500 | ||
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 | $1,314,000 | ||
Supplies and equipment | $29,000 | ||
Transfer payments | |||
Assistive Devices and Supplies Program | $523,532,100 | ||
Total operating expense to be voted | $529,095,800 | ||
Total operating expense for Ontario Health Insurance Program | $21,513,362,200 | ||
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 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 and 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 |
|---|---|---|---|---|---|
| 4 | Population and Public Health | $1,289,059,000 | $1,270,494,800 | $18,564,200 | $1,240,014,917 |
Total operating expense to be voted | $1,289,059,000 | $1,270,494,800 | $18,564,200 | $1,240,014,917 | |
Total operating expense | $1,289,059,000 | $1,270,494,800 | $18,564,200 | $1,240,014,917 | |
| 6 | Population and Public Health | $750,000 | $750,000 | - | $453,102 |
Total operating assets to be voted | $750,000 | $750,000 | - | $453,102 | |
Total operating assets | $750,000 | $750,000 | - | $453,102 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1406-4 | Population and Public Health | ||
Salaries and wages | $18,555,100 | ||
Employee benefits | $2,651,300 | ||
Transportation and communication | $912,400 | ||
Services | $28,136,200 | ||
Supplies and equipment | $1,001,300 | ||
Transfer payments | |||
Official Local Health Agencies | $783,001,100 | ||
Outbreaks of Diseases | $170,801,000 | ||
Tuberculosis Prevention | $9,113,900 | ||
Sexually Transmitted Diseases Control | $33,455,200 | ||
Infection Control | $19,900,400 | ||
Ontario Agency for Health Protection and Promotion | $134,474,300 | ||
Nutrition/Healthy Eating | $17,980,400 | ||
Prevent Disease, Injury and Addiction | $23,914,100 | ||
Healthy Communities Fund | $950,000 | ||
Smoke-Free Ontario | $44,212,300 | $1,237,802,700 | |
Total operating expense to be voted | $1,289,059,000 | ||
Total operating expense for Population and Public Health Program | $1,289,059,000 | ||
Operating assets | |||
1406-6 | Population and Public Health | ||
Advances and recoverable amounts | |||
Official Local Health Agencies | $750,000 | ||
Total operating assets to be voted | $750,000 | ||
Total operating assets for Population and Public Health Program | $750,000 |
Local Health Integration Networks and Related Health Service Providers - vote 1411
The ministry collaborates with 14 Local Health Integration Networks (LHINs) to promote a patient-focused, value driven, integrated and co-ordinated health care system. While the ministry provides strategic direction and guidance, the LHINs are currently responsible for planning, integrating and funding health service providers in their local health systems, delivering and managing home care, and planning primary care. In addition, Health Shared Services Ontario is responsible for providing back office support to the 14 LHINs, including IT, finance, human resources, procurement, and the home care database.
The LHINs exercise their authority under the Local Health System Integration Act, 2006. Additional administrative responsibilities are set out in the Memorandum of Understanding, while operational funding and performance expectations are set out in the Accountability Agreement between each LHIN and the Ministry of Health and Long-Term Care. Currently, the LHINs manage services in public, private and specialty psychiatric hospitals, home care/LHIN delivered services (formerly Community Care Access Centres), long-term care homes, community health centres, community support services, community services for persons with acquired brain injury, assisted living services in supportive housing, mental health and addiction agencies.
Child and Youth Mental Health (CYMH) program provides various community-based mental health services to children and youth including suicide prevention and life promotion. It promotes mental health well-being by assisting children and youth who are at risk, or have developed social, emotional and behavioural difficulties.
Vote summary
Item number | Item | Estimates | Estimates | Difference | Actual |
|---|---|---|---|---|---|
| 1 | Local Health Integration Networks and Related Health Service Providers | $29,470,708,000 | $28,855,807,800 | $614,900,200 | $27,531,105,976 |
Total operating expense to be voted | $29,470,708,000 | $28,855,807,800 | $614,900,200 | $27,531,105,976 | |
| S | Bad debt expense, the Financial Administration Act | $250,000 | $250,000 | - | - |
Total statutory appropriations | $250,000 | $250,000 | - | - | |
Total operating expense | $29,470,958,000 | $28,856,057,800 | $614,900,200 | $27,531,105,976 | |
| 2 | Local Health Integration Networks and Related Health Service Providers | $58,537,600 | $58,537,600 | - | $58,537,559 |
Total operating assets to be voted | $58,537,600 | $58,537,600 | - | $58,537,559 | |
Total operating assets | $58,537,600 | $58,537,600 | - | $58,537,559 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount | Amount | Amount |
|---|---|---|---|---|
Operating expense | ||||
1411-1 | Local Health Integration Networks and Related Health Service Providers | |||
Transfer payments | ||||
Erie St. Clair | $1,199,194,900 | |||
South West | $2,415,289,200 | |||
Waterloo Wellington | $1,129,462,700 | |||
Hamilton Niagara Haldimand Brant | $3,142,353,500 | |||
Central West | $992,535,400 | |||
Mississauga Halton | $1,671,002,300 | |||
Toronto Central | $5,094,562,300 | |||
Central | $2,313,583,700 | |||
Central East | $2,426,741,100 | |||
South East | $1,180,273,700 | |||
Champlain | $2,738,313,400 | |||
North Simcoe Muskoka | $942,855,800 | |||
North East | $1,559,933,700 | |||
North West | $692,599,900 | |||
Health Shared Services Ontario | $38,710,200 | |||
Local Health Integration Networks - Supplementary Investments | $1,527,241,300 | |||
Child and Youth Mental Health | $406,054,900 | $29,470,708,000 | ||
Total operating expense to be voted | $29,470,708,000 | |||
Sub-Items: | ||||
Local Health Integration Networks | ||||
Transfer payments | ||||
Erie St. Clair | $1,199,194,900 | |||
South West | $2,415,289,200 | |||
Waterloo Wellington | $1,129,462,700 | |||
Hamilton Niagara Haldimand Brant | $3,142,353,500 | |||
Central West | $992,535,400 | |||
Mississauga Halton | $1,671,002,300 | |||
Toronto Central | $5,094,562,300 | |||
Central | $2,313,583,700 | |||
Central East | $2,426,741,100 | |||
South East | $1,180,273,700 | |||
Champlain | $2,738,313,400 | |||
North Simcoe Muskoka | $942,855,800 | |||
North East | $1,559,933,700 | |||
North West | $692,599,900 | |||
Health Shared Services Ontario | $38,710,200 | $27,537,411,800 | $27,537,411,800 | |
Local Health Integration Networks - Supplementary Investments | ||||
Transfer payments | ||||
Local Health Integration Networks - Supplementary Investments | $1,527,241,300 | $1,527,241,300 | ||
Child and Youth Mental Health | ||||
Transfer payments | ||||
Child and Youth Mental Health | $406,054,900 | $406,054,900 | ||
Total operating expense to be voted | $29,470,708,000 | |||
Statutory appropriations | ||||
Other transactions | ||||
| Statutory | Bad debt expense, the Financial Administration Act | $250,000 | ||
Total operating expense for Local Health Integration Networks and Related Health Service Providers | $29,470,958,000 | |||
Operating assets | ||||
1411-2 | Local Health Integration Networks and Related Health Service Providers | |||
Advances and recoverable amounts | ||||
Erie St. Clair | $2,422,200 | |||
South West | $5,061,500 | |||
Waterloo Wellington | $2,658,600 | |||
Hamilton Niagara Haldimand Brant | $6,067,400 | |||
Central West | $2,609,200 | |||
Mississauga Halton | $2,273,500 | |||
Toronto Central | $12,517,600 | |||
Central | $3,721,200 | |||
Central East | $5,685,200 | |||
South East | $3,016,500 | |||
Champlain | $5,683,300 | |||
North Simcoe Muskoka | $1,525,700 | |||
North East | $3,987,100 | |||
North West | $1,308,600 | $58,537,600 | ||
Total operating assets to be voted | $58,537,600 | |||
Total operating assets for Local Health Integration Networks and Related Health Service Providers | $58,537,600 |
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: Cancer Care Ontario, Cancer Screening Programs, Community and Priority Services, Operation of Related Facilities, HIV/AIDS and Hepatitis C Programs. The program provides Ontario’s share of funding to the Canadian Blood Services and also supports a blood utilization management strategy for Ontario.
In addition to transfer payment activities, Provincial Programs and Stewardship also includes Direct Operating Expenditures for health capital planning and the management and delivery of the Transfer Payments within the Vote, and for the oversight administration (stewardship) of the Local Health Integration Networks.
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 Ambulance Communications Centres (ACCs), provides oversight and transfer payment functions for 11 transfer payment ACCs; 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 |
|---|---|---|---|---|---|
| 1 | Provincial Programs | $3,245,653,200 | $3,164,792,100 | $80,861,100 | $3,139,306,884 |
| 2 | Emergency Health Services | $1,043,710,600 | $1,045,264,600 | ($1,554,000) | $988,930,264 |
| 4 | Stewardship | $85,084,300 | $86,768,200 | ($1,683,900) | $71,474,517 |
Total operating expense to be voted | $4,374,448,100 | $4,296,824,900 | $77,623,200 | $4,199,711,665 | |
| S | Bad debt expense, the Financial Administration Act | $121,000 | $141,000 | ($20,000) | - |
Total statutory appropriations | $121,000 | $141,000 | ($20,000) | - | |
Total operating expense | $4,374,569,100 | $4,296,965,900 | $77,603,200 | $4,199,711,665 | |
| 5 | Provincial Programs and Stewardship | $5,730,400 | $5,730,400 | - | $5,606,068 |
Total operating assets to be voted | $5,730,400 | $5,730,400 | - | $5,606,068 | |
Total operating assets | $5,730,400 | $5,730,400 | - | $5,606,068 |
Standard account by item and sub-items
<
Vote- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Operating expense | |||
1412-1 | Provincial Programs | ||
Transfer payments | |||
Cancer Screening Programs | $95,331,300 | ||
Operation of Related Facilities | $87,484,000 | ||
Cancer Care Ontario | $1,797,110,400 | ||
Canadian Blood Services | $572,967,600 | ||
HIV/AIDS and Hepatitis C Programs | $101,074,200 | ||
Community and Priority Services | $591,685,700 | $3,245,653,200 | |
Total operating expense to be voted | $3,245,653,200 | ||
Statutory appropriations | |||
Other transactions | |||
| Statutory | Bad debt expense, the Financial Administration Act | $121,000 | |
1412-2 | Emergency Health Services | ||
Salaries and wages | $45,406,800 | ||
Employee benefits | $8,269,000 | ||
Transportation and communication | $2,746,800 | ||
Services | $12,262,100 | ||
Supplies and equipment | $578,800 | ||
Transfer payments | |||
Payments for Ambulance and related Emergency Services: Municipal Ambulance | $710,507,900 | ||
Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services | $73,305,800 | ||
Air Ambulance | $190,633,400 | $974,447,100 | |
Total operating expense to be voted | $1,043,710,600 | ||
1412-4 | Stewardship | ||
Salaries and wages | $50,400,800 | ||
Employee benefits | $6,883,900 | ||
Transportation and communication | $5,239,200 | ||
Services | $22,288,800 | ||
Supplies and equipment | $271,600 | ||
Total operating expense to be voted | $85,084,300 | ||
Total operating expense for Provincial Programs and Stewardship | $4,374,569,100 | ||
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 | ||
Cancer Care Ontario | $1,000 | ||
Payments for Ambulance and related Emergency Services: Other Ambulance Operations and Related Emergency Services | $461,000 | $5,730,400 | |
Total operating assets to be voted | $5,730,400 | ||
Total operating assets for Provincial Programs and Stewardship | $5,730,400 |
Information Systems - vote 1413
Information Systems enables the business outcomes of the Ministry of Health and Long-Term Care by providing cost-effective and efficient 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 |
|---|---|---|---|---|---|
| 1 | Information Technology Services – Health Cluster | $142,931,800 | $137,492,600 | $5,439,200 | $137,237,094 |
Total operating expense to be voted | $142,931,800 | $137,492,600 | $5,439,200 | $137,237,094 | |
Total operating expense | $142,931,800 | $137,492,600 | $5,439,200 | $137,237,094 | |
| 3 | Information Systems | $1,000 | $1,000 | - | - |
Total capital expense to be voted | $1,000 | $1,000 | - | - | |
| S | Amortization, the Financial Administration Act | $14,125,500 | $14,480,200 | ($354,700) | $14,130,776 |
Total statutory appropriations | $14,125,500 | $14,480,200 | ($354,700) | $14,130,776 | |
Total capital expense | $14,126,500 | $14,481,200 | ($354,700) | $14,130,776 | |
| 4 | Information Systems | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 |
Total capital assets to be voted | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 | |
Total capital assets | $18,357,400 | $25,235,300 | ($6,877,900) | $14,649,151 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount |
|---|---|---|
Operating expense | ||
1413-1 | Information Technology Services – Health Cluster | |
Salaries and wages | $52,940,200 | |
Employee benefits | $7,308,900 | |
Transportation and communication | $2,455,700 | |
Services | $77,232,200 | |
Supplies and equipment | $2,994,800 | |
Total operating expense to be voted | $142,931,800 | |
Total operating expense for Information Systems | $142,931,800 | |
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 | $14,125,500 |
Total capital expense for Information Systems | $14,126,500 | |
Capital assets | ||
1413-4 | Information Systems | |
Information technology hardware | $9,939,800 | |
Business application software - asset costs | $8,417,600 | |
Total capital assets to be voted | $18,357,400 | |
Total capital assets for Information Systems | $18,357,400 |
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 |
|---|---|---|---|---|---|
| 1 | Health Capital | $1,809,052,400 | $1,697,475,600 | $111,576,800 | $1,389,340,201 |
Total capital expense to be voted | $1,809,052,400 | $1,697,475,600 | $111,576,800 | $1,389,340,201 | |
Total capital expense | $1,809,052,400 | $1,697,475,600 | $111,576,800 | $1,389,340,201 |
Standard account by item and sub-items
Vote- | Standard account by item and sub-items | Amount | Amount |
|---|---|---|---|
Capital expense | |||
1407-1 | Health Capital | ||
Transfer payments | |||
Major Hospital Projects | $1,472,585,300 | ||
Health Infrastructure Renewal Fund | $175,000,000 | ||
Small Hospital Projects | $40,000,000 | ||
Medical and Diagnostic Equipment Fund | $34,500,000 | ||
Long-Term Care Programs | $4,812,000 | ||
Community Health Programs | $57,116,300 | ||
Public Health Laboratories | $18,334,800 | ||
Integrated Health Facility Programs | $1,374,800 | $1,803,723,200 | |
Other transactions | |||
Provincial Psychiatric Hospitals Divestment | $3,000,000 | ||
Health Infrastructure Information Systems | $2,329,200 | $5,329,200 | |
Total capital expense to be voted | $1,809,052,400 | ||
Total capital expense for Health Capital Program | $1,809,052,400 |
Footnotes
- footnote[1] Back to paragraph *Total operating expense includes statutory appropriations, special warrants and total operating expense to be voted.
- footnote[2] Back to paragraph *Total capital expense includes statutory appropriations, special warrants and total capital expense to be voted.
- footnote[3] Back to paragraph *Total capital assets includes statutory appropriations, special warrants and total capital assets to be voted.